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Managed Healthcare Market Report

Sept. 30, 2006

MHMR Sept. 30, 2006: Volume 14, Number 16
’07 FEHB premiums rise 1.8%...2Q06 HMO/POS lives rise...BCBS-MI buys M-Care...Chart: FEHB rates, 75 HMOs...Chart: HSA/POS enrollment...MA HMO net rises 49%...Chart: MA HMO financials...Will other states follow MA?...MA connector names 2 plans...United fails to win HSA order...Consumers Life individual plans...Health Net taps Morris...Nationwide hires Lyski...Managed care stocks rise 3%...Services stocks fall 1%...Health Net gives bonuses to docs...Part D coverage gap hits 2 MM...and more...

FEHBP RATES RISE 1.8% FOR 2007
Premiums rates for the Federal Employees Health Benefits Program, which covers 8 million current and retired federal employees, will rise just 1.8% in the fiscal year ending September 2007, the lowest rate of increase in 10 years.

2Q06 HMO/POS LIVES RISE 1.2%
Fully funded HMO and POS enrollment among 22 leading managed care organizations increased 1.2% to 60.594 million as of June 30, 2006, compared to the same period a year earlier.

BCBS-MI BUYS M-CARE FOR $240 MILLION
Blue Cross Blue Shield of Michigan (Detroit) has agreed to acquire the University of Michigan’s M-Care health plan for $240 million plus up to $10 million for healthcare research at the university.

MA HMO NET INCOME RISES 49% IN 2005
HMOs in Massachusetts posted net income of $330.4 million in 2005, an increase of 49%, on revenues of $8.996 billion, up 2.2%, according to an MHMR tally of state insurance department data.

18-20 STATES LIKELY TO FOLLOW MA LEAD, IGNAGNI SAYS
Health plans, which had lobbied hard for a new Massachusetts law requiring state residents to buy health insurance, are now wondering whether the program can be exported to other states.

UNITED FAILS TO WIN HCA COURT ORDER
A federal judge denied a request by UnitedHealth Group (Minnetonka, MN) for a temporary restraining order that would have prevented HCA Inc. (Nashville, TN) from terminating effective in November an imaging contract serving the health plan’s Denver membership.

PART D COVERAGE GAP REACHES 3 MILLION, SURVEY SAYS
About 3 million Medicare Part D enrollees will reach the coverage gap in 2006, according to a study by America’s Health Insurance Plans (Washington).

CONSUMERS LIFE OFFERS INDIVIDUAL HEALTH PLANS IN WI
Consumers Life Insurance Co., a subsidiary of Medical Mutual (Cleveland, OH), announced that it will begin selling individual health insurance in Wisconsin. According to vice president Lincoln Lafayette, the company will add group insurance products down the line.

HEALTH NET GIVES $4 MILLION IN BONUSES TO PHYSICIANS
Health Net (Woodland Hills, CA) distributed about $4 million in bonus payments to physicians in Connecticut in the first year of the company’s “Partners for Quality and Cost-Effective Care” program.

HEALTH NET NAMES MORRIS SVP, CONTROLLER
Health Net (Woodland Hills, CA) has named Bret Morris senior vice president and controller of corporate finance, effective Oct. 9. He will also serve as the company’s principal accounting officer. Morris, who was most recently with UnitedHealth Group (Minnetonka, MN), will replace Maurice Herbert, who resigned from the position.

NATIONWIDE NAMES LYSKI CHIEF OF MARKETING
Nationwide Financial Services Inc. (Columbus, OH) has named James Lyski chief marketing officer, responsible for corporate marketing, brand management, advertising and communications for all Nationwide companies. Previously, Lyski served as senior vice president for strategy and product marketing at Cigna Corp. (Philadelphia).

MANAGED CARE STOCKS RISE 3%
Managed care stocks rose 3% in the two weeks ended Sept. 22, according to an MHMR tally of 13 issues.

MANAGED CARE SERVICES STOCKS FALL 1%
Managed care services stocks fell 1% in the two weeks ended Sept. 22, according to an MHMR tally of 11 issues.


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