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Managed Healthcare Market Report

November 15, 2006

MHMR Nov. 15, 2006; Volume 14, Number 19
CVS, Caremark to merge...AHIP has plan for uninsured...MCO stock fall after election...United, HCA reach agreement...Medical costs to soar, study says...Kaiser expects ’07 profit...CareFirst CEO resigns...3Q06 MCO net rises 33%...Chart: financials, 13 MCOs...MCO stocks fall 8%...Services stocks fall 3%...and more...

CVS, CAREMARK TO MERGE; WILL THE NEW COMPANY BE PLAGUED WITH CONFLICTS?
In a deal that would create a pharmacy retail and mail order giant that fills more than 1 billion prescriptions per year, CVS Corp. (Woonsocket, RI) has reached a definitive agreement to merge with Caremark Rx Inc. (Nashville, TN).

AHIP PROPOSES PLAN FOR UNINSURED
America’s Health Insurance Plans (Washington) has begun lobbying for $300 billion in federal spending over 10 years on a series of initiatives it says will solve the problem of the nation’s 40 million uninsured.

MCO STOCKS PLUMMET AFTER ELECTION
Wall Street had expected the Democrats to make gains in this month’s elections.

UNITED, HCA REACH NATIONAL AGREEMENT
Ending a bitter dispute over the cost of hospital services, UnitedHealth Group (Minnetonka, MN) announced an agreement to provide its members with access to 150 hospitals and 100 diagnostics and treatment facilities operated by HCA Inc. (Nashville, TN).

’07 MEDICAL COSTS TO SOAR, PRICEWATERHOUSE SAYS
Medical costs for health plans are expected to soar at a double-digit level in 2007, with costs for PPOs rising 11.9%, HMOs 11.8% and consumer-directed health plans 10.7%, according to a survey from PricewaterhouseCoopers (New York).

KAISER SAYS $7 BB LOSS PROJECTION WAS WORST CASE
Internal projections from Kaiser Permanente (Oakland, CA) showing that the company could lose $7 billion over the next two years were a worst-case scenario, assuming cost increases of more than 10% and premium growth of just 4% to 6%, according to treasurer Tom Meier.

CAREFIRST CEO JEWS TO LEAVE AFTER 13 YEARS
The controversial and effective chief executive of CareFirst—William Jews—announced that he would leave the company at the end of 2006 after 13 years on the job.

3Q06 MCO NET RISES 33% AT 13 COMPANIES
Final third-quarter 2006 net income for 13 publicly traded managed care companies soared 33% to $2.721 billion.

MANAGED CARE STOCKS FALL 8%
Managed care stocks fell 8% in the two weeks ended Nov. 11, according to an MHMR tally of 13 issues.

MANAGED CARE SERVICES STOCKS FALL 3%
Managed care services stocks fell 3% in the two weeks ended Nov. 10, according to an MHMR tally of 11 issues.


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