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Managed Healthcare Market Report

January 31, 2006

MHMR Jan. 31, 2006: Volume 14, Number 2
SPECIAL REPORT: 2006 Drug Costs...Drug costs to rise 8%...3.6 million in standalone PDPs...Chart: drug cost trend, 16 MCOs...Aetna, BCBS-MA, BCBS-MI, BCBS-MN, BCBS-NC, Blue Shield-CA, Cigna, Group Health, Harvard Pilgrim, Health Net, HealthPartners, Horizon BCBS, Humana, Sierra, UnitedHealth, WellPoint...United eyes 3% Part D margin...IL has most Part D PDP lives...WellPoint 4Q06 net jumps...Humana to acquire CHA...Molina to acquire Cape Health...Health Net taps Tough...Aetna names Brennan CMO...HMO stocks rise 1%...Services stocks rise 4%...and more...

UNITEDHEALTH RAISES ‘06 PROFIT OUTLOOK
UnitedHealth Group (Minnetonka, MN) raised its full-year 2006 earnings projection to between $2.85 and $2.90 per share ($3.7 billion to $3.8 billion based on 1.3 billion diluted shares), a 21% to 23% increase over 2005 results.

3.6 MILLION ENROLL IN STAND-ALONE PDPs
About 3.6 million Medicare beneficiaries have enrolled in stand-alone Part D drug plans, according to recently released figures from the Center for Medicare & Medicaid Services.

DRUG COSTS TO RISE 8% IN 2006
Drug costs among leading managed care organizations are expected to rise about 8% in 2006, compared to a 10% increase in 2005, according to a tally by MHMR of 15 leading health plans.

UNITEDHEALTH EYES 3% ’06 PART D OPERATING MARGIN
UnitedHealth Group (Minnetonka, MN) said it projects operating earnings of $150 million to $160 million on revenues of $5 billion from its Medicare Part D drug business, representing an operating margin of 3.1%.

ILLINOIS HAS MOST MEDICARE PDP DRUG LIVES AS OF JAN. 13
With 251,339 voluntary enrollees in stand-alone Medicare Part D prescription drug programs, the state of Illinois led the nation, according to data from the Centers for Medicare & Medicaid Services (Washington).

HEALTHCARE SPENDING GROWS TO 7.9% IN 2004, CMS SAYS
Healthcare spending in the U.S. rose 7.9% in 2004, down from a rate of increase of 8.2% in 2003 and 9.1% in 2002, according to the Centers for Medicare & Medicaid Services (Washington).

WELLPOINT 4Q05 NET JUMPS ON 8.5% MEDICAL COST TREND
Citing a rolling 12-month medical cost trend of less than 8.5% in 2005, WellPoint Inc. (Indianapolis) reported fourth-quarter 2005 net income of $652 million, up 253%, on revenues of $11.432 billion, up 68%.

HUMANA TO ACQUIRE CHA HEALTH OF KENTUCKY
Humana (Louisville) has agreed to acquire provider-owned CHA HMO Inc. (Louisville), which serves 96,000 members in Kentucky.

MOLINA TO ACQUIRE CAPE HEALTH PLAN
Molina Healthcare (Long Beach, CA) announced it has signed a definitive agreement to acquire HCLB Inc. (Troy, MI), the parent company of Cape Health Plan (Southfield, MI).

PEOPLE: TOUGH; BRENNAN
Health Net (Woodland Hills, CA) has named Steve Tough president of its Health Net Federal Services division.

MANAGED CARE STOCKS RISE 1%
Managed care stocks rose 1% in the two weeks ended Jan. 27, according to an MHMR tally of 13 issues.

MANAGED CARE SERVICES STOCKS UP 4%
Managed care services stocks rose 4% in the two weeks ended Jan. 27, according to an MHMR tally of 11 issues.


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