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Managed Healthcare Market Report

December 31, 2006

MHMR Dec. 31, 2006; Volume 14, Number 21
Express bids for Caremark...3Q06 BCBS lives fall 2%...Drug costs are 11% of premiums...SPECIAL REPORT: Managed Dental: Lives fall at 6 dental HMOs...Chart: DHMO lives, 6 plans...Aetna, Assurant, Cigna, CompBenefits, Delta, Safeguard, UCCI, UnitedHealth...Chart: 3Q06 BCBS lives...United to take non-cash charge...Maximus wins NYC renewal...Cigna to settle shareholder suit...Cigna to buy Mid-South BCBS-MN sells long-term pacts...ValueOptions taps Wilson...In brief: Blue Cross-CA, Health Net, Cigna, Centene...Best upgrades Cigna...PSI to acquire Horizon...MCO stocks rise 4%...Services stocks rise 3%...Chart: drug costs, 50 HMOs...and more...

3Q06 BCBS LIVES FALL 2.1% TO 25.093 MM
Fully funded HMO and POS lives among 19 leading Blue Cross Blue Shield companies declined 2.1% to 25.093 million as of Sept. 30, 2006.

HMO DRUG COSTS ARE 11.2% OF PREMIUMS
Drug costs represented 11.2% of premiums in 2005 for 50 major HMOs in 11 states, according to an MHMR tally of insurance department data.

UNITEDHEALTH TO TAKE $1.5-1.7 BB NON-CASH CHARGE
UnitedHealth Group (Minneapolis, MN) said it would take a non-cash, pretax charge of $1.5 billion to $1.7 billion associated with the stock options scandal that cost top executive William McGuire, M.D., his job (MHMR, Oct. 31).

MAXIMUS WINS RENEWAL OF $73.3 MM NY MEDICAID PACT
Maximus (Reston, VA) has won a two-year renewal of a $73.3 million contract to provide Medicaid managed care services to more than 2.1 million members in New York City and Nassau and Suffolk counties.

CIGNA TO SETTLE SHAREHOLDER CLASS ACTION FOR $93 MM
Cigna (Philadelphia) agreed to pay $93 million to settle a class-action suit in which shareholders claimed they suffered losses from the purchase Cigna stock from November 2001 through October 2002.

CIGNA TO ACQUIRE MID-SOUTH ASO GROUP
Cigna (Philadelphia) announced a definitive agreement to acquire Mid-South Administrative Group, LLC (Memphis, TN), an administrative services only company serving about 28,000 members.

BCBS-MN SELLS LONG-TERM CARE BUSINESS
As part of an overall effort to focus on its health plans operations, Blue Cross Blue Shield of Minnesota (Eagan, MN) announced the sale of 4500 long-term care insurance contracts to MedAmerica Insurance Co. (Emeryville, CA).

VALUEOPTIONS NAMES WILSON SVP
ValueOptions (Norfolk, VA) has named Chris Wilson senior vice president of national and health plan accounts.

IN BRIEF: BLUE CROSS-CA; HEALTH NET; CIGNA; CENTENE
Health Net Inc. (Woodland Hills, CA) has renewed a multi-year provider contract with Northwest Medical Centers in Tucson and Oro Valley, AZ.

A.M. BEST UPGRADES CIGNA
A.M. Best (Oldwick, NJ) has upgraded both the financial strength and credit ratings of Cigna Corp. (Philadelphia) and its subsidiaries to “A” from “A-.”

PSYCHIATRIC SOLUTIONS TO ACQUIRE HORIZON FOR $426 MM
Psychiatric Solutions Inc (Franklin, TN) has agreed to acquired Horizon Health Corp. (Lewisville, TX) in a deal valued at $426 million.

EXPRESS SCRIPTS BIDS FOR CAREMARK
Express Scripts (St. Louis) has upped the ante in the emerging battle over who will take control of Caremark Rx (Nashville, TN) by making a hostile takeover bid to acquire the company for $26 billion in cash and stock.

06’ DENTAL HMO LIVES FALL 0.3% AT 6 PLANS
Dental HMO membership among six leading dental plans is expected to fall 0.3% in 2006.

MANAGED CARE STOCKS RISE 3%
Managed care stocks rose 3% in the two weeks ended Dec. 15, according to an MHMR tally of 13 issues.

MANAGED CARE SERVICES STOCKS RISE 7%
Managed care services stocks rose 7% in the two weeks ended Dec. 15, according to an MHMR tally of 11 issues.


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