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Jan. 15, 2007
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MHMR Jan. 15, 2007; Volume 15, Number 1
CA plan to require 85% MCR...Bill seeks Part D negotiations...SPECIAL REPORT: Outlook for 2007...13 top execs on 2007 outlook: Aetna, BCBS-NC, Cigna, CDPHP, Excellus, Fallon, Harvard Pilgrim, Health Net, HealthPartners, Horizon BCBS-NJ, Sierra, United, WellPoint...’07 profits to grow 5%...’06 MCO margins top 5%...Wall Street mixed on 2007...Random stock picks beat Street
MCO stocks mixed in ‘06...Part D bumps in the road...HMO stocks rise 1%...Caremark rejects Express bid...and more...
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CA HEALTHCARE PLAN TO REQUIRE 85% MCR
The universal healthcare plan proposed by Gov. Arnold Schwarzenegger for California’s 4.8 million uninsured would require health plans to spend 85% of premiums on medical care—a stipulation that could cut into the profitability of insurers.
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HOUSE BILL SEEKS PART D NEGOTIATIONS
The Democratic-controlled Congress is trying to make good on its promise to require the government to negotiate directly with pharmaceutical manufacturers on the price of drugs offered through the Medicare Part D drug program.
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MCO NET PROFIT MARGINS TOP 5% IN 2006
Managed care industry profit margins rose to 5.1% among 12 publicly traded managed care organizations through the first nine months of the year, compared to the same period a year earlier.
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CAREMARK REJECTS EXPRESS SCRIPTS TAKEOVER BID
Caremark Inc. (Nashville, TN) formally rejected a hostile takeover bid from Express Scripts (Maryland Heights, MO), stating that such a deal wouldn’t be in the best interest of shareholders; instead, Caremark will continue to pursue its previously announced merger with CVS Corp. (Woonsocket, RI).
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