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Managed Healthcare Market Report

August 31, 2007

MHMR August 31, 2007: Volume 15, Number 14
SPECIAL REPORT: ’08 Managed Care Premiums…’08 MCO premiums to rise 7.5%...Chart: rate hikes 2003-08…Rate hikes, 24 states…HealthSpring to buy FL plan…’08 Medicare drug rates to fall…’07 rates rise 2.7%, UBA says…Humana takes SunCoast lives…M&A market heats up…Fund manager likes Cigna…United Anderson, Quam leave…Unicare taps Casey…Health Net to exit NYC MA…Coventry to resume PFFS sales…HMO stocks rise 3.7%...Services stocks rise 0.8%...and more…

’08 MANAGED CARE PREMIUMS TO RISE 7.5%
Managed care premium rates are expected increase 7.5% in 2008 after benefit buydowns, according to preliminary results from MHMR’s annual premium survey.

HEALTHSPRING TO BUY FL MEDICARE PLAN
HealthSpring (Nashville, TN) has announced a definitive agreement to acquire provider-owned Leon Medical Centers Health Plans Inc. (Miami, FL) in a $400 million deal, including $355 million in cash.

’08 MEDICARE DRUG RATES TO FALL 0.9%
The Centers for Medicare & Medicaid Services (Washington) announced that average monthly reimbursement to Medicare Prescription Drug Plans will be $52.59 per member in 2008, down 0.9% from $53.08 in 2007.

HEALTHCARE PREMIUMS ROSE 7.2% IN 2007, UBA SAYS
Healthcare premiums for all health plans rose 7.2% in 2007, according to a survey by United Benefit Advisors (Indianapolis), an association of independent benefit advisory firms, compared to an 8.6% increase in 2006.

HUMANA TO SERVE 600 SUNCOAST MEDICARE LIVES
Humana Inc. (Louisville, KY) said it has agreed to provide healthcare coverage to 600 Medicare Advantage members previously served by the now-bankrupt SunCoast Physicians Health Plan (Weston, FL) in Florida’s Miami-Dade, Palm Beach and Broward counties.

M&A MARKET HEATS UP, NEW REPORT SAYS
Managed care companies are once again looking to mergers and acquisitions to drive gains in an environment in which membership growth has slowed and profit margins are flattening out, according to the Managed Care M&A Explosion, a new report from Corporate Research Group (New Rochelle, NY).

T. ROWE PRICE FUND MANAGER LIKES CIGNA, NOT UNITED
T. Rowe Price Health Sciences fund manager Kris Jenner is still down on UnitedHealth Group, noting that the fund has not held shares in the company for a while.

UNITEDHEALTH’S ANDERSON, QUAM LEAVE
UnitedHealth Group (Minnetonka, MN) has announced the departure of two key executives. Richard Anderson, president of the company’s commercial services group, has taken the position of chief executive of Delta Air Lines.

WELLPOINT NAMES CASEY CEO OF UNICARE
WellPoint Inc. (Indianapolis) has named Dennis Casey president and chief executive of its Unicare operation, which handles the company’s non-Blue Cross Blue Shield healthcare and life business.

HEALTH NET TO EXIT NYC MEDICARE ADVANTAGE BUSINESS
Health Net (Woodland Hills, CA) has announced an agreement to transfer its Medicare Advantage HMO membership in New York City to physician-owned Touchstone Health Partnership (New York), a move that will affect 6500 members.

COVENTRY CLEARED TO RESUME MEDICARE PFFS MARKETING
Coventry Inc. (Bethesda, MD) said it has received approval from the Centers for Medicare & Medicaid Services to resume marketing of its Medicare Private Fee-for-Service health plans.

MANAGED CARE STOCKS RISE 3.7%
Managed care stocks rose 3.7% in the in the two weeks ended Aug. 31, according to an MHMR tally of 14 issues.

MANAGED CARE SERVICES STOCKS RISE 0.8%
Managed care services stocks rose 0.8% in the two weeks ended Aug. 31, according to an MHMR tally of 11 issues.


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