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Managed Healthcare Market Report

January 31, 2007

MHMR Jan. 31, 2007; Volume 15, Number 2
Medicare HMO lives fall 1%...Medicare PPO lives rise 7.7%...Is Bush health plan DOA...SPECIAL REPORT: Vision Managed Care...Managed vision grows...Davis, Spectera, VSP...Chart: managed vision plans...Chart: Medicare HMO lives...Chart: Medicare PPO lives...Healthcare spending up 6.9%...Molina shares fall on ’07 outlook...United American profit falls...HMO stocks fall 0.8%...and more...

MEDICARE HMO LIVES FALL 1% AS OF 1/1/07
Medicare Advantage HMO lives fell 1% to 5.511 million as of Jan. 1, 2007, compared to 5.575 million as of Aug. 1, 2006, an MHMR tally of figures from the Centers for Medicare & Medicaid Services shows.

MEDICARE PPO LIVES INCREASE 7.7% IN 2007
Medicare Advantage PPO lives increased 7.7% to 440,949 as of Jan. 1, 2007, compared to 409,592 as of Aug. 1, 2006, according to an MHMR tally of figures from the Centers for Medicare & Medicaid Services.

IS THE BUSH HEALTH PLAN DOA?
President Bush has proposed that individuals who purchase their own health insurance receive a tax deduction of $7500, while families get a $15,000 deduction.

MANAGED VISION MEMBERSHIP, COMPETITION GROWS
Membership in managed vision companies (both funded and discounted) is increasing across the board, but so is competition.

HEALTHCARE SPENDING UP 6.9% IN 2005
Healthcare expenditures rose just 6.9% in 2005, the lowest rate of increase in years, according to annual spending figures from the Centers for Medicare & Medicaid Services (Washington).

MOLINA SHARES FALL ON 2007 EARNINGS PROJECTION
Molina Healthcare (Long Beach, CA) saw its shares fall 7% for the week ended Jan. 19, after the company disappointed Wall Street with a 2007 net income projection of $1.75 to $1.90 per diluted share ($50.5 million to $54.9 million based on 28.9 million diluted shares). The company expects a medical cost ratio of about 86.2% of premium revenues of about $2.6 billion.

UNITEDAMERICAN FISCAL 2Q07 NET FALLS
United American (Detroit, MI) reported a 48% decline in net income to $228,000 for the fiscal second-quarter ended Dec. 31, 2006.

MANAGED CARE STOCKS FALL 0.8%
Managed care stocks fell 0.8% in the two weeks ended Jan. 26, according to an MHMR tally of 13 issues.


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