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Managed Healthcare Market Report

March 15, 2007

MHMR March 15, 2007; Volume 15, Number 5
United to acquire Sierra…’07 MCO season opens…CVS-Caremark merger approved…Aetna faces a no-lose situation…Chart: Major acquisitions…United restates profits…BCBS-MI ’06 earnings fall 38%...BCBS-MA ’06 net falls 14%...HMO stocks fall 2.6%...and more…

UNITED TO PAY $4127 PER LIFE FOR SIERRA
UnitedHealth Group (Minnetonka, MN) has announced a definitive agreement to acquire staff-model HMO Sierra Health Services (Las Vegas) for $43.50 per share or $2.6 billion in cash.

’07 M&A SEASON OPENS—WHO’S NEXT?
The announcement by UnitedHealth Group (Minnetonka, MN) that it was acquiring Sierra Health Services (Las Vegas) unofficially opens the much-anticipated 2007 managed care merger and acquisition season—with industry observers predicting several more deals before year end.

CVS GETS APPROVAL TO BUY CAREMARK
CVS Corp (Woonsocket, RI) and Caremark (Nashville, TN) each received the necessary shareholder approval to merge—beating down a hostile takeover bid for Caremark from Express Scripts (St. Louis) and ending a months-long saga.

Mercurio on Managed Care: AETNA FACES A NO-LOSE SITUATION
I had the opportunity to attend Aetna Inc.’s annual investor day in New York City this month and even got to spend 10 minutes interviewing company chairman and chief executive Ron Williams one-on-one.

UNITEDHEALTH TRIMS 12 YEARS OF PROFITS BY $1.56 BILLION
UnitedHealth Group (Minnetonka, MN) said it has reduced the amount of pretax earnings it had reported over the 12-year period ending Dec. 31, 2005 by $1.56 billion to reflected expenses related to stock options granted to employees.

BCBS-MI ‘06 EARNINGS FALL 38%; MEDIGAP LOSSES MOUNT
Blue Cross Blue Shield of Michigan (Detroit) reported 2006 net income of $210 million, down 38% from $337 million in 2005.

BCBS-MA HOLDS LINE ON PREMIUMS; ‘06 NET FALLS 14%
Blue Cross Blue Shield of Massachusetts (Boston) and its wholly owned BCBS-MA HMO operation reported combined 2006 net income of $227.5 million, down 14% from $264.8 million in 2005.

MANAGED CARE STOCKS FALL 0.9%
Managed care stocks fell 0.9% in the two weeks ended March 14, according to an MHMR tally of 13 issues.


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