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Managed Healthcare Market Report

Managed Care Companies

MANAGED CARE STOCKS RISE 4.1%
Managed care stocks rose 4.1% in the two weeks ended April 13, according to an MHMR tally of 13 issues.

AETNA TO OFFER PLANS TO AARP MEMBERS UNDER 64
Aetna Inc. (Hartford, CT) has entered into a seven-year agreement to offer individual health plans to AARP members who are 50 to 64 years old. AARP has a total of about 18 million members aged 50 to 64.

UNITEDHEALTH, AARP EXTEND MEDICARE PACT
UnitedHealth Group (Minnetonka, MN) said it has extended for another seven years its arrangement to offer Medicare Advantage, Part D and Supplement plans to members of AARP. The new agreement, which runs through 2014, has been expanded to include health and wellness solutions. UnitedHealth will market the products to 38 million AARP members.

1Q07 MEDICARE PFFS LIVES SOAR 61%
Enrollment in private fee-for-service (PFFS) Medicare Advantage plans jumped 61% 1.369 million lives in 2007, compared to 850,242 lives in 2006, according to an MHMR tally of figures from the Centers for Medicare & Medicaid Services.

4Q06 PPO ENROLLMENT INCREASES 2.3%
Fully funded PPO enrollment among 17 leading managed care organizations increased 2.3% to 52.914 million as of Dec. 31, 2006, compared to the same period a year earlier.

CENTENE TO ENTER SC, ACQUIRE PHYTRUST
Centene Corp. (St. Louis) said it has agreed to acquire PhyTrust (Myrtle Beach, SC), a Medicaid medical home health network serving 30,000 members, as a springboard into the South Carolina Medicaid market. Centene will acquire PhyTrust to form a new organization to deliver Medicaid services.

4Q06 BCBS HMO/POS LIVES DECLINE 1.8% TO 25.3 MILLION
Fully funded HMO and POS lives among 19 leading Blue Cross Blue Shield companies declined 1.8% to 25.308 million as of Dec. 31, 2006.

HEALTH NET TO REMAIN INDEPENDENT, GELLERT SAYS
Amid persistent speculation that Health Net (Woodland Hills, CA) is a likely acquisition target, chief executive Jay Gellert said the company would remain “independent for the foreseeable future.”

’08 MEDICARE RATES TO RISE 3.5%
The Centers for Medicare & Medicaid Services (Washington, DC) said that reimbursement rates for Medicare Advantage plans will increase 3.5% in 2008.

4Q06 HMO/POS LIVES RISE 2.3% TO 69.9 MM
Fully funded HMO and POS enrollment among 22 leading managed care organizations increased 2.3% to 69.865 million as of Dec. 31, 2006, compared to the same period a year earlier.


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