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Managed Healthcare Market Report

March 31, 2008

MHMR March 31, 2008: Volume 16, Number 6
Humana to buy ODF plans…Centene to buy Celtic…MCOs try to define PBM units…Amerigroup DC pact on hold…Boorady on Tricare…Cigna buys Great-West…MCO stocks fall 4%...Services stocks rise 4%...On-site clinics grow…Chart: On-site clinic vendors…and more…

HUMANA TO ACQUIRE OSF HEALTHPLANS
Humana Inc. (Louisville, KY) said it has signed a definitive agreement to acquire provider-owned OSF HealthPlans (Peoria, IL) in a deal valued at about $65.5 million.

CENTENE TO BUY CELTIC FOR $80 MILLION
Medicaid health plan Centene Corp. (St. Louis, MO) is breaking into the individual market through a definitive agreement to acquire Celtic Group Inc. (Chicago) for $80 million.

MCOs WORK TO DEFINE PBM OFFERINGS
Managed care companies with in-house pharmacy benefit management operations pitch a simple concept to employers: if you let us manage both your medical and drug benefits, we can create an integrated program that better controls overall healthcare costs. But there’s a problem.

AMERIGROUP DC MEDICAID BUSINESS ON HOLD
Amerigroup Corp. (Virginia Beach, VA) said it has suspended preparations on a Washington, DC, Medicaid contract renewal set for May 1, after the District filed a complaint questioning the company’s rate calculations and claiming certain administrative costs were counted as healthcare costs.

BOORADY SEES HUMANA, HEALTH NET KEEPING TRICARE
Citi analyst Charles Boorady said in a research note that he expects both Humana Inc. (Louisville, KY) and Health Net (Woodland Hills, CA) to maintain their existing Tricare military health benefits contracts with the Dept. of Defense.

MVP MEMBERSHIP HITS 700,000, UP 6%
MVP Health Care (Schenectady, NY) said that as of March 24, 2008, membership across all lines of business was 700,000, up 6% from year-end 2007.

ON-SITE CLINICS POISED FOR CONTINUED GROWTH
On-site healthcare clinics—i.e., clinics located on corporate campuses, workplaces, factories, etc. to be accessed by company employees—remains a rapidly growing market poised for continued expansion, according to a new report from Corporate Research, publisher is this newsletter.

CIGNA COMPLETES $1.5 BILLION GREAT-WEST ACQUISITION
Cigna Corp. (Philadelphia) has completed the acquisition of the healthcare assets of Great-West Life & Annuity Inc. (Denver) for $1.5 billion in cash (MHMR, Nov. 30, 2007).

MANAGED CARE STOCKS FALL 4%
Managed care stocks fell 4% in the two weeks ended March 28, according to an MHMR tally of 13 issues.

MANAGED CARE SERVICES STOCKS RISE 4.3%
Managed care services stocks rose 4.3% in the two weeks ended March 28, according to an MHMR tally of 11 issues.


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