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Recent News from PULSE, May 2008


TriZetto to be Acquired by Apax Partners, Regence and BCBS of Tennessee.

TriZetto announced that it had entered into a definitive agreement to be acquired by TZ Holdings, L.P., primarily owned by Apax Partners for $1.4 billion.


Update: CMS Announces Final Medicare Advantage Capitation Rates for 2009.

CMS released its Medicare Advantage capitation rate increases for calendar year 2009 for the Aged and Disabled, on average, for Medicare Advantage plans will increase 3.6%.


Capital Cost Comments

On average, health plan stock prices grew 6.7% for the month. Eleven of the fourteen of the health plans had increases in stock prices. Valuation indicators grew for the month of April.


Earnings Analysis

Ten of the fourteen publicly-traded health plans announced earnings last month. Aetna had strong growth in Medicare Advantage membership leading to an 18.3% increase in total premiums. AMERIGROUP Corporation experienced a 64.8% increased in net income in part as a result of a 30.0% increased in revenues and lower HBR. Centene had a 133.7% increase in operating income as a result of higher margins. Coventry Health Care had strong growth in membership which led to an increase in revenue of 31.5% though margins fell. Health Net, Inc. had a 95.7% decline in operating income on a higher HBR despite an increase of 19.6% in total revenues. HealthSpring reported a 26.9% growth in operating earnings on a 52.6% increase in revenues. Humana experienced a 12.5% increase in net income despite a decline in operating income on higher administration. Molina Healthcare reported a 71.7% increase in operating income, due to growth in revenues and improvements in administrative expenses. UnitedHealth Group reported an increase in earnings per share of 4.8%, as administrative expenses increased. WellPoint, Inc. decreased operating and non-operating income due to a higher HBR, net income declined 24.9%.


Mergers and Acquisitions

WellPoint, Inc. announced it has acquired Resolution Health, Inc., a personal health care guidance company. WellPoint, Inc. recently has entered into a definitive agreement to acquire a dental benefits management company, DeCare Dental.


Financing

Molina Healthcare, Inc. received approval for repurchase of its common shares.


Personnel Changes

Coventry Health Care, Inc. announced that Tom McDonough, Coventry’s President will retire on July 1, 2008. Molina Healthcare of Ohio has announced Ernie Humbert as the new Chief Financial Officer.


Insert.Cost of Stock Compensation.

The Cost of Stock Compensation is our look at the cost to shareholders of stock-based incentives granted to company management. We estimate the impact of the exercise of options and vesting of Restricted Stock Units on historical net earnings and shareholder dilution.


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