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Recent News from PULSE, December 2011


A Flurry of Health Plan Acquisitions.

We provide a list of pending and completed health plan acquisitions for the past six months. Many of these business combinations are focused on Medicare and Medicaid plans.


Increased Automation Not Leading to Sharp Reductions in Administrative Costs.

Sherlock Company research suggests that the benefits of investments in areas of Information Systems has not led to lower costs.


Tufts Health Plan Completes Acquisition of Network Health.

On November 1, Wartertown, Massachusetts-based Tufts Health Plan completed its purchase of Medicaid plan, Network Health.


UnitedHealth Group Agrees to Purchase XLHealth for $2.0 Billion.

UnitedHealth Group announced it entered into an agreement to purchase XLHealth, a company with a focus on serving Medicare Advantage Special Needs.


Capital Cost Comments.

Stock prices for the publicly-traded health plans rose 2.9%, on average, for the month of November with valuation indicators following suit. In comparison, the broader market, measured by the S&P 500, fell slightly by 0.5%. Stock price growth was nearly universal and was led by the Medicaid plans. The Medicare plans followed and then by the Commercial plans.


Earnings Analysis.

HealthNet, Inc. experienced a 4.9% increase in net income from lower health benefit ratios. HealthSpring, Inc. experienced a sharp increase in total membership due to its Bravo Health acquisition leading to higher earnings. Triple-S Management Corporation’s earnings were lower driven by its loss of its Reform (Puerto Rico’s Medicaid program) contract. WellCare Health Plans, Inc. reported a 16.6% increase in net earnings primarily on significantly higher Stand-Alone Medicare Part D membership.


Personnel Changes.

Humana, Inc. appointed Bruce D. Broussard as President and Chief Executive Officer. HealthNet, Inc. named Scott Law as its Chief Medicare Officer.


Financings.

AMERIGROUP Corporation announced its offering of unsecured senior notes of $400.0 million at 7.5%. UnitedHealth Group issued 5-year, 10-year, and 20-year notes totaling $1.5 billion. CIGNA Corporation announced its secondary equity offering of 15.2 million shares for $649.8 million, or $42.75 per share, to partially fund its HealthSpring acquisition. Coventry Health Care, Inc.’s announced that its Board of Directors approved an increase to its share repurchase program from 5% of its outstanding common stock to 10%.

Mergers and Acquisition.

On November 29th, Humana, Inc. announced its intent to acquire SeniorBridge, a provider of chronic-care and at-home services for the elderly.

Insert. Blues,

in our bi-annual review of the financial performance of Blue Cross Blue Shield Plans, we estimate that earnings in 2011 will trend higher on increased revenues, flat health benefit ratios, and a lower administrative expense ratio. We also expect non-operating earnings to supplement earnings.


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