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Your Daily Posterous Spaces Update October 20th, 2011 Cash Checks +

Never Write Checks = Insurance Company's Business Model: UnitedHealth Raises

Outlook but Expresses Caution -

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UnitedHealth Raises Outlook but

By JON

KAMP<http://online.wsj.com/search/term.html?KEYWORDS=JON+KAMP & bylinesearch=true>

UnitedHealth<http://online.wsj.com/public/quotes/main.html?type=djn & symbol=UNH>G\

roup

Inc. again reported better-than-expected quarterly earnings and raised

its annual outlook as it continued to benefit from muted health-care usage,

but the health insurer also warned that conditions could get tougher.

The Minnetonka, Minn., company tempered its strong 2011 view with some

cautious early comments on next year, when factors like investments in the

business and costs pegged to the U.S. health-care overhaul are expected to

apply pressure. UnitedHealth also noted it's seen " a modest increase " in

doctors office and outpatient visits, although health-care usage remains

below historical trends.

" We are realistic about the challenging current market environment and the

challenging earnings comparisons we will face in 2012, " said

Hemsley<http://topics.wsj.com/person/h/stephen-j-hemsley/592>,

president and chief executive of UnitedHealth, on a conference call Tuesday.

UnitedHealth is the largest managed-care firm by revenue and the first to

report quarterly results. The industry bellwether's shares traded down 4.5%

to $44.51 in early afternoon trading Tuesday on the New York Stock Exchange,

and shares of some competitors also slipped, with

WellPoint<http://online.wsj.com/public/quotes/main.html?type=djn & symbol=WLP>Inc.

declining 1.9% to $64.32 and

Aetna <http://online.wsj.com/public/quotes/main.html?type=djn & symbol=AET>Inc.

declining 2.1% to $36.72.

Health insurers have steadily benefited as economic turmoil slowed the pace

of doctors' office and hospital visits, which means patients aren't racking

up as many bills for insurers to cover. Mr. Hemsley voiced optimism for the

company's growth prospects, but he also took a cautious, early view about

potential upcoming challenges, including expectations for medical

utilization to return to more normal levels in the fourth quarter and next

year.

The company also is making investments for compliance and readiness

regarding the health-care overhaul law and is expecting continued low

premium rate increases from government-sponsored benefits programs, among

other pressure points.

" What we're trying to do is try to prudently lay out the challenges for

2012, " Mr. Hemsley told analysts. The company didn't give any 2012 guidance

figures Tuesday and plans to issue its outlook at a late-November investor

conference.

Meantime, the view remains bright for the current year. UnitedHealth on

Tuesday raised its full-year earnings forecast to a range of $4.40 to $4.45

a share on revenue exceeding $101 billion, up from $4.15 to $4.25 and a

target at $101 billion, respectively. Analysts had forecast earnings of

$4.37 a share on sales of $101.51 billion.

That marks the third time this year UnitedHealth raised its annual forecast.

For the recent quarter, UnitedHealth reported a profit of $1.27 billion,

down from $1.28 billion a year ago. Earnings on a per-share basis rose to

$1.17 from $1.14 a share a year earlier, but the latest quarter was helped

by the repurchase of nearly 18 million shares and lower taxes.

Revenue improved 6.8% to $25.28 billion. Analysts polled by Thomson Reuters

expected per-share earnings of $1.12 on revenue of $25.44 billion.

UnitedHealth's medical-loss ratio, which reflects the portion of insurance

premiums used for patient care, rose to 80.7% in the recent period from

80.1% a year earlier. The ratio declined from 81.4% in the second quarter

and was below the level some analysts expected, indicating

lower-than-expected medical costs.

But UnitedHealth signaled some increasing usage, raising questions for

coming months. Specifically, the company noted " a modest increase in

utilization trends in outpatient and physician office-care settings " for the

insurance business serving employers and individuals.

Leerink Swann analyst Gurda said this commentary " could create some

controversy for the shares. "

Revenue in the UnitedHealthcare insurance business rose 6.1% to $23.64

billion from a year ago. The operating margin there declined slightly—which

UnitedHealth said was expected—amid the initiation of premium rebate

obligations for this year. Low premium-rate increases in state Medicaid

programs also weighed on the operating margin.

Health insurers have to meet new minimum requirements for medical-cost ratio

this year or provide rebates for falling short.

Revenue from Optum, UnitedHealth's information- and technology-based

health-services business, jumped 22%. Earnings for operations for that

business grew a more modest 3%, however, amid " changes in business mix and

internal business and service realignments, " the company said.

UnitedHealth is spending ahead of plans in 2013 to bring in house the

pharmacy-benefit business currently served by Medco Health

Solutions<http://online.wsj.com/public/quotes/main.html?type=djn & symbol=MHS>Inc.\

,

which is shedding its largest customer amid plans to be purchased by

competitor Express

Scripts<http://online.wsj.com/public/quotes/main.html?type=djn & symbol=ESRX>Inc.

UnitedHealth said the transition will add more than 12 million commercial

members to its OptumRx pharmacy-benefit business on a " staged basis " in

2013.

Elsewhere, the company said medical membership at its UnitedHeathcare

insurance business increased to nearly 34.4 million, up 5% from a year

earlier.

via

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29555626.html>

Cash Checks + Never Write Checks = Insurance Company's Business Model

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