From Health Plan Week - Like any good party, this one had to come to an end. After more than a year of standout quarterly earnings that routinely trumped analyst expectations, Aetna Inc. on April 26 surprised investors by revealing that its first-quarter profit dropped 13% compared with the prior-year period due to an increase in its medical loss ratio (MLR) and the fact it didn’t record any gains on reserves set aside for prior-year claims. Analysts were disappointed by the results. “Not Good, Not Good at All” was the subject line in Cowen & Co. analyst Christine Arnold’s research note shortly after the results were… Read more
From Health Plan Week - If UnitedHealth Group had its way, all of its members would own a Microsoft Xbox video game system and would use it every day. While promoting video games might sound like a way to grow couch potatoes, UnitedHealth and several other major insurers are using concepts behind popular video games to promote wellness, encourage exercise and boost social interactions between people — and ultimately improve health outcomes and lower costs. Read more
From Health Plan Week - Health plans must take a variety of measures, including developing clinical management programs, promoting patient adherence programs and improving interaction with members, to combat rising costs in specialty pharmacy, according to two industry insiders. “All of these stakeholders are concerned about where the market is headed,” R.J. Correia, Pharm.D., senior vice president of pharmacy services at UnitedHealth Group pharmacy benefit manager OptumRx, said during an April 11 AIS webinar on addressing… Read more
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