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NEW YORK (Lewis Krauskopf) – Americans’ use of medical services has not yet rebounded during the weak economy, health insurers say, in a trend that keeps the companies’ costs down and could bolster their profits further this year. Low healthcare utilization was a major reason behind the health insurers posting first-quarter profits well above analyst forecasts earlier this year. The companies have been factoring increases into their pricing for their plans, but executives at an investor conference this week said utilization continued to stay low. “Medical costs have not come back to trend levels we anticipated,” UnitedHealth Group Inc CEO Stephen Hemsley told the conference, held by Sanford Bernstein. Hemsley, whose company is the largest U.S. health insurer by market value, said UnitedHealth continued to believe that medical cost trends will return “to more normal levels.” “But to date whether it’s driven by economic trends or whatever, the medical costs continue to trend to be more moderate,” Hemsley said. Since the economic downturn, Humana Inc CEO Mike McCallister said, “utilization dropped a little bit and it has actually stayed there.” Historically, McCallister said, some health insurers have failed to anticipate a rebound in medical costs, and priced plans too low — hurting results and investor confidence. “The utilization is still relatively softer than we would have expected, no one knows when and if it is going to come back,” McCallister said. “We’re basically assuming that it’s coming back because we’re not going to miss that uptick.” Some analysts have suggested that the lower-than-expected utilization is a more fundamental change rather than a fleeting one. Due to structural changes in healthcare plans over the years, such as higher co-pays and other fees, consumers have steadily borne more of the healthcare costs. “You can argue whether this economic situation we’re in is long term and is going to have long-term effects and whether it has fundamentally changed something,” McCallister said. “I don’t know. I’m not an economist.” Jay Gellert, CEO of Health Net Inc, which operates plans in the Western United States, said the extended downturn, and its associated job losses, makes this situation more unusual. “Typically, when people come back to work they then use health care services,” Gellert said. “But in California if you’re at 11.5 percent unemployment, I’m not sure that’s the time you think about getting off your job and doing elective procedures.” “And we’re a long ways at least now it seems, from a single-digit unemployment in California, from sub-7 in the U.S., and so I think we may see a longer period of depressed utilization,” Gellert said. However, Gellert said, “there’s always risk on our side that we misjudge utilization.” “Once you miss it, you’re in big trouble,” he said. (Reporting by Lewis Krauskopf; Editing by Gary Hill) Copyright 2011 Thomson Reuters. Click for Restrictions .

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In Weak Economy, Americans Still Avoiding Doctors

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Dec. 20 (Bloomberg) — Les Funtleyder, an analyst at Miller Tabak & Co., discusses the company’s new health-care mutual fund, investment strategy and growth opportunities at Varian Medical Systems Inc., Illumina Inc. and UnitedHealth Group Inc. He talks with Pimm Fox on Bloomberg Television’s “Taking Stock.” (Source: Bloomberg)

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Video: Funtleyder Sees Growth at Varian, Illumina, UnitedHealth

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Health Insurer PacifiCare Faces Up To $9.9 Billion In Fines For Nearly A Million Alleged Health Care Violations

September 7, 2010

California regulators are seeking fines of up to $9.9 billion from health insurer PacifiCare over allegations that it repeatedly mismanaged medical claims, lost thousands of patient documents, failed to pay doctors what they were owed and ignored calls to fix the problems. In court filings and other documents, the California Department of Insurance says PacifiCare violated state law nearly 1 million times from 2006 to 2008 after it was purchased by UnitedHealth Group Inc., the nation’s largest health insurance company by revenue. Regulators said the companies broke promises to maintain smooth operations for 130,000 of PacifiCare’s customers, resulting in what insurance officials nationwide believe is the largest fine ever sought against a U.S. health insurer.

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Big Health Insurers Top Quarterly Earnings Forecasts, Even Without More Customers

July 28, 2010

The three largest commercial health insurers all beat Wall Street expectations for second-quarter earnings. Other big insurers like Cigna Corp. and Humana Inc. have yet to report results. Here are the net income and health insurance enrollment totals for UnitedHealth Group Inc., WellPoint Inc. and Aetna Inc. and how they compare to the 2009 second quarter: _ UnitedHealth: profit, $1.12 billion (up 31 percent); enrollment, 32.5 million (up 1 percent) _ WellPoint: profit, $772.4 million (up 4 percent); enrollment, 33.5 million (down 2 percent) _ Aetna: profit, $491 million (up 42 percent); enrollment, 18.6 million (down 2 percent) ___ Source: Company filings

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UnitedHealth Boosts Dividend as Health Overhaul Drags on Insurers’ Shares

May 26, 2010

By Alex Nussbaum May 26 (Bloomberg) — UnitedHealth Group Inc. , the largest health insurer by sales, will raise its annual dividend 17-fold, to 50 cents from 3 cents, as the company tries to assuage investor worries about the U.S. health-care law. UnitedHealth’s board approved a quarterly cash dividend of 12.5 cents a share, the Minnetonka, Minnesota-based company said in statement today. The first payment will be given on June 21 to shareholders of record as of June 7. Future quarterly dividends still have to be approved by the board, spokesman Donald Nathan said in a telephone interview. Before today’s trading, UnitedHealth shares had lost 13 percent of their value since March 30, the day President Barack Obama signed legislation increasing taxes and regulations on insurers as it expanded coverage of the uninsured. The higher dividend is meant to show investors the company can survive the changes and may pressure rivals, led by WellPoint Inc., to follow suit, said Brian Wright , a Collins Stewart LLC analyst in New York. “This brings another investor class to the table that would be willing to look at the stock that hasn’t been in the past because the dividend was minimal,” Wright said in a telephone interview. “What they’re trying to do is send a signal to the market that even under the most adverse scenarios one can draw up, we’re still comfortable in our future.” UnitedHealth gained 62 cents, or 2.2 percent, to $29.49 at 10:21 a.m. in composite New York Stock Exchange trading . WellPoint, the No. 2 insurer by sales, rose 84 cents, or 1.7 percent, to $51.54. The board made its decision “after reviewing the company’s business outlook and future capital,” UnitedHealth said in its statement. If the company approves dividends each quarter, the payments would cost UnitedHealth about $560 million a year, Nathan said. WellPoint doesn’t pay a dividend. Its chief financial officer, Wayne DeVeydt , said at an investor conference Feb. 8 that the company planned to change that “at some point” after the implications of the health-care legislation were more clear. To contact the reporter on this story: Alex Nussbaum in New York anussbaum1@bloomberg.net .

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Stocks in U.S. Advance as Business Gauge, Economic Expansion Top Estimates

February 26, 2010

By Elizabeth Stanton Feb. 26 (Bloomberg) — U.S. stocks advanced, trimming the weekly drop in the Standard & Poor’s 500 Index, as reports showing business activity expanded and gross domestic product topped estimates overshadowed American International Group Inc. ’s plunge and home sales that missed projections. JPMorgan Chase & Co. led bank stocks to the biggest advance among 10 industries groups in the S&P 500 after Barclays Plc recommended buying the shares. Merck & Co. and UnitedHealth Group Inc. rose at least 0.8 percent, leading gains in health- care companies. AIG, the insurer bailed out by the U.S. government, slumped 10 percent after reporting an $8.87 billion fourth-quarter loss. The S&P 500 rose 0.1 percent to 1,104.49 at 4 p.m. in New York. It dropped 0.4 percent this week and gained 2.9 percent in February. The Dow Jones Industrial Average gained 4.23 points today, or less than 0.1 percent, to 10,325.26. Trading volume on U.S. exchanges was 7.89 billion shares, 11 percent less than the 2010 average, amid a storm that dumped about 21 inches (53 centimeters) of snow in New York City. “It’s a very brittle recovery,” said Matthew Kaufler , a money manager at Federated Clover Investment Advisors in Rochester, New York, which manages $2.8 billion. “Any sort of sustained growth in consumer spending is a ways off.” A decline in the Conference Board’s consumer confidence index to a 10-month low on Feb. 23 sent the S&P 500 to its biggest drop in more than two weeks. The University of Michigan today revised its gauge of consumer sentiment to 73.6 for February, from a preliminary reading of 73.9. Business Barometer The U.S. economy expanded at a 5.9 percent annual rate in the fourth quarter, more than the government reported last month, reflecting stronger business investment and a greater contribution from inventories. The Institute for Supply Management-Chicago Inc. said its business barometer climbed to 62.6 from 61.5 last month, a bigger increase than economists forecast and the highest since 2005. Sales of previously owned U.S. homes unexpectedly declined in January for a second month, eroding investor confidence in the sustainability of the recovery. Purchases fell 7.2 percent, the second-largest decline ever, to an annual pace of 5.05 million, the National Association of Realtors said. “At some point we have to turn consumer confidence around, and for that we need fundamental improvement in jobs and real estate, which are central to the problem,” said Eric Teal , who oversees $4.5 billion as chief investment officer at First Citizens BancShares Inc. in Raleigh, North Carolina. There is a “disconnect between the psychology of the market and the fundamentals of the market.” ‘Buying Opportunity’ JPMorgan rose 3.3 percent to $41.97 for the biggest gain in the Dow average. The second-largest U.S. bank by assets offers an “attractive buying opportunity” as the stock traded at about 6 to 7 times normalized earnings, compared with a multiple of 9 for its peers, Barclays said. Merck , the second-largest U.S. drugmaker, rose 0.9 percent to $36.88. UnitedHealth Group , the biggest U.S. health insurer by revenue, gained 1.2 percent to $33.86. President Barack Obama is seeking the biggest U.S. health-care overhaul in 45 years. Congressional Republicans oppose the plan, which would require Americans to get insurance, with new purchasing exchanges and government aid to help. Obama and Democratic leaders said a bipartisan agreement was unlikely yesterday in Washington. “Health care is doing well based upon the growing realization that what ultimately gets passed isn’t going to be nearly as onerous as had been feared,” Kaufler said. Biggest Loss Ever AIG fell 10 percent to $24.77 for the biggest loss in the S&P 500. The fourth-quarter net loss of $8.87 billion, or $65.51 a share, narrowed from $61.7 billion, or $458.99, a year earlier when AIG recorded the biggest loss in U.S. corporate history. The loss was wider than expected as the company set aside more reserves for insurance claims and paying down bailout debts. Fluor Corp., the largest publicly traded U.S. construction company, dropped 5 percent to $42.80. The company lowered its 2010 earnings forecast to $2.80 to $3.20, from an earlier forecast of $3.20 to $3.60. Gap Inc., the operator of the Old Navy and Banana Republic clothing chains, rose 5.4 percent to $21.50. Gap forecast full- year profit of $1.70 to $1.75 a share. Analysts surveyed by Bloomberg estimated $1.69 on average. Gap also said it plans to increase its annual dividend to 40 cents a share from 34 cents and will buy back an additional $1 billion in stock. Profit Data The combined per-share earnings for the S&P 500 are $17.53 based on fourth-quarter reports by 453 companies, according to Bloomberg data, compared with a loss of 9 cents a share in the year-earlier period, according to S&P. Per-share profit declined in each of the past nine quarters, a record slump. Earnings topped analysts’ average estimates at three-quarters of the 456 companies in the S&P 500 that have posted quarterly results since Jan. 11, according to Bloomberg data. Interpublic Group of Cos. had the biggest gain in the S&P 500, surging 11 percent to $7.50. The owner of advertising firms reported fourth-quarter revenue of $1.8 billion, beating the average analyst estimate in a Bloomberg survey by 3.5 percent. BancorpSouth Inc. slumped 14 percent, the most since December 2008, to $19.47. The holding company for BancorpSouth Bank said it will delay filing its 2009 financial results because it’s reviewing its asset quality. To contact the reporter on this story: Elizabeth Stanton in New York at estanton@bloomberg.net .

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Tom Packert Has Joined CareCloud as Chief Technology Officer

February 8, 2010

MIAMI, FL–(Marketwire – February 8, 2010) – CareCloud today announced that Tom Packert has joined CareCloud as the Company’s Chief Technology Officer, reporting to CareCloud’s CEO, Albert Santalo. Packert was formerly Vice President of Information Management at Visible Assets, Inc. where he led the development of proprietary radio frequency ID (RFID) solutions to solve healthcare supply chain inefficiencies using open source software development tools. Previously, he was Vice President of Information Technology at Neighborhood Health Partnership, a UnitedHealth Group Company.

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CRC Health Group, Nation’s Leading Provider of Behavioral Health Services, Hires CMO

February 8, 2010

CUPERTINO, CA–(Marketwire – February 8, 2010) – CRC Health Group, the nation’s leading provider of behavioral health services, today announced the hiring of Gary Fisher as the company’s Chief Marketing Officer.

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Seeing Public Subsidy (Not Public Option) Investors Flock to Health Insurers

December 21, 2009

Investors are seeing the Senate’s version of health care reform as a massive public subsidy for insurance companies — and as a result, are sending the sector’s stock prices shooting up, up, up. Stripped of a government-run insurance plan, the bill would give tens of millions of Americans no option but to start paying hefty premiums to private companies. The rise in stock prices has been particularly striking in the period since Sen. Joe Lieberman (I-Conn.) said on October 27 that he would filibuster a Senate health care reform bill if it included a public option – a threat that caused Senate leaders to cave without much of a fight. Here’s a quick breakdown of major health insurance company stock performance from Oct. 27 to Friday’s market close: Coventry Health Care, Inc. is up 31.6 percent; CIGNA Corp. is up 29.1 percent; Aetna Inc. is up 27.1 percent; WellPoint, Inc. is up 26.6 percent; UnitedHealth Group Inc. is up 20.5 percent; And Humana Inc. is up 13.6 percent. By comparsion, the Dow Jones Industrial Average is only up 2.3 percent during that time; the NASDAQ Composite is up a (relatively) paltry 1.4 percent. Reuters noted the big bump Monday morning, after the bill passed the first critical test in the Senate : “All in all, relative to the last version of health reform issued by the Senate, things have turned out pretty well for the health insurance industry,” said Carl McDonald, an analyst at Oppenheimer. “In particular, all versions of a government-run health plan have largely been eliminated.” Thanks to Lieberman’s threat, health insurance companies dodged a major competitor that could have lowered margins, siphoned off customers and impacted profits. Source: Google Finance Get HuffPost Business On Facebook and Twitter !

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UnitedHealth Profit Rises on Surge in Medicare Enrollment, Stock Buyback

October 20, 2009

By Alex Nussbaum Oct. 20 (Bloomberg) — UnitedHealth Group Inc. , the largest U.S. insurer by sales, said third-quarter profit beat analyst estimates as rising Medicare enrollment offset a drop in private-sector clients lost to increasing unemployment. Stock repurchases helped the Minnetonka, Minnesota-based insurer post earnings per share of 79 cents, topping the 76-cent average estimate of 18 analysts surveyed by Bloomberg. Net income climbed 13 percent to $1.04 billion, compared with $920 million, or 75 cents, a year earlier, the company said in a statement. Revenue increased to $21.7 billion from $20.2 billion, more than a third of it from Medicare, the government insurer for the elderly. While the program’s growth has been a bright spot for Chief Executive Officer Stephen Hemsley amid the recession, it also leaves UnitedHealth more vulnerable to funding cuts from Washington, said Jason Nogueira , an analyst at T. Rowe Price Group Inc. of Baltimore, in a telephone interview. “If you like Medicare, then you can like United,” said Nogueira, whose company owned $116.7 million in UnitedHealth shares on June 30. “If you don’t like Medicare, it’s hard to find a reason to be positive right now.” UnitedHealth, the first managed-care company to report earnings this quarter, rose 47 cents, or 1.9 percent, to $24.92 in New York Stock Exchange composite trading yesterday. Shares have declined 6.3 percent for the year. To contact the reporter on this story: Alex Nussbaum in New York anussbaum1@bloomberg.net .

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UnitedHealth Profit Jumps on Higher Premiums, Gains in Medicare Enrollment

July 21, 2009

By Alex Nussbaum July 21 (Bloomberg) — UnitedHealth Group Inc. , the top U.S.

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