Managed Care

 

Is the Comeback Real — or Is It All Just an Illusion?

MANAGED CARE February 2000. © MediMedia USA
News and Commentary

Is the Comeback Real — or Is It All Just an Illusion?

MANAGED CARE February 2000. ©2000 MediMedia USA

Financially, did health plans do better last year than in 1998 — or worse? The answer may depend on whom you talk with and the indicators you consider.

The rating company A.M. Best says for the first nine months of 1999, profitability of 9 of the 15 largest publicly traded MCOs improved over the same period in 1998. A big reason, says Best, was a drop in special charges — one-time expenses associated with mergers or restructuring.

But Weiss Ratings says that second-quarter earnings for HMOs fell to $97 million, after reaching $274 million in the first quarter of the year — "a big disappointment," says chairman Martin Weiss. Even worse, HMOs with fewer than 100,000 members lost a collective $155 million in the second quarter, after losing $51 million in the first three months of the year.

Weiss says 16 HMOs failed last year, up from nine in 1998.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015