Managed Care

 

Large HMOs Do Well While Small Ones Slide

MANAGED CARE October 2000. © MediMedia USA
News and Commentary

Large HMOs Do Well While Small Ones Slide

MANAGED CARE October 2000. ©2000 MediMedia USA

Weiss Ratings reports that the nation's HMOs lost a collective $187 million during 1999, despite the positive performance of most of the country's largest managed care organizations.

Chairman Martin Weiss says the disparity between smaller and larger plans is growing — an observation that supports the critical-mass theory that is driving the current round of HMO consolidation. The 34 largest HMOs posted aggregate profits of $753 million. Of the smaller plans, 57 percent of those with with fewer than 100,000 members lost money.

On the positive side, the country's 53 Blue Cross and Blue Shield plans made $172 million on underwriting operations last year, after posting $788 million in underwriting losses in 1998. Blues plans had managed to stay in the black because of investment income.

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL 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