SNF Performance for Medicare Populations
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Summary of Current Quarter Financial Reports

Revenues and Net Income:

(Millions)

      Revenues

     Net Income

 

QTR4
2016

QTR4
2015

YTD 2016

YTD 2015

QTR4
2016

QTR4
2015

YTD 2016

YTD 2015

Aetna

$15,727

$15,049

$63,155

$60,337

$139

$321

$2,271

$2,390

Centene

$11,911

$6,302

$40,607

$22,760

$261

$111

$562

$355

CIGNA

$9,944

$9,528

$39,499

$37,876

$382

$426

$1,867

$57

Humana $13,461 $13,361 $54,962 $54,289 $278 $255 $1,111 $1,032

Molina

$4,463

$3,871

$17,711

$14,178

($91)

$30

$8

$143

Anthem

$21,484

$20,023 

$84,194

$78,408

$653

$439

$4,801

$4,753

United Health Group

$47,523

$43,599

$184,828

$157,107

$1,928

$1,252

$7,293

$5,868

Wellcare

$3,515

$3,493

$14,220

$13,874

$69

$36

$197

$106



Medical Loss Ratios:

 

      Commercial MLR

    Medicare MLR

Medical Membership

 

QTR4
2016

QTR4
2015

YTD 2016

YTD 2015

QTR4
2016

QTR4
2015

YTD 2016

YTD 2015

Total (1,000s)

Aetna*

83.0%

81.3%

82.0%

80.3%

81.2%

82.6%

81.5%

81.4%

23,110

Centene**

84.8%

88.0%

86.5%

88.9%

       

11,441

CIGNA

83.1%

80.4%

79.3%

78.1%

83.2%

83.1%

85.6%

85.2%

15,197

Humana***

82.0%

83.2%

79.6%

80.2%

87.5%

87.7%

86.2%

86.7%

14,246

Molina

93.6%

89.5%

90.5%

89.1%

 

 

 

 

4,227

Anthem

84.8%

83.3%

89.1%

89.1%

39,910

United HealthGroup

  80.8%

82.7%

81.2%

81.7%

 

 

 

 

 88,485

Wellcare****

 87.2%

86.3%

86.2%

86.7%

85.8%

88.7%

84..6%

87.2%

3,898

*Aetna Medicare MLR amounts are for all government programs
** Centene MLR amounts are combined: Commercial (16.8%) / Medicaid (79.7%) / Medicare (3.5%)
****Humana MCR actually is categorized by Retail and Employer Group. Retail is classified as Medicare and Employer Group as Commercial for this presentation. 
*** Wellcare Medicaid in place of commercial.



Podcast

You can listen to a Podcast, which features a brief discussion by Doug Sherlock, Senior Health Care Analyst and President, Sherlock Company (www.sherlockco.com), featuring his insights into the quarterly financial reports of health plans. To listen to the Fourth Quarter Podcast, go to: http://www.mcol.com/podcasts/qreports/qrep0217.mp3.

 Full Financial Reports

Aetna
Released January 31, 2017

Centene
Released February 7, 2017


Cigna
Released February 2, 2017


Humana
Released February 8, 2017

UnitedHealth Group
Released January 17, 2017


Molina
Released February 15, 2017

Anthem
Released February 1, 2017

Wellcare
Released February 7, 2017

 HealthcareWebSummit Events

Upcoming Webinars:

Measuring and Benchmarking SNF Performance Metrics for ACOs and MA Plans, March 14, 2017
Making an earlier impact on health and outcomes -- Why Wait?, March 15, 2017
2017 Population Health Web Summit, May 24, 2017
2017 Predictive Modeling Web Summit, June 22, 2017

Check out Post-Event Materials from past HealthcareWebSummit events on a wide range of key topics at www.healthwebsummit.com/pastevents.htm

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