MACRA Positioning for Plans and Providers
Sponsor Message

Summary of Current Quarter Financial Reports

Revenues and Net Income:

(Millions)

Revenues

Net Income

 

QTR2
2016

QTR2
2015

YTD 2016

YTD 2015

QTR2
2016

QTR2
2015

YTD 2016

YTD 2015

Aetna

$15,952

$15,241

$31,646

$30,335

$791

$732

$1,528

$1,509

Centene

$10,987

$5,506

$17,850

$10,637

$168

$88

$152

$152

CIGNA

$9,960

$9,492

$19,844

$18,959

$503

$584

$1,017

$1,115

Humana $14,007 $13,732 $27,807 $27,565 $311 $431 $565 $861

Molina

$4,359

$3,525

$8,702

$6,696

$33

$39

$57

$67

Anthem

$21,275

$19,758 

$41,584

$38,610

$781

$859

$1,484

$1,724

United Health Group

$46,500

$36,300

$91,012

$72,019

$1,760

$1,585

$3,387

$2,998

Wellcare

$3,594

$3,483

$7,135

$6,592

$91

$52

$129

$69


Medical Loss Ratios:

 

Commercial MLR

Medicare MLR

Medical Membership

 

QTR2
2016

QTR2
2015

YTD 2016

YTD 2015

QTR2
2016

QTR2
2015

YTD 2016

YTD 2015

Total (1,000s)

Aetna*

83.4%

81.8%

80.6%

79.6%

81.4%

80.3%

82.4%

80.8%

23,000

Centene**

86.6%

89.1%

87.4%

89.4%

       

11,400

CIGNA

78.8%

77.5%

77.3%

76.3%

86.4%

84.4%

86.3%

86.9%

15,141

Humana***

86.8%

87.1%

87.2%

86.5%

78.8%

81.4%

76.8%

77.6%

14,245

Molina

89.2%

88.7%

89.5%

88.7%

 

 

 

 

4,220 

Anthem

84.2%

82.1%

84.2%

82.1%

39,800

United HealthGroup

   82.0%

81.4%

82.0%

81.4%

 

 

 

 

84,900 

Wellcare****

83.2.%

85.6%

84.9%

86.8%

85.3%

87.4%

87.0%

88.7%

3,769

*Aetna Medicare MLR amounts are for all 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 Second Quarter Podcast, go to: http://www.mcol.com/podcasts/qreports/qrep0816.mp3.

 Full Financial Reports

Aetna
Released August 2, 2016

Centene
Released July 26, 2016


Cigna
Released June 30, 2016


Humana
Released August 3, 2016

UnitedHealth Group
Released July 19, 2016


Molina
Released July 27, 2016


Anthem
Released July 27, 2016

Wellcare
Released August 2, 2016


 HealthcareWebSummit Events

Upcoming Webinars:

MACRA Positioning for Plans and Providers, September 8, 2016
The Challenges and Opportunities for Medicare Advantage Plans in 2017, September 22, 2016
Ready or not, MACRA is coming: Stakeholder awareness and industry implications, September 29, 2016
Trends in Provider Sponsored Health Plans, October 5, 2016
2016 Predictive Modeling Web Summit, November 10, 2016

2016 Accountable Care Web Summit , December 14, 2016

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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