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Company Intelligence

Medical Cost and Premium Trends

Reprinted from HEALTH PLAN WEEK, the industry's leading source of business, financial and regulatory news of health plans, PPOs, and POS plans.

Health Plans' Medical-Cost Trends For Third-Quarter 2007

Company

Segment

Medical Cost Trend

Aetna, Inc.

Commercial

7.5% +/- 0.5%

Inpatient

Mid- to high-single digits

Outpatient

High-single to low-double digits

Pharmacy

Mid-single digits

Physician

Mid-single digits

CIGNA Corp.

Total medical cost trend

6.5% to 7.5%

Inpatient

8% to 9%

Outpatient

8% to 9%

Pharmacy

6% to 7%

Physician

4% to 6%

Coventry Health Care, Inc.

Commercial

7.5%

Inpatient

8% to 9%

Outpatient

8% to 11%

Pharmacy

4.5% to 6.5%

Physician

6% to 7%

Health Net, Inc.

Commercial

8.5% to 8.7%

Inpatient

Mid-single digits

Outpatient

8% to 9%

Pharmacy

7.7%

Physician

7.6%

Humana Inc.

Commercial

4.5% to 5%

Medicare

9% to 11%

Hospital

Mid- to high-single digits

Pharmacy

High-single to low-double digits

Physician

Mid-single digits

UnitedHealth Group

Commercial

7.5% +/- 0.5%

Inpatient

8% to 9%

Outpatient

8.5% to 9%

Pharmacy

7% to 7.5%

Physician

5%

WellPoint, Inc.

Commercial

Less than 8%

Inpatient

Mid-single digits

Outpatient

Upper-single digits

Physician

Mid-single digits

Pharmacy

Upper-single digits

SOURCE: Banc of America Securities, LLC, (617) 856-8820.

Health Plans' Premium-Increase Trends For Third-Quarter 2007
(For Commercial Products Only)

Company

Premium Increase

Aetna, Inc.

7.5%  0.5%

CIGNA Corp.

Greater than medical cost trend

Coventry Health Care, Inc.

7.5%

Health Net, Inc.

9.0%

Humana Inc.

4.5 to 5%

UnitedHealth Group

7.5%  0.5%

WellPoint, Inc.

Greater than medical cost trend

SOURCE: Banc of America Securities, LLC, (617) 856-8820.

 



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