Sometimes, you lose even when you win. Though Aetna reported that its first-quarter profit beat Wall Street's estimates, higher-than-expected medical costs still spooked investors, driving the company's stock down more than 10 percent. Net income at the health plan climbed 1 percent, to $437.8 million, up from $431.6 million a year before. Operating earnings were $442.6 million, beating Thomson Reuters analysts' consensus. Operating profits a year ago were $469.6 million for the quarter.
All that may have been more or less fine, but medical expense ratios weren't to investors' liking. Medical costs as a proportion of premiums in its commercial health plans were 81.7 percent, above the 80.2 percent to 80.8 percent Aetna had forecasted for 2009. Also, Aetna had to add $38 million pre-tax to reserves for prior period claims.
Aetna CEO Ronald Williams attributed the raised medical costs partly to an increase in the average cost of a claim at hospitals. (Readers, that sounds a bit fishy to me, given government data I've reviewed on hospital pricing. What do you think?)
To learn more about Aetna's financial situation:
- read this Hartford Courant piece [1]
Related Articles:
Aetna to pay $5M over underpaid out-of-network charges [2]
Aetna will pay $20 million over use of Ingenix data [3]
Aetna enters PHR market with medical info option [4]
Links:
[1] http://www.courant.com/business/hc-aetna-profits-first-quarter-0429,0,5120164.story
[2] http://www.fiercehealthcare.com/story/aetna-pay-5m-over-underpaid-out-network-charges/2009-02-03
[3] http://www.fiercehealthcare.com/story/aetna-will-pay-20-million-over-use-ingenix-data/2009-01-16
[4] http://www.fiercehealthit.com/story/aetna-enters-phr-market-with-medical-info-option/2008-03-17