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Life Health > Long-Term Care Planning

Firm Sees Managed Care Margins Expanding

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NU Online News Service, Jan. 21, 3:49 p.m. – The managed care industry will have another solid year in 2003, with expanding profit margins pushing net income up 16%, according to a forecast by Corporate Research Group Inc., New Rochelle, N.Y.

Premium rates are going up faster than medical expenses, and use of technology is also helping to boost margins by lowering administrative costs, Corporate Research says.

The firm predicts that profit margins will reach 2.4% at all managed care companies this year, up from 2.2% in 2002, and that net margins will be even higher at publicly traded companies.

Industry revenue will increase 7%, to $213 billion, Corporate Research predicts.

“The managed care industry is on a roll,” says Carl Mercurio, the president of Corporate Research. “Industry profit margins should expand through 2005.”

Overall, however, managed care remains a low-margin business vulnerable to unexpected increases in medical costs, Corporate Research says.

Corporate Research sees continuing shrinkage at fully funded health maintenance organization and point-of-service plans. Enrollment will drop 3% this year, to 68 million, after declining 4.5% in 2002, the firm predicts.

Larry Akey, spokesman for the Health Insurance Association of America, Washington, says there is more to the story than the positive statistics from Corporate Research tell.

“There have been slight increases in the profitability of managed care companies over the last year, but that follows on the heels of negative profits over the late ’90s where these companies were losing money,” Akey says.

“Statistics are always interesting,” Akey adds. “When you start from a low base, a 16% increase looks like a big bump until you realize the starting base is a 2.2% net profit margin. That’s up substantially from negative profit margins in earlier years.”


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