Aetna skeleton to join 15 exchanges underneath U.S. medical reform



By Caroline Humer

NEW YORK |
Wed Dec 12, 2012 2:20pm EST


NEW YORK (Reuters) – Aetna Inc, a third largest U.S. health insurer, pronounced on Wednesday that by 2014 it expects to be partial of about 15 medical exchanges being determined underneath supervision reforms.

Aetna, one of a companies on a front lines of medical changes in a United States, told analysts and investors that it believes an boost in a series of business from a new marketplace places will approaching minister to a growth.

An estimated 30 million some-more people are approaching to join a insured over a subsequent decade since of a U.S. Patient Protection and Affordable Care Act of 2010. Millions of those will find their health word by a exchanges.

States have until Dec 14 to confirm either they will attend in a state-based, sovereign or partnership exchange. About 18 states have pronounced they will emanate their possess state-based exchanges and 18 others devise to default to a sovereign exchange, according to a Kaiser Family Foundation, a non-profit health process group.

The change to exchanges is essentially changing a managed caring business, Aetna executives pronounced during Wednesday’s assembly with analysts and investors.

“More and some-more consumers are going to be shopping their healthcare, even if a employer-sponsored complement survives,” Chief Executive Officer Mark Bertolini said. “A lot of things that we do currently are no longer required to a finish buyer.”

Aetna pronounced boost will be helped by cost controls and enlargement of delicately managed caring organizations — networks of doctors that work together — and enlargement in supervision programs, such as Medicare for a aged and Medicaid for a poor, and Aetna’s tentative squeeze of Coventry Health Care Inc..

Aetna expects gain of $5.40 per share in 2013, subsequent researcher estimates of $5.52 per share according to ThomsonReuters I/B/E/S. It sees income enlargement of 9 percent in 2013.

Competitors such as UnitedHealth Group Inc and Cigna Corp also gave weaker than approaching 2013 gain outlooks during their year-end meetings with analysts and investors. Aetna shares rose about $1.96 to $46.43 in midday New York Stock Exchange trading.

Aetna, whose $5.6 billion merger of informal insurer Coventry is being looked during by antitrust regulators, pronounced that it still expects a understanding to tighten in a center of subsequent year. It pronounced it has not run into any issues that are over a expectations.

Aetna Chief Financial Officer Joe Zubretsky pronounced in an talk that Aetna had not factored a probability of a United States going over a supposed mercantile precipice into a 2013 outlook. The “fiscal cliff” is a multiple of imperative spending cuts and taxation increases that will go into outcome during a commencement of subsequent year if a necessity slicing fortitude is not reached by U.S. lawmakers.

Aetna’s opinion is formed on a discreet perspective of a economy and one in that stagnation stays during about 7.5 percent and seductiveness rate earnings sojourn intensely low, a association said.

“We’re flattering most presumption a precipice gets solved,” Zubretsky said.

But he pronounced a association is endangered and rhythmical opposite a probability that it is not resolved. If that does happen, he pronounced U.S. employees staid to remove their jobs and health word might boost use of medical services, or Aetna’s vast employer business might diminution as companies cut behind on employees, both of that would approaching harm profits.

(Editing by Bill Berkrot and Grant McCool)

Source: Health Medicine Network