Business Services Industry
TheStreet.com Announces Profit Margin on Medicare Business Up in 2006 as Commercial Business Declines
Business Wire, August 14, 2007
TheStreet.com Ratings Upgrades 53 Health Insurers and Downgrades 32
NEW YORK -- The profit margin on U.S. health insurers'1 Medicare business hit 5.7% in 2006 on revenue of $46 billion, up from 4.9% in 2005 on revenue of $35 billion, according to TheStreet.com Ratings' quarterly review of health insurers. TheStreet.com Ratings is a wholly owned subsidiary of TheStreet.com, Inc. (NASDAQ: TSCM - News) a leading provider of financial commentary, analysis, research, news, and ratings.
The profit margin on commercial health insurance declined to 3.8% in 2006 on revenue of $172 billion from 4.9% on revenue of $164 billion in 2005. TheStreet.com Ratings' analysis of health insurers also revealed the profit margin on Medicaid business to be 1.6% in 2006 on revenue of $30 billion, down from 1.8% in 2005 on revenue of $26 billion.
The overall industry profit margin in 2006 was 3.9% for all lines of business on aggregate revenue of $287 billion. This is down from 4.4% on $256 billion in revenue in 2005. Total net underwriting income in 2006 was $11.2 billion, down from $11.3 billion in 2005.
"The increase in Medicare margins shown by our analysis primarily reflects the increased revenue stream from the new Part D prescription drug program," said Melissa Gannon, vice president of insurance and bank ratings for TheStreet.com Ratings. "Growing price competition and increasing claims, however, may drive margins down again in 2007, the second year of the program."
On a per member per month (PMPM) basis2, a commonly used industry measure, revenue received by insurers from the federal government for Medicare beneficiaries in 2006 outstripped revenue from commercial customers more than 3-to-1. Likewise, net underwriting income from Medicare business outstripped commercial business 5-to-1.
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"Industry profitability remains historically strong. However, heightened competitive pressure on pricing is starting to affect margins on the commercial business," commented Gannon.
Notable Upgrades and Downgrades
Of the 596 health insurers rated by TheStreet.com Ratings based on year-end 2006 data, 53 were upgraded and 32 were downgraded. Following are the largest institutions with the most significant rating changes. Notable upgrades include:
- Healthassurance Pennsylvania Inc Harrisburg, PA to A- from B - Premera Blue Cross MountLake Terr., WA to A- from B - Humana Health Plan of Texas Inc Austin, TX to B- from C
Notable downgrades include:
- Metropolitan Health Plan Minneapolis, MN to B from A- - Vermont Health Plan Montpelier, VT to B from A- - Firstguard Health Plan Inc St Louis, MO to C from B
To access TheStreet.com Ratings data and reports, please visit: http://www.thestreet.com/tscratings/, and to read more on the Company's 2006 health insurance industry overview and ratings changes, visit: http://www.thestreet.com/s/health-insurers-mull-costs-future-of -medicare/newsanalysis/ratings/10372954.html?puc=_tscs. (Due to length, this URL may need to be copied/pasted into your Internet browser's address field. Remove the extra space if one exists.)
TheStreet.com Ratings is a wholly owned subsidiary of TheStreet.com, Inc., that provides financial strength ratings for more than 8,500 financial institutions nationwide. Ratings are also available on more than 3,800 insurance companies including auto, homeowners, life, health, long-term care, Medicare supplement, and business insurers.
Financial Strength Ratings are based on an analysis of a company's risk-based capital, profitability, asset quality, liquidity, and operational stability. TheStreet.com Ratings receives no direct or indirect compensation from the companies it rates for issuing its ratings.
This press release is not intended to be an offer, solicitation, or endorsement of any equities or insurance companies. The information is not warranted to be accurate, complete, or timely. Neither TheStreet.com Ratings nor its content providers are responsible for any damages or losses arising from any use of this information. Past performance is no guarantee of future results.
About TheStreet.com, Inc.
TheStreet.com, Inc. (Nasdaq:TSCM - News) is a leading multimedia provider of business, investment and ratings content, available through its proprietary properties, which include Web sites, email subscription services, print, syndication and audio and video programming. Founded in 1996, TheStreet.com, Inc. pioneered the electronic publishing of financial information on the Internet. Today, the Company offers proprietary information on stocks, mutual funds, exchange traded funds (ETFs) and financial institutions, including various insurers; HMOs; Blue Cross Blue Shield plans; banks and savings and loans. The Company's breadth of top-grade services empowers a wide audience of retail and professional investors by delivering information they can rely upon to make sound, informed financial decisions.
1 Analysis based on insurers that filed a NAIC Health Statement which do not include plans domiciled in California. Other insurers offer health insurance but are not included in this analysis.
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