Wednesday, May 1, 2019

As first quarters go, WellCare Health Plans had a doozy



By Crystal Owens  – Reporter, Tampa Bay Business Journal
WellCare Health Plans had one busy first quarter, to the say least.
Just prior to the end of March 2019 quarter, the Tampa-based health care plan giant announced it had been acquired by Centene Corp. in a $17.3 billion deal that is expected to create a combined company with approximately 22 million members across 50 states.
In Florida, its geographic and service expansion is largely complete — its membership in the state surpassed 1 million members across its Medicaid, Children's Medical Services Health Plan, Healthy Kids and Medicare plans in mid-February. That same month, North Carolina selected WellCare to administer the state’s Medicare program.
All of this, combined with the September 2018 acquisition of Meridian Health Plan of Michigan, Meridian Health Plan of Illinois and MeridianRx, a pharmacy benefit manager for $2.5 billion, played a role in the company's reported 48 percent increase in adjusted total revenue for fiscal 2019’s first quarter.
The company reported a total revenue of $6.7 billion for the quarter, compared to $4.5 billion for the same time period last year. Net income for the first quarter was $151.4 million, or $2.98 per diluted share and adjusted net income for the first quarter was $187.6 million, or $3.69 per diluted share.
“Our performance in the first quarter is representative of the discipline and rigor we place on running three high-performing, profitable and growing businesses. While we have begun the important task of integration planning with Centene, it is clear to our 13,000 associates that we must continue to focus on delivering on the near term commitments that we have made to our members, providers, government partners and shareholders,” WellCare CEO Ken Burdick said during an investor call on Tuesday.
The CEO and Chief Financial Officer Drew Asher did not take questions following the call.
WellCare (NYSE: WCG) didn’t provide any forward looking statements as Centene is expected to finalize its acquisition of the company in the first half of 2020.
For the first quarter, WellCare grew its Medicaid health plan memberships in Florida from 744,000 in March 2018 to 1.1 million members, largely in part to its Value Script program, a plan that provides coverage for outpatient prescription drugs covered under Medicare Part D.
“The premium and benefit design of this new product has been highly attractive in today’s market,” Burdick said.
WellCare’s overall membership grew almost 52 percent from 2.75 million in March 2018 to 4.1 million in March 2019. It showed the most growth in Illinois, where membership jumped by 551 percent from 123,000 to 801,000, according to a U.S. Securities & Exchange Commission filing.
Asher said WellCare anticipates a 3 percent rate increase from the Centers for Medicare and Medicaid Services. The rate change, he said, is before risk score trend and the impact of the Affordable Care Act fee that’s expected to return in 2020.
“We're pleased to get off to a strong start for 2019 and maintain our focus as a standalone company while we look forward to the next chapter of success for WellCare. We have started the integration planning work with Centene as we map out how to best form the premier government programs franchise in the first half of 2020,” Asher said.

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