Modern
Healthcare October 15, 2019 03:18 PM
Cerner is expected to surpass its
targeted adjusted operating margin of 20% for the fourth quarter, despite the
third-quarter figure being a slight drop from last year. More reports will
be added as they come in.
Insurers
Anthem | Indianapolis
Added: 2019-10-23
Added: 2019-10-23
THE NUMBERS
|
Amount
|
Change
|
|
|
Revenue
|
$26.7 billion
|
14.7%
|
|
Expenses
|
$25.2 billion
|
14.4%
|
|
Net
income
|
$1.2 billion
|
23.20%
|
|
Membership
|
41 million
|
2.7%
|
|
Medical-loss
ratio
|
87.2%
|
+2.4 percentage points
|
TAKEAWAY
Anthem’s third-quarter revenue was buoyed by Medicare Advantage and Medicaid membership growth, premium increases to cover costs, and sales of pharmacy and other integrated health services. Enrollment in the insurer’s government-backed plans increased 8.5% to 11 million members, while its commercial and specialty membership remained essentially flat at 30 million. Though its total medical costs grew in the quarter, Anthem said medical costs in its Medicaid business have improved.
Anthem’s third-quarter revenue was buoyed by Medicare Advantage and Medicaid membership growth, premium increases to cover costs, and sales of pharmacy and other integrated health services. Enrollment in the insurer’s government-backed plans increased 8.5% to 11 million members, while its commercial and specialty membership remained essentially flat at 30 million. Though its total medical costs grew in the quarter, Anthem said medical costs in its Medicaid business have improved.
Centene Corp. | St. Louis
Added: 2019-10-22
Added: 2019-10-22
THE NUMBERS
|
Amount
|
Change
|
|
|
Revenue
|
$19 billion
|
17.3%
|
|
Operating
expenses
|
$18.8 billion
|
16.5%
|
|
Net
income
|
$96 million
|
500%
|
|
Membership
|
15.3 million
|
6.1%
|
|
Medical-loss
ratio
|
88.2%
|
+1.9 percentage points
|
TAKEAWAY
Centene posted higher revenue and profit in the third quarter of 2019, driven by growth in its Medicaid and commercial businesses. The big increase in the insurer's bottom line reflects lower acquisition costs in the third quarter compared with a year ago. Centene also reported higher medical costs and a worse medical-loss ratio, a measure that reflects the portion of premiums spent on medical care. It attributed the higher MLR to the suspended health insurer fee as well as the absence this quarter of a benefit it received last year related to the removal of the in-home supportive services program from California’s Medicaid contract.
Centene posted higher revenue and profit in the third quarter of 2019, driven by growth in its Medicaid and commercial businesses. The big increase in the insurer's bottom line reflects lower acquisition costs in the third quarter compared with a year ago. Centene also reported higher medical costs and a worse medical-loss ratio, a measure that reflects the portion of premiums spent on medical care. It attributed the higher MLR to the suspended health insurer fee as well as the absence this quarter of a benefit it received last year related to the removal of the in-home supportive services program from California’s Medicaid contract.
UnitedHealth Group | Minnetonka, Minn.
Added: 2019-10-15
Added: 2019-10-15
THE NUMBERS
|
Amount
|
Change
|
|
|
Revenue
|
$60.4 billion
|
6.7%
|
|
Operating
expenses/costs
|
$55.3 billion
|
6.5%
|
|
Net
income
|
$3.6 billion
|
10.5%
|
|
Membership
|
49.4 million
|
0.8%
|
|
Medical-loss
ratio
|
82.4%
|
up 1.4 percentage points
|
TAKEAWAY
UnitedHealth Group reported higher revenue and earnings in the quarter ended Sept. 30, driven by growth at Optum, the company’s healthcare services unit. Optum grew revenue 13.3% to $28.8 billion, propelled by growth of care delivery and behavioral health services. UnitedHealth’s insurance arm, UnitedHealthcare, also grew revenue 4.7% to $48.1 billion, thanks to an increase in Medicare Advantage and commercial membership.
UnitedHealth Group reported higher revenue and earnings in the quarter ended Sept. 30, driven by growth at Optum, the company’s healthcare services unit. Optum grew revenue 13.3% to $28.8 billion, propelled by growth of care delivery and behavioral health services. UnitedHealth’s insurance arm, UnitedHealthcare, also grew revenue 4.7% to $48.1 billion, thanks to an increase in Medicare Advantage and commercial membership.
Technology companies
Cerner Corp. | Kansas City, Mo.
Added: 2019-10-24
Added: 2019-10-24
THE NUMBERS
|
Amount
|
Change
|
|
|
Revenue
|
$1.4 billion
|
6.7%
|
|
Professional
services revenue
|
$507.5 million
|
11.1%
|
|
Managed
services revenue
|
$302.4 million
|
0.1%
|
|
Adjusted
operating margin
|
18.1%
|
-1.1 percentage points
|
|
Bookings
|
$1.7 billion
|
4%
|
TAKEAWAY
Cerner is expected to surpass its targeted adjusted operating margin of 20% for the fourth quarter, despite the third-quarter figure being a slight drop from last year, CFO Marc Naughton said during a call with investment analysts Oct. 24. Improved adjusted operating margin is one of the main goals behind a set of 165 cost-cutting and business simplification initiatives that Cerner launched earlier this year.
Cerner is expected to surpass its targeted adjusted operating margin of 20% for the fourth quarter, despite the third-quarter figure being a slight drop from last year, CFO Marc Naughton said during a call with investment analysts Oct. 24. Improved adjusted operating margin is one of the main goals behind a set of 165 cost-cutting and business simplification initiatives that Cerner launched earlier this year.
NextGen Healthcare | Irvine, Calif.
Added: 2019-10-23
Added: 2019-10-23
THE NUMBERS
|
Amount
|
Change
|
|
|
Revenue
|
$134.3 million
|
3%
|
|
Subscription,
maintenance and other recurring revenue
|
$120.6 million
|
3.7%
|
|
Software,
hardware and other non-recurring revenue
|
$13.7 million
|
-2.4%
|
|
Operating
income
|
$6.7 million
|
-56.5%
|
|
Bookings
|
36.6 million
|
1.4%
|
TAKEAWAY
Nearly one-third of NextGen’s bookings for the quarter were from cross-selling the company’s revenue cycle management solution, said Rusty Frantz, president and CEO of NextGen, during a call with investment analysts Oct. 23. In the last month of the quarter, NextGen acquired Topaz Information Solutions—an IT solutions provider focused on behavioral health and social services organizations—to grow the company's presence in the behavioral health and integrated care markets
Nearly one-third of NextGen’s bookings for the quarter were from cross-selling the company’s revenue cycle management solution, said Rusty Frantz, president and CEO of NextGen, during a call with investment analysts Oct. 23. In the last month of the quarter, NextGen acquired Topaz Information Solutions—an IT solutions provider focused on behavioral health and social services organizations—to grow the company's presence in the behavioral health and integrated care markets
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