Aetna, Inc.NYSE
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  • Yesterday, 7:25 PM
    • This year's sharply higher premiums and more limited options are a "clarion call" for legislative changes to fix Obamacare, Aetna (NYSE:AET) CEO Mark Bertolini tells CNBC.
    • AET warned during its earnings conference call that losses from the company's Affordable Care Act individual insurance plans likely will continue, even after pulling out of the exchanges in 11 of the 15 states where it sells the plans.
    • "If we can fix risk adjustment, we can stabilize the market, but until that happens, it's only going to get worse," Bertolini says, referring to the part of the program intended to prohibit risk selection by insurers by transferring funds from plans with lower-risk enrollees to ones with higher-risk people.
    • The earliest AET could return to the program is 2019, more likely 2020, and only if operations improve, the CEO says.
    • Bertolini says a cheaper alternative to Obamacare would have been to extend Medicare down to chronically ill people who are older than 55, as well as expand Medicaid, since the two programs already had risk adjustment mechanisms with solid systems to track eligibility and enrollment.
    | Yesterday, 7:25 PM | 2 Comments
  • Yesterday, 6:57 AM
    • Aetna (NYSE:AET) Q3 results ($M): Total Revenues: 15,781.5 (+5.5%); Health Care Premiums: 13,524.8 (+5.4%); Other Premiums: 548.5 (+0.9%).
    • Health Care Costs: 11,091.8 (+6.6%); Total Operating Expenses: 2,830.7 (0%); Medical Benefit Ratio: 80.1% (-1.8%).
    • Net Income: 603.9 (+7.8%); EPS: 1.70 (+6.9%); CF Ops (9 mo.): 4,621.0 (+67.7%).
    • 2016 Guidance: EPS: $6.89 - 6.99; Non-GAAP EPS: $7.95 - 8.05.
    • Consensus view was EPS of $2.03 on revenues of $15.7B.
    | Yesterday, 6:57 AM
  • Yesterday, 6:03 AM
    • Aetna (NYSE:AET): Q3 EPS of $2.07 beats by $0.04.
    • Revenue of $15.74B (+5.0% Y/Y) beats by $30M.
    • Press Release
    | Yesterday, 6:03 AM
  • Yesterday, 3:41 AM
    • Not only are Obamacare premiums on the rise for 2017, deductibles will also be getting more expensive, according to an analysis by insurance comparison site HealthPocket.
    • Deductibles for individuals enrolled in the lowest-priced Obamacare health plans will average more than $6,000 next year, the first time that threshold has been cracked in the three years that Affordable Care Act marketplaces have been in business. Families enrolled in the bronze plans will average deductibles of $12,393.
    • Previously: Obamacare rates up 25% in 2017 (Oct. 25 2016)
    • Related tickers: UNH, AET, ANTM, CI, HUM, WCG, CNC, MOH, GTS, HQY
    | Yesterday, 3:41 AM | 35 Comments
  • Wed, Oct. 26, 6:44 PM
    • The FDA's controversial approval of Sarepta Therapeutics' (NASDAQ:SRPT) eteplirsen for the treatment of Duchenne muscular dystrophy (DMD) patients amenable to exon 51 skipping has translated into a difficult path to insurance coverage.
    • Humana says it will cover the $300K+ cost of therapy only for ambulatory DMD patients. Those who are wheelchair-bound or deteriorate to wheelchair status are apparently out of luck.
    • Anthem (NYSE:ANTM) has declined to cover it at all because it considers eteplirsen experimental despite the OK from the FDA.
    • Aetna (NYSE:AET) and Express Scripts (NASDAQ:ESRX) plan to conduct a full clinical review of the drug before deciding to cover. UnitedHealth Group (NYSE:UNH) is considering coverage with a prior authorization while Cigna (NYSE:CI) has only indicated interest in providing coverage.
    | Wed, Oct. 26, 6:44 PM | 35 Comments
  • Wed, Oct. 26, 5:30 PM
  • Tue, Oct. 25, 2:22 AM
    • The average premium for benchmark 2017 Obamacare insurance plans sold on will jump 25% to $302 compared to this year, the biggest increase since the insurance first went on sale in 2013.
    • Seeking to downplay the cost hikes, the administration said that including subsidies 77% of people would be able to find insurance plans with monthly premiums below $100, however, one in five consumers will only have one insurer from which to choose coverage.
    • Related tickers: UNH, AET, ANTM, CI, HUM, WCG, CNC, MOH, GTS, HQY
    | Tue, Oct. 25, 2:22 AM | 42 Comments
  • Fri, Sep. 30, 2:04 PM
    • Aetna (NYSE:AET) declares $0.25/share quarterly dividend, in line with previous.
    • Forward yield 0.87%
    • Payable Oct. 28; for shareholders of record Oct. 13; ex-div Oct. 11.
    | Fri, Sep. 30, 2:04 PM | 1 Comment
  • Thu, Sep. 29, 2:49 PM
    • Aetna's (AET -0.7%) made a hefty move toward Apple's (AAPL -1.5%) wearables platform, and it's having ripple effects on the competition.
    • Aetna's choice to subsidize Apple Watches for select employers and individual customers during this healthcare enrollment season comes along with a decision to offer the watch for free to its nearly 50,000 workers (not to mention some privacy concerns around insurers having direct access to health measurements).
    • The insurer is also pushing a number of iOS exclusive health apps and associated programs for managing health.
    • That deal's also a "substantial negative" for Fitbit (FIT -9.5%), says Pacific Crest's Brad Erickson, who downgraded that stock to Underweight with a fair value of $11 (shares are trading off heavily at $15.11 today).
    • Erickson says checks indicate Fitbit's flagship holiday offering, the Charge 2, is off to a slow start: "Inventory is accumulating in the channel and sell-through is below initial Blaze/Alta levels."
    | Thu, Sep. 29, 2:49 PM | 92 Comments
  • Mon, Aug. 29, 1:38 AM
    • According to an analysis by the Kaiser Family Foundation, nearly a third of U.S. counties will likely be served by only one insurer that participates in an Affordable Care Act marketplace in 2017, representing an increase from 7% this year.
    • The data underscores the degree to which industry retrenchment from low enrollment and high service costs is curtailing options within the marketplaces.
    • Insurer departures will likely lead to higher prices, analysts have warned.
    • Related tickers: UNH, AET, ANTM, CI, HUM, WCG, CNC, MOH, GTS, HQY
    | Mon, Aug. 29, 1:38 AM | 19 Comments
  • Mon, Aug. 15, 9:52 PM
    • Aetna (NYSE:AET) is pointing to losses as it decides to end Affordable Care Act participation ("Obamacare") in more than 500 U.S. counties -- about 70% of its participating counties.
    • It's reducing public exchange participation to 242 counties from 778 for the 2017 plan year, maintaining an on-exchange presence in Delaware, Iowa, Nebraska and Virginia. It will keep offering an off-exchange option in most of the counties it's taking off the public-exchange plan.
    • “Following a thorough business review and in light of a second-quarter pretax loss of $200M and total pretax losses of more than $430M since January 2014 in our individual products, we have decided to reduce our individual public exchange presence in 2017, which will limit our financial exposure moving forward," said CEO Mark Bertolini in a statement.
    • “Providing affordable, high-quality health care options to consumers is not possible without a balanced risk pool. Fifty-five percent of our individual on-exchange membership is new in 2016, and in the second quarter we saw individuals in need of high-cost care represent an even larger share of our on-exchange population," he continued -- noting the trend puts upward pressure on premiums.
    | Mon, Aug. 15, 9:52 PM | 51 Comments
  • Fri, Aug. 5, 12:57 PM
    • The judge overseeing two U.S. cases challenging mergers among four of the biggest health insurers gave up one, saying he will keep the case against Aetna's (AET +2.4%) deal for Humana (HUM +2.8%) while leaving the challenge to Anthem’s (ANTM +0.7%) takeover of Cigna (CI -0.1%) to another judge.
    • The decision is seen improving the odds for rulings on both mergers by year-end and lowering the chance that they fall apart beforehand.
    • Judge Bates, a Republican who has ruled against the government in the past and has voiced skepticism of various Justice Department actions, is considered more favorable towards the proposed  AET-HUM deal, while the judge assigned to the ANTM-CI case is a Democrat appointed to the bench by Pres. Obama.
    | Fri, Aug. 5, 12:57 PM
  • Wed, Aug. 3, 5:04 AM
    • Aetna (NYSE:AET) had become the last of the five major national health insurers to project a loss on Affordable Care Act plans for 2016, underscoring concerns about the stability of insurance marketplaces at the heart of the Obama administration's signature health law.
    • Aetna also said it would re-evaluate its participation in the 15 state exchanges where it currently sells plans and cancel a planned expansion into more.
    | Wed, Aug. 3, 5:04 AM | 2 Comments
  • Tue, Aug. 2, 10:24 AM
    • Aetna (AET +1.1%) Q2 results: Revenues: $15,952.3M (+4.7%); Operating Expense: $2,783.1M (-0.6%); Net Income: $790.8M (+8.1%); EPS: $2.23 (+7.2%); Non-GAAP EPS: $2.21 (+7.8%); Quick Assets: $17,119.4M; CF Ops: $2,209.8M (+27.8%).
    • 2016 Guidance: Operating EPS: $7.90 - 8.10; EPS: $6.28 - 6.48.
    | Tue, Aug. 2, 10:24 AM | 1 Comment
  • Tue, Aug. 2, 6:02 AM
    • Aetna (NYSE:AET): Q2 EPS of $2.21 beats by $0.09.
    • Revenue of $15.9B (+5.1% Y/Y) beats by $210M.
    • Press Release
    | Tue, Aug. 2, 6:02 AM
  • Mon, Aug. 1, 5:30 PM