(Bloomberg) -- Anthem Inc., the No. 2 U.S. health insurer by membership, said medical spending rose in the second quarter, driven by higher costs from the insurer’s Affordable Care Act plans and Medicaid business.
The shares dropped as much as 4.1 percent, the biggest intraday decline since April 27, and were down 0.5 percent to $136.95 at 9:55 a.m. Anthem said it spent 84.2 cents of every premium dollar on medical care, up from 82.1 cents a year earlier.
Sicker customers in Affordable Care Act plans led Anthem to say it now expects to lose money on those policies this year, though premium increases may help the insurer post profits next year. The insurer had previously said it was planning to break even on the ACA, also known as Obamacare, in 2016. The losses in Medicaid stemmed from Iowa, which shifted medical coverage for the poor to private companies as of April 1.
Anthem managed to rein in administrative spending, helping adjusted profit top analysts’ estimates. Earnings, excluding some items, were $3.33 a share, Anthem said Wednesday in a statement, compared with the $3.23 average of estimates compiled by Bloomberg.
On a conference call with analysts, Chief Executive Officer Joe Swedish reiterated the insurer’s plans to pursue a court fight to win approval of the company’s acquisition of rival Cigna Corp. The U.S. challenged the takeover last week, saying the combination would limit competition and raise prices for consumers.
Costs tied to the acquisition of Cigna, which are excluded from the adjusted earnings figure, contributed to a 9.1 percent decline in net income to $780.6 million, or $2.91 a share.
Other highlights from Anthem’s second-quarter results:
Revenue increased 7.2 percent to $21.5 billion. Membership increased to 39.8 million members, from 39.6 million in the first quarter. Anthem expects 39.6 million to 39.8 million members for the full year. Some customers typically drop their policies throughout the year, especially in the new individual markets created by Obamacare.
Anthem has struggled with narrow margins this year, driven by high medical costs from selling plans on the Affordable Care Act’s exchanges. The company said its operating margin fell to 7.1 percent in the three months ended June 30, from 7.7 percent a year earlier. While the exchanges are providing millions of new customers for health insurers, those customers have used more care. UnitedHealth Group Inc. and Humana Inc. are both sharply limiting sales of health plans to individuals next year after posting big losses from Obamacare policies.
Copyright 2018 Bloomberg. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.
Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
Already have an account? Sign In Now
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.