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BUSINESSMonday 23 November 2015

Insurers reassure investors about ACA exchange business                                                                           Ford workers

TOM MURPHY                       Shares of Molina and other     their commitment have            to the  business  and “con-      approve new
AP Business Writer               insurers plunged Thursday      had some growing pains.          tinuing our dialogue with
Health insurers rallied Fri-     after UnitedHealth Group       Aetna said last month that       policymakers and regula-        UAW contract
day to ease investor and         cut its 2015 forecast, re-     it lost money last year on       tors regarding how we can
customer concerns about          ported deep losses from        the business, and it’s in the    improve the stability of the    DEE DURBIN
the Affordable Care Act’s        its exchange  business  and    red this year as well.           individual market.”             AP Auto Writer
                                                                                                 The not-for-profit insurer      DETROIT (AP) — Ford work-
This photo shows the Anthem logo at the company’s corporate headquarters in Indianapolis.        Kaiser Permanente also          ers narrowly approved a
                                                                                                 said late Thursday that it      new four-year contract,
Aetna Inc. and the Blue Cross-Blue Shield carrier Anthem Inc. each reaffirmed on Friday, Nov.    remained “strongly com-         wrapping up five months of
                                                                                                 mitted” to participating in     negotiations between the
20, 2015 their 2015 earnings forecasts.				                     (AP Photo/Darron Cummings)       the exchanges. Kaiser cov-      United Auto Workers union
                                                                                                 ers about 450,000 people        and Detroit automakers.
public insurance exchang-        said it will decide next year  But the insurer expects          in nine exchanges, and a        The UAW said this week-
es a day after the nation’s      whether it wants to con-       improvement, in part be-         spokeswoman said they           end that Ford’s contract
biggest insurer questioned       tinue in that market. That     cause it is learning more        are confident that the busi-    passed with a 51.4-percent
its future in that still-devel-  followed reports earlier this  about the customers it           ness is financially stable.     vote. The agreement cov-
oping market.                    fall that several smaller,     serves through this  busi-       Molina said his company         ers 53,000 U.S. hourly work-
Blue Cross-Blue Shield insur-    nonprofit insurance coop-      ness. That will help it set the  has been helped in the          ers at 22 plants.
er Anthem and Medicaid           eratives would stop selling    right prices for future cov-     exchange  business  by ex-      “There is no higher author-
coverage provider Molina         coverage on the state-         erage.                           panding slowly and focus-       ity than the membership.
Healthcare both said they        based exchanges, which         Anthem, the nation’s sec-        ing on a customer base          Through a fair and demo-
are making money off their       are a key element in the       ond largest insurer, said its    it already knows how to         cratic process UAW-Ford
exchange  business, and          ACA’s push to expand in-       enrollment in the public         serve, low-income pa-           members have delivered
Anthem joined Aetna, the         surance coverage.              exchanges fell by 69,000         tients.                         job security and strong
nation’s third-largest health    Insurers in many markets       people to 824,000 in the         “We’re not trying to be all     economic gains for their
insurer, in reaffirming its      have struggled to find the     third quarter. Spokeswom-        things to all people,” he       families and communities,”
2015 earnings forecast.          right mix of healthy cus-      an Jill Becher said the busi-    said.                           said UAW Vice President
“I think the (ACA) mar-          tomers to balance the sick-    ness  has been less profit-      Even though some insurers       Jimmy Settles, the union’s
ketplace is going to be          er ones since the exchang-     able than expected.              have made money so far          top Ford negotiator, in a
around for a while,” said        es opened for  business  in    CEO Joseph Swedish said          on the exchanges, industry      statement.
Molina CEO Dr. Mario Mo-         the fall of 2013. Even  busi-  in a statement that the in-      analyst David Windley sees      Union leaders held a press
lina.                            nesses  that reaffirmed        surer remains committed          room for improvement. In-       conference earlier this
                                                                                                 surers are still struggling to  week to push for the Ford
                                                                                                 attract enough healthy          agreement when they
                                                                                                 patients, and the analyst       feared workers would re-
                                                                                                 said it’s too easy for cus-     ject it. Some workers said
                                                                                                 tomers to manipulate the        the union didn’t push hard
                                                                                                 system by doing things like     enough to win back things
                                                                                                 signing up for coverage,        they lost in previous agree-
                                                                                                 using health care, and          ments, including annual
                                                                                                 then stopping premium           wage increases. They also
                                                                                                 payments.                       wanted a two-tier wage
                                                                                                 UnitedHealth said Thurs-        system eliminated immedi-
                                                                                                 day it has been hurt in         ately instead of over eight
                                                                                                 particular by customers         years, as the contract
                                                                                                 who signed up for cover-        promises.
                                                                                                 age outside the annual          But union leaders warned
                                                                                                 open enrollment window          that they might not get
                                                                                                 and use more health care        a better deal from Ford
                                                                                                 in general than those who       if workers rejected the
                                                                                                 bought coverage during          agreement and sent them
                                                                                                 open enrollment.q               back to the bargaining
                                                                                                                                 table.
Mega-deals may carry into 2016 for health care                                                                                   “If we thought there was
                                                                                                                                 another dollar on the ta-
TOM MURPHY                       year involved a company        health care sector will cool     Inc. is spending $48 billion    ble, we would have got it
AP Business Writer               in health care, and the size   any time soon. There is too      to buy rival insurer Cigna,     the first time,” said Bernie
(AP) - With $2 trillion in buy-  of those deals is immense.     much to gain. Drugmakers         a deal that would create a      Ricke, the president of Lo-
outs since January, 2015         Compared with five years       still need to buy drugs and      combined company pull-          cal 600, a large union in
has become the year of           ago the total value of         companies that promise to        ing in well over $100 billion   Ford’s hometown of Dear-
the megadeal, fueled by          health care mergers and        give them a sizeable com-        in revenue. These deals         born.
free money in a zero-inter-      acquisitions in the United     petitive advantage and sell      also allow companies to         The contract raises wages
est rate environment.            States has more than tri-      the ones that don’t as they      combine resources and cut       for all workers and gradu-
But with the Fed appearing       pled, according to the         pare their focus. Health in-     expenses at a time when         ally eliminates the two-
increasingly keen on hiking      data firm Dealogic.            surers, doctors and hospitals    every element of the sector     tier system, which cur-
rates, that party may be         Even in the face of rising     are pushing to get bigger        is feeling pressure to control  rently pays newer workers
coming to an end.                interest rates, which would    and bring more muscle to         health care costs.              less than veteran ones. It
That is, unless you’re in        make deal-making a more        their negotiations with each     “Health care firms, in gen-     promises bonuses of up to
health care.                     expensive proposition, busi-   other over the ever-rising       eral, I believe will need to    $10,250 per worker this year
Almost one out of every          ness  insiders see few rea-    cost of care. The Blue-Cross     get bigger,” Morningstar        and annual profit-sharing
four dollars in takeovers this   sons why momentum in the       Blue Shield insurer Anthem       analyst Vishnu Lekraj said.q    checks and other bonuses
                                                                                                                                 each year after that.q
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