Management Comments

Richard A. Barasch, Chairman and CEO commented, “Our Medicare Advantage business performed well in 2012. Our risk management results were excellent; we made progress on reducing expenses; we had a successful Annual Election Period; and we improved our Star ratings, particularly in our core markets.

“Building on our successful Healthy Collaboration® model, we are partnering with 31 physician groups, including the Southeast Texas physicians who have been the backbone of our success in Medicare Advantage, to participate as ACOs in the Medicare Shared Savings Program. These ACO partnerships demonstrate our ongoing commitment to working in collaboration with physicians and the government to improve the quality of care and manage healthcare costs for the benefit of the Medicare program and its beneficiaries.

“As we look ahead to 2013, given our strong balance sheet, even after the payment of the $1.00 special dividend in 2012, our expanded capabilities in medical management for high-risk populations and our track record of working collaboratively with healthcare professionals to improve quality and reduce costs, we believe that we are well positioned to participate in the emerging opportunities in healthcare.”

Medicare Advantage
        Three Months Ended       Year Ended
December 31, December 31,
Financial Performance ($ in millions) 2012       2011 2012       2011
 
Revenue $ 413.6 $ 458.7 $ 1,642.7 $ 1,988.4
 
Operating Income $ 18.9 $ 19.8 $ 92.8 $ 72.7
 

For the full year 2012, our reported Medicare Advantage medical benefit ratio (“MBR”) was 80.6%, which included positive prior year items of $27.4 million, pre-tax. Excluding these prior year items, the MBR was 81.9% for 2012. Our reported Medicare Advantage MBR for the fourth quarter of 2012 was 78.1%, which included positive prior period items of $5.9 million, pre-tax. Excluding these prior period items, the MBR was 79.4% for the fourth quarter of 2012. The administrative expense ratio for the full year 2012 was 15.1% compared to 15.4% in 2011.

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