HARTFORD, Conn.–(BUSINESS WIRE)–Aetna (NYSE: AET) today appear that it has agreed to advertise its Missouri Medicaid business, alleged Missouri Care, to WellCare Bloom Plans, Inc. (NYSE: WCG). Banking acceding were not disclosed.
The auction of Missouri Care, a MO HealthNet plan, is accountable to accepted closing conditions, including authoritative approval. Missouri Affliction provides managed affliction casework to added than 100,000 associates in Central, Eastern and Western Missouri.
Missouri Affliction CEO Pamela Johnson and advisers committed to the Missouri Affliction business will accompany WellCare to advice with the ambition of ensuring ceaseless account for members.
The auction of Missouri Affliction is accompanying to Aetna’s proposed accretion of Coventry Bloom Care, Inc., which operates a Missouri Medicaid plan alleged Bloom Affliction USA. A aggregate of Missouri Affliction and HealthCare USA would beat permissible associates thresholds beneath Missouri Medicaid contracts. As ahead disclosed, Aetna affairs to accomplish HealthCare USA, with added than 250,000 members, back the Coventry accretion is completed. Aetna continues to apprehend that the Coventry accretion will be completed in mid-2013.
Aetna is one of the nation’s arch adapted bloom affliction allowances companies, confined about 37.3 actor bodies with advice and assets to advice them accomplish bigger a decisions about their bloom care. Aetna offers a ample ambit of traditional, autonomous and consumer-directed bloom allowance articles and accompanying services, including medical, pharmacy, dental, behavioral health, accumulation activity and affliction plans, and medical administration capabilities, Medicaid bloom affliction administration casework and bloom advice technology services. Our barter accommodate employer groups, individuals, academy students, part-time and alternate workers, bloom plans, bloom affliction providers, authoritative units, government-sponsored plans, activity groups and expatriates. For added information, see www.aetna.com.
Cautionary Statement Regarding Forward-Looking Statements
Statements in this columnist absolution that are forward-looking, including Aetna’s bump as to the closing date for the proposed Coventry transaction and Aetna’s projections as to its advisers aing WellCare, the cancellation of account by Missouri Affliction associates afterward the proposed auction of Missouri Care, and Aetna’s operation of HealthCare USA afterward achievement of the proposed Coventry acquisition, are based on management’s estimates, assumptions and projections, and are accountable to cogent uncertainties and added factors, abounding of which are above Aetna’s control. Important accident factors could account absolute approaching after-effects and added approaching contest to alter materially from those currently estimated by management, including, but not bound to: the timing to able the proposed Coventry and Missouri Affliction transactions; the accident that a action to closing of either of the proposed acquisitions may not be satisfied; the accident that one of the applicative appropriate authoritative approvals for either proposed transaction is delayed, is not acquired or is acquired accountable to altitude that are not anticipated; the aftereffect of awaiting or approaching action apropos to either proposed transaction; Aetna’s adeptness to accomplish the synergies and amount conception advised by the proposed Coventry transaction; Aetna’s adeptness to promptly and finer accommodate Coventry’s businesses; the aberration of administration time on acquisition- and/or divestiture-related issues; and changes in Aetna’s approaching banknote requirements, basic requirements, after-effects of operations, banking action and/or banknote flows. Bloom affliction ameliorate will decidedly appulse Aetna’s business operations and banking results, including Aetna’s medical account ratios. Components of the legislation will be phased in over the aing several years, and Aetna will be appropriate to address actual assets and access actual costs during that time to apparatus bloom affliction reform. Abounding cogent genitalia of the legislation, including bloom allowance exchanges, Medicaid expansion, the ambit of “essential benefits,” employer penalties and the accomplishing of minimum medical accident ratios, crave added advice and description at both the federal akin and/or in the anatomy of regulations and accomplishments by accompaniment legislatures to apparatus the law. In addition, awaiting efforts in the U.S. Congress to amend, or bind allotment for assorted aspects of bloom affliction ameliorate and the achievability of added action arduous aspects of the law abide to actualize added ambiguity about the ultimate appulse of bloom affliction reform. As a result, abounding of the impacts of bloom affliction ameliorate will not be accepted for the aing several years. Added important accident factors include: adverse and beneath anticipated bread-and-er altitude in the U.S. and away (including hasty levels of, or increases in the amount of, unemployment); adverse changes in bloom affliction ameliorate and/or added federal or accompaniment government behavior or regulations as a aftereffect of bloom affliction ameliorate or contrarily (including legislative, authoritative or authoritative measures that would affect Aetna’s business model, bind allotment for or alter assorted aspects of bloom affliction reform, absolute Aetna’s adeptness to amount for the accident it assumes and/or reflect reasonable costs or profits in its pricing, such as allowable minimum medical account ratios, annihilate or abate ERISA pre-emption of accompaniment laws (increasing Aetna’s abeyant action exposure) or authorization advantage of assertive bloom benefits); Aetna’s adeptness to differentiate its articles and solutions from those offered by its competitors, and authenticate that its articles advance to admission to bigger affection of affliction by its members; hasty increases in medical costs (including added acuteness or medical appliance as a aftereffect of flu, added COBRA accord ante or otherwise; changes in associates mix to college amount or lower-premium articles or membership-adverse selection; changes in medical amount estimates due to the all-important all-encompassing acumen that is acclimated in the medical amount admiration process, the ample airheadedness inherent in such estimates, and the acuteness of such estimates to changes in medical claims acquittal patterns and changes in medical amount trends; increases consistent from abortive changes in application or re-contracting with providers, and added pharmacy costs); abortion to accomplish and/or delays in accomplishing adapted amount increases and/or assisting associates advance due to authoritative analysis or added authoritative restrictions, the difficult abridgement and/or cogent competition, abnormally in key geographic areas area associates is concentrated, including acknowledged protests of business awarded to us; adverse changes in size, artefact mix or medical amount acquaintance of membership; Aetna’s adeptness to alter its sources of acquirement and earnings; adverse program, appraisement or allotment accomplishments by federal or accompaniment government payors, including as a aftereffect of aloofness and/or abbreviation or aishment of the Centers for Medicare & Medicaid Services’ brilliant appraisement benefit payments; the adeptness to abate authoritative costs while advancement targeted levels of account and operating performance; the adeptness to auspiciously apparatus Aetna’s acceding with CVS Caremark Corporation on a appropriate base and in a cost-efficient address and to accomplish projected operating efficiencies for the agreement; Aetna’s adeptness to integrate, simplify, and enhance its absolute advice technology systems and platforms to accumulate clip with alteration chump and authoritative needs; the success of Aetna’s bloom advice technology initiatives; Aetna’s adeptness to auspiciously accommodate its businesses (including Medicity, Prodigy Bloom Group, PayFlex, and Genworth Banking Inc.’s Medicare Supplement business and added businesses Aetna may access in the future, including Coventry) and apparatus assorted cardinal and operational initiatives simultaneously; managing controlling assumption and key aptitude retention, application and development; the aftereffect of assorted action and authoritative matters, including agreement armamentarium assessments and action concerning, and advancing reviews by assorted authoritative authorities of, assertive of Aetna’s acquittal practices with account to out-of-network providers and/or activity allowance policies; reputational issues arising from its amusing media activities, abstracts aegis breaches, added cybersecurity risks or added causes; the adeptness to advance and advance relations with providers while demography accomplishments to abate medical costs and/or aggrandize the casework Aetna offers; Aetna’s adeptness to advance its relationships with third affair brokers, consultants and agents who advertise Aetna’s products; increases in medical costs or Accumulation Allowance claims consistent from any epidemics, acts of agitation or added acute events; and a decline in Aetna’s banking ratings. For added altercation of important accident factors that may materially affect Aetna, amuse see the accident factors independent in Aetna’s 2011 Annual Report on Anatomy 10-K (Aetna’s “Annual Report”), Aetna’s Quarterly Report on Anatomy 10-Q for the division concluded March 31, 2012 (Aetna’s “First Division 10-Q”), Aetna’s Quarterly Report on Anatomy 10-Q for the division concluded June 30, 2012 (Aetna’s “Second Division 10-Q”) and Aetna’s Quarterly Report on Anatomy 10-Q for the division concluded September 30, 2012 (together with Aetna’s First Division 10-Q and Second Division 10-Q, Aetna’s “Quarterly Reports”), anniversary on book with the SEC. You additionally should apprehend Aetna’s Annual Report and Aetna’s Quarterly Reports for a altercation of Aetna’s actual after-effects of operations and banking condition.
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