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| [December 18, 2012] |
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Health Net Issues 2013 Earnings Guidance
LOS ANGELES --(Business Wire)--
Health Net, Inc. (NYSE:HNT) today announced its 2013 annual guidance of
$2.00 to $2.10 for GAAP earnings per diluted share.
Health Net expects its consolidated revenues for the combined Western
Region Operations (Western Region) and Government Contracts segments in
2013 will be between approximately $10.7 billion and $11.2 billion.
Compared with year-end 2012 enrollment, the company expects the
following with regard to year-end 2013 enrollment for the Western Region:
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Total health plan membership will decline by 1 to 2 percent;
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Commercial enrollment will decline by 8 to 9 percent;
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Medicare Advantage enrollment will increase by 1 to 2 percent; and
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Medicaid enrollment will increase by 4 to 6 percent.
Western Region commercial premium yields per member per month (PMPM) in
2013 are expected to increase by approximately 3.6 percent compared with
2012.
The year-over-year change in commercial premium yields PMPM is
anticipated to be affected by ongoing product and geographic mix shifts.
In 2013, the company expects commercial enrollment to be more heavily
weighted to smaller accounts and tailored network products that have
lower than company-average premiums PMPM when compared with 2012.
Western Region commercial health care costs PMPM in 2013 are expected to
increase by approximately 350 basis points less than the 2013 increase
in commercial premium yields PMPM.
The company expects the year-over-year change in commercial health care
costs PMPM to be driven by several factors. The company anticipates no
recurrence of adverse prior period development in 2013, which accounts
for approximately 200 basis points of the change noted above. The
continuing mix shift from larger to smaller groups, from higher cost to
lower cost geographies, and from full network products to more efficient
products with lower medical care ratios, is expected to account for
approximately 90 basis points of the difference. Lastly, approximately
60 basis points of the difference are expected to result from repricing
actions in the company's largest accounts.
The pretax contribution from the Government Contracts segment is
expected to be approximately $75 million to $84 million in 2013.
The company's general and administrative (G&A) expense ratio for the
Western Region is expected to be approximately 9.0 to 9.4 percent in
2013.
The company's guidance at this time excludes any impact on membership,
revenues, costs or earnings from its participation in the state of
California's dual eligible demonstration pilot programs.
Following is a table with specific 2013 guidance metrics.
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Metric
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2013 Guidance
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Year-end membership(a)(c)
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Commercial: -8% to -9%
Medicaid: +4% to +6%
Medicare Advantage: +1% to +2%
Total health plan membership: -1% to -2%
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Consolidated revenues(b)
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~$10.7 billion to $11.2 billion
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Commercial premium yields PMPM(a)(c)
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~ +3.6%
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Commercial health care costs PMPM(a)(c)
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~350 basis points < premium yields PMPM
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Selling cost ratio(a)
G&A expense ratio(a)
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~2.3% to 2.4%
~9.0% to 9.4%
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Tax rate(b)
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38.0% to 39.0%
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Weighted-average fully diluted shares outstanding
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~80 million
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GAAP EPS
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$2.00 to $2.10
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(a) For the company's Western Region Operations segment (b) For the
combined Western Region Operations and Government Contracts segments (c)
These estimates are in comparison to expected 2012 amounts.
About Health Net
Health Net, Inc. is a publicly traded managed care organization that
delivers managed health care services through health plans and
government-sponsored managed care plans. Its mission is to help people
be healthy, secure and comfortable. Health Net, through its
subsidiaries, provides and administers health benefits to approximately
5.4 million individuals across the country through group, individual,
Medicare (including the Medicare prescription drug benefit commonly
referred to as "Part D"), Medicaid, U.S. Department of Defense,
including TRICARE, and Veterans Affairs programs. Health Net's
behavioral health services subsidiary, Managed Health Network, Inc.,
provides behavioral health, substance abuse and employee assistance
programs to approximately 4.9 million individuals, including Health
Net's own health plan members. Health Net's subsidiaries also offer
managed health care products related to prescription drugs, and offer
managed health care product coordination for multi-region employers and
administrative services for medical groups and self-funded benefits
programs.
For more information on Health Net, Inc., please visit Health Net's
website at www.healthnet.com.
Cautionary Statements
Health Net, Inc. and its representatives may from time to time make
written and oral forward-looking statements within the meaning of the
Private Securities Litigation Reform Act ("PSLRA") of 1995, including
statements in this and other press releases, in presentations, filings
with the Securities and Exchange Commission ("SEC (News - Alert)"), reports to
stockholders and in meetings with investors and analysts. All statements
in this press release, other than statements of historical information
provided herein, including the guidance for future periods and the
assumptions underlying such projections, may be deemed to be
forward-looking statements and as such are intended to be covered by the
safe harbor for "forward-looking statements" provided by PSLRA. These
statements are based on management's analysis, judgment, belief and
expectation only as of the date hereof, and are subject to changes in
circumstances and a number of risks and uncertainties. Without limiting
the foregoing, the guidance as to expected future period results and
statements including the words "believes," "anticipates," "plans,"
"expects," "may," "should," "could," "estimate," "intend," "feels,"
"will," "projects" and other similar expressions are intended to
identify forward-looking statements. Actual results could differ
materially from those expressed in, or implied or projected by the
forward-looking information and statements due to, among other things,
health care reform and other increased government participation in and
regulation of health benefits and managed care operations, including the
ultimate impact of the Affordable Care Act, which could materially
adversely affect Health Net's financial condition, results of operations
and cash flows through, among other things, reduced revenues, new taxes,
expanded liability, and increased costs (including medical,
administrative, technology or other costs), or require changes to the
ways in which Health Net does business; rising health care costs;
continued slow economic growth or a further decline in the economy;
negative prior period claims reserve developments; trends in medical
care ratios; membership declines; unexpected utilization patterns or
unexpectedly severe or widespread illnesses; rate cuts and other risks
and uncertainties affecting Health Net's Medicare or Medicaid
businesses; Health Net's ability to successfully participate in the
dual-eligibles pilot programs; litigation costs; regulatory issues with
federal and state agencies including, but not limited to, the California
Department of Managed Health Care, the Centers for Medicare & Medicaid
Services, the Office of Civil Rights of the U.S. Department of Health
and Human Services and state departments of insurance; operational
issues; failure to effectively oversee our third-party vendors;
noncompliance by Health Net or Health Net's business associates with any
privacy laws or any security breach involving the misappropriation, loss
or other unauthorized use or disclosure of confidential information;
liabilities incurred in connection with Health Net's divested
operations; impairment of Health Net's goodwill or other intangible
assets; investment portfolio impairment charges; volatility in the
financial markets; and general business and market conditions.
Additional factors that could cause actual results to differ materially
from those reflected in the forward-looking statements include, but are
not limited to, the risks discussed in the "Risk Factors" section
included within Health Net's most recent Annual Report on Form 10-K and
subsequent Quarterly Reports on Form 10-Q filed with the SEC, and the
other risks discussed in Health Net's filings with the SEC. Readers are
cautioned not to place undue reliance on these forward-looking
statements. Except as may be required by law, Health Net undertakes no
obligation to address or publicly update any of its guidance, the
assessment of the underlying assumptions or forward-looking statements
to reflect events or circumstances that arise after the date of this
release.

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