Health Insurance Company Profit and Denial Rates

Health Insurance Company Profit and Denial Rates
Aetna
 13% denial rate
CEO compensation:  $7.2 million (in 2011 according to AP and Wall Street Journal)
 $372 million profit
 $8.51 billion premium revenue
 82% medical loss ratio (amount of premiums used to pay patient medical costs)
 21% increase in premium prices for small employers as of April 2012 (LA Times reports)
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Blue Cross/Blue Shield
27% denial rate
CEO compensation: $11 million
$5.5 billion net income
64% medical loss ratio
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Blue Cross / Blue Shield of TN
34% denial rate
CEO compensation: $4.4 million (in 2011 according to Times Free Press)
$5.5 billion revenue from premiums
premium prices up 6.7%
60% medical loss ratio
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Cigna
33% denial rate
CEO compensation: $19.1 million ( in 2011 according to AP)
$290 million profit
$5.61 billion premium revenue
80% medical loss ratio
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Kaiser Permanente
28% denial rate
CEO compensation:  $8 million ( in 2011 according to Wall Street Journal)
$40 billion premium revenue
80% medical loss ratio
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Humana
40% denial rate
CEO compensation: $7.3 million ( in 2011 according to Wall Street Journal, Business First)
 $199 million profit
 $9.24 billion premium revenue
24% increase premium prices
80% medical loss ratio
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UnitedHealthcare
39% denial rate
CEO Compensation: $102 million (in 2011 according to Forbes http://www.forbes.com/2011/04/12/compensation-chief-executive-salary-leadership-ceo-compensation-11-intro.html)
 $1.26 billion profit
$25.92 billion premium revenue
 $8.9 billion Medicare revenue
 $417 million Medicaid revenue
25% increase premium prices
80% medical loss ratio
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WellPoint
$683 million profit
CEO compensation: $13.2 million (in 2011 according to Forbes)
$15.4 billion premium revenue
39% increase premium prices
80% medical loss ratio
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Sources:
CNBC
HHS
Wall Street Journal
Times Free Press (Chattanooga TN)
Forbes
AP
Matthew Taber is Chief Operating Officer of Direct Care For Me (www.directcareforme.com), which provides full access to medical care to patients and  100  percent reimbursement to primary care physicians through direct primary care (no insurance necessary) models. Low cost health insurance for business owners and employees. On site health care for employees. Exclusive savings on x-rays, labs, surgery, specialty office visits. See a doctor (family practitioner, internist, ob/gyn, pediatrician) anytime on your smartphone tablet, or computer (telemedicine). Reach him by e-mail at matthew at direct care for me dot com or by phone at 615-669-8347 to sign up today.

About mdtaber

Mr. Taber has a MS and BS in Health Services Administration and has been working in the industry since 1998. Mr. Taber oversees operations, business development, and marketing efforts of the company. In addition, he also acts as government liaison and regularly briefs local, state, and federal government officials on healthcare policy issues. Mr. Taber is a member of the American College of Healthcare Executives.
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2 Responses to Health Insurance Company Profit and Denial Rates

  1. I really appreciate your post and you explain each and every point very well.Thanks for sharing this information.And I’ll love to read your next post too.

  2. Johnny says:

    The denial rate is so how on some of these. I wish it was easier to get accepted into a good healthcare plan

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