UnitedHealth’s Medical Cost Trends Ease

UnitedHealth Group (Minnetonka, MN) has posted blow-out third-quarter financial results.  But the big news is the company lowered its full-year 2012 medical cost trend projection to between 5% and 6%–a 50 basis point reduction from its prior expectation.  UnitedHealth chief financial officer Dan Schumacher summed it up during a conference call with investors.

Stepping into 2012, we did have an expectation of higher utilization as compared to 2011. We are actually seeing that, although I will tell you it is more moderate than we thought. We saw a surge in the first quarter utilization, and then that moderated from the second quarter forward….We are seeing a little better inpatient….We are seeing a little bit more moderate pharmacy utilization, particularly in the space of Hep C….Outpatient is actually a little bit higher than our expectation.

The company continues to expect commercial risk membership to be down as it maintains pricing discipline in a competitive marketplace, officials say.  Commercial risk gross margin will also feel the squeeze.

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