CVS lays off 400+ at Aetna headquarters

[maitemia]

what don't you understand?
CVS overpaid for Aetna
It's the same when an insurance agent buys a book of business and loses most of the clients-not a good biz deal
Humana- I was first appointed with them in 12/2004-were you selling then?
They were flying high, had majority market share.
They tried to sell themselves multiple times
They got off the ACA in my state after one year
Then they exited group insurance
It's Humana, not the government
And if MAPD carriers are suffering? Due to their massive profits declining

Spot on. I've been in the MA niche for over 20 years: THIS is not politics - I saw this coming more than 5 years ago; it has been building up.

 

[vic120]

View attachment 15052

WOW that is crazy

 

[InsuranceGuy29]

what don't you understand?
CVS overpaid for Aetna
It's the same when an insurance agent buys a book of business and loses most of the clients-not a good biz deal
Humana- I was first appointed with them in 12/2004-were you selling then?
They were flying high, had majority market share.
They tried to sell themselves multiple times
They got off the ACA in my state after one year
Then they exited group insurance
It's Humana, not the government
And if MAPD carriers are suffering? Due to their massive profits declining

The point I'm making is, the new rules and laws are clearly hurting all the companies. If you don't understand that, then you're utterly blind. That's the point I'm making. That's objective reality, not my opinion. It's not JUST Aetna.....it's many of them. Granted, not all as bad as Aetna, but either you don't follow what's going on in the MA-sphere, or you're just playing dumb. If it wasn't for all the new rules and laws, then Aetna would definitely still be profitable on MA. There's absolutely zero denying that the government is costing these companies a sh*t-ton more money. Again, that's not even up for a debate. That's an objective fact. Understand now?

 

[MedicareWAA]

The point I'm making is, the new rules and laws are clearly hurting all the companies. If you don't understand that, then you're utterly blind. That's the point I'm making. That's objective reality, not my opinion. It's not JUST Aetna.....it's many of them. Granted, not all as bad as Aetna, but either you don't follow what's going on in the MA-sphere, or you're just playing dumb. If it wasn't for all the new rules and laws, then Aetna would definitely still be profitable on MA. There's absolutely zero denying that the government is costing these companies a sh*t-ton more money. Again, that's not even up for a debate. That's an objective fact. Understand now?

Not every company is failing or losing their shirt in Medicare. You're overlooking a lot, including all the ways companies like Aetna make money from MA. The regulated insurance company doesn't necessarily have to be very profitable so long as it supports other profitable parts of the business. Aetna and United are prime examples of this … and a ton of their membership isn't even full risk. Lots and lots of capitated or shared risk deals with providers.

MA plans got very cute with their risk coding. Most of them have settled fraud cases with the government. Meanwhile, the risk adjustment system has been evolving for several years, starting in Trump's term. And smart people managed to fail at the one thing required of an insurance company: price your risk properly.

If you can't make money in MA, you're retarded. It's not the government's fault.

I say this as a person who hates our government, by the way.

Finally, let's remember the biggest cash cow of all: DSNPs. Those are wildly profitable, and they're subject to the most government intervention.

 

[axeman462]

https://finance.yahoo.com/news/aetna-shines-star-ratings-88-230000509.html?guccounter=1

 

[InsuranceGuy29]

Not every company is failing or losing their shirt in Medicare. You're overlooking a lot, including all the ways companies like Aetna make money from MA. The regulated insurance company doesn't necessarily have to be very profitable so long as it supports other profitable parts of the business. Aetna and United are prime examples of this … and a ton of their membership isn't even full risk. Lots and lots of capitated or shared risk deals with providers.

MA plans got very cute with their risk coding. Most of them have settled fraud cases with the government. Meanwhile, the risk adjustment system has been evolving for several years, starting in Trump's term. And smart people managed to fail at the one thing required of an insurance company: price your risk properly.

If you can't make money in MA, you're retarded. It's not the government's fault.

I say this as a person who hates our government, by the way.

Finally, let's remember the biggest cash cow of all: DSNPs. Those are wildly profitable, and they're subject to the most government intervention.

My only point is it did nothing to help the companies. That's undeniable. The "2 midnight rule" alone is costing these companies tons of extra money, and that's just one thing.

 

[MedicareWAA]

My only point is it did nothing to help the companies. That's undeniable. The "2 midnight rule" alone is costing these companies tons of extra money, and that's just one thing.

I get that to you, it's "undeniable" and "an objective fact" and [insert lots of other absolutisms].

 

[InsuranceGuy29]

I get that to you, it's "undeniable" and "an objective fact" and [insert lots of other absolutisms].

It's not "to me." Please explain how passing rules and laws that require insurance companies to pay out a lot more money is helping them prosper. I'll wait. I'm not trying to be a smart @ss, but c'mon guy...don't die on this hill.

 

[MedicareWAA]

It's not "to me." Please explain how passing rules and laws that require insurance companies to pay out a lot more money is helping them prosper. I'll wait. I'm not trying to be a smart @ss, but c'mon guy...don't die on this hill.

I don't have the time to get into a thoughtful back and forth right now. I'm not saying you're right or wrong, but you're overlooking a lot of details and important context that makes it nearly impossible to say the things you said with absolute certainty.