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* Q1 EPS 62 cents vs 63-cent Street view

* Profit forecast effectively slashed, analysts say

* Medicaid costs in Kentucky in focus

* Follows Aetna’s Q1 miss on Thursday

* Shares drop 11 percent

(Adds analyst comment, share movement)

By Lewis Krauskopf

April 27 (Reuters) – Insurer Coventry Health Care Inc

reported a lower-than-expected quarterly profit and

issued a disappointing full-year outlook as costs from a

Medicaid plan for low-income Americans weighed heavily on

results, and its shares fell 11 percent.

While overall enrollment in Coventry’s Medicaid plans nearly

doubled in the first quarter, costs for a plan in Kentucky were

well above premiums.

Coventry said it had ended up attracting more high-cost

members to the Kentucky Medicaid plan because it was offering a

broader network of hospitals and other health providers as well

as a prescription drug plan with no co-payment.

Shares of Coventry were down 11 percent at $29.09 in midday

trading on the New York Stock Exchange.

“I think people are reacting this way partly because it’s a

multiyear contract so they’re wondering how long this will be an

issue,” Wedbush Securities analyst Sarah James said.

Coventry, she said, also “is relatively new to Medicaid …

and they’re trying to grow rapidly in it so people are just

questioning how they approach bids.”

Shares of other insurers with Medicaid contracts in Kentucky

also fell. WellCare Health Plans was down 4.9 percent,

and Centene Corp declined 3.2 percent.

Coventry’s report comes the day after larger rival Aetna

Inc’s profit missed Wall Street’s target and said

healthcare-claim costs might be about to rise, sending its

shares tumbling.

The quarterly earnings of UnitedHealth Group Inc and

WellPoint Inc, the two biggest health insurers, exceeded

expectations, and both companies raised their outlooks for the

year.

Coventry said it affirmed its 2012 earnings outlook of its

forecast of $3.10 to $3.30 per share.

But after digesting Coventry’s report, several analysts said

the forecast suggested a steep reduction because it includes a

58-cent benefit recorded in the first quarter from releasing

reserves tied to a government audit of Medicare plans for older

people.

The analysts excluded the benefit from their projections.

“Accordingly, we calculate the full-year 2012 operating EPS

outlook at $2.52-$2.72, $0.58 lower than before,” Goldman Sachs

analyst Matthew Borsch said.

Analysts have been looking for $3.26 a share, according to

Thomson Reuters I/B/E/S.

Aetna shares fell 3 percent after Coventry’s report, while

Medicaid specialists Molina Healthcare and Amerigroup

were down 2.7 percent and 1.5 percent, respectively.

Coventry’s first-quarter net income rose to $170.7 million,

or $1.20 per share, from $110.2 million, or 73 cents per share,

a year earlier.

Excluding the Medicare reserve release, earnings of 62 cents

per share were a penny shy of the analysts’ average estimate,

according to Thomson Reuters I/B/E/S.

Revenue rose 21 percent to $3.69 billion, about $200 million

ahead of estimates. The company’s enrollment jumped about 16

percent to 5.26 million, as Medicaid enrollment nearly doubled

to 924,000.

Through Thursday, Coventry shares had risen more than 7

percent this year, less than the 12 percent climb for the Morgan

Stanley Healthcare Payor index of health insurers.

(Reporting By Lewis Krauskopf; Editing by Gerald E. McCormick,

Bernadette Baum and Lisa Von Ahn)