Market Overview

Anthem Medicare Plans Achieve Significant 2018 Medicare Star Ratings

Share:

More than 60 Percent of Medicare Advantage Health Plan Membership
Will Be in Plans Rated Four Stars or Better

Anthem, Inc. (NYSE:ANTM) is pleased to announce that its Medicare
Advantage health plan affiliates have improved their Medicare Star
Ratings. The Centers for Medicare and Medicaid Services (CMS) today
released their latest Star Ratings, which give health plans scores for
the quality and performance of their services. Heading into 2018, more
than 60 percent of the Medicare Advantage members in Anthem's affiliated
health plans will be enrolled in plans that achieved four stars or
better, with five stars being the best rating. The Star Ratings provide
further confirmation that Anthem's multi-year focus on improving the
quality of its Medicare offerings is delivering real benefits for
members. Additionally, the Company aims to further improve the Stars
performance of its health plans moving into 2019.

Today's announcement is a significant achievement, as the ratings
represent the highest percentage garnered by the Company and its health
plan affiliates since the start of CMS' Medicare Star Ratings program.
According to the 2016 Star Ratings, only 22 percent of members were
enrolled in four-star or better plans.

"Over the last four years, Anthem has made a commitment to improve the
performance and quality of our Medicare platform, ensuring we provide
greater access to high-quality, affordable health care," said Joseph R.
Swedish, Chairman, President and Chief Executive Officer, Anthem. "As we
look ahead, we will continue to maintain a diligent focus on innovating
our Medicare Advantage product portfolio and delivering the highest
quality plans for current members and those we hope to have the
privilege of serving in the future."

In addition, 2018 also marks the first time at least one of Anthem's
affiliated health plans will be rated five stars by CMS' Medicare Star
Ratings program. The Company's affiliates will be offering five-star PPO
plans in the New Hampshire, Georgia, and Kentucky markets.

Anthem and its affiliated health plans have made considerable
investments in the Medicare programs offered to consumers, broadening
the product portfolio, expanding services areas, increasing local health
plan staffing, and deepening the level of provider and member
engagement. As a result of these initiatives, Anthem anticipates more
meaningful growth in its Medicare business in 2018, compared to previous
years. In addition, the positive Star Ratings further reflect Anthem's
continued investment in strengthening the Company's Medicare program.

The CMS' Medicare Star Rating system rates the quality and performance
of Medicare Advantage and Medicare prescription drug plans to help
consumers and their families compare plans. Star Ratings are calculated
each year using a scale of one to five stars (with five being the best),
and may change from year to year.

Medicare Advantage plans are rated on their ability to help members stay
healthy, assist members in managing chronic conditions, ensure positive
member experiences with their health plan, achieve member satisfaction,
and provide effective customer service. Additionally, Medicare Advantage
and Medicare Advantage Prescription Drug plans are rated on how well
they provide medication coverage along a number of factors: customer
service, member complaints, member experience with drug plan, and drug
safety. The annual Medicare Star Ratings are posted online at www.medicare.gov.

Medicare evaluates plans based on a 5-star rating system. Star
Ratings are calculated each year and may change from one year to the
next.

About Anthem, Inc.

Anthem is working to transform health care with trusted and caring
solutions. Our health plan companies deliver quality products and
services that give their members access to the care they need. With over
74 million people served by its affiliated companies, including more
than 40 million within its family of health plans, Anthem is one of the
nation's leading health benefits companies. For more information about
Anthem's family of companies, please visit www.antheminc.com/companies.

Forward-Looking Statements

This document contains certain forward-looking information about us that
is intended to be covered by the safe harbor for "forward-looking
statements" provided by the Private Securities Litigation Reform Act of
1995. Forward-looking statements are generally not historical facts.
Words such as "expect," "feel," "believe," "will," "may," "should,"
"anticipate," "intend," "estimate," "project," "forecast," "plan" and
similar expressions are intended to identify forward-looking statements.
These statements include, but are not limited to: financial projections
and estimates and their underlying assumptions; statements regarding
plans, objectives and expectations with respect to future operations,
products and services; and statements regarding future performance. Such
statements are subject to certain risks and uncertainties, many of which
are difficult to predict and generally beyond our control, that could
cause actual results to differ materially from those expressed in, or
implied or projected by, the forward-looking statements. These risks and
uncertainties include: those discussed and identified in our public
filings with the U.S. Securities and Exchange Commission, or SEC;
increased government participation in, or regulation or taxation of
health benefits and managed care operations, including, but not limited
to, the impact of the Patient Protection and Affordable Care Act and the
Health Care and Education Reconciliation Act of 2010, or Health Care
Reform, and the impact of any future modification, repeal or replacement
of Health Care Reform; trends in health care costs and utilization
rates; our ability to secure sufficient premium rates including
regulatory approval for and implementation of such rates; our
participation in federal and state health insurance exchanges under
Health Care Reform, which have experienced and continue to experience
challenges due to implementation of initial and phased-in provisions of
Health Care Reform, and which entail uncertainties associated with the
mix and volume of business, particularly in our Individual and Small
Group markets, that could negatively impact the adequacy of our premium
rates and which may not be sufficiently offset by the risk apportionment
provisions of Health Care Reform; the ultimate outcome of litigation
between Cigna Corporation ("Cigna") and us related to the merger
agreement between the parties, including our claim for damages against
Cigna, Cigna's claim for payment of a termination fee and other damages
against us, and the potential for such litigation to cause us to incur
substantial costs, materially distract management and negatively impact
our reputation and financial positions; our ability to contract with
providers on cost-effective and competitive terms; competitor pricing
below market trends of increasing costs; reduced enrollment, as well as
a negative change in our health care product mix; risks and
uncertainties regarding Medicare and Medicaid programs, including those
related to non-compliance with the complex regulations imposed thereon
and funding risks with respect to revenue received from participation
therein; a downgrade in our financial strength ratings; increases in
costs and other liabilities associated with increased litigation,
government investigations, audits or reviews; medical malpractice or
professional liability claims or other risks related to health care
services provided by our subsidiaries; our ability to repurchase shares
of our common stock and pay dividends on our common stock due to the
adequacy of our cash flow and earnings and other
considerations; non-compliance by any party with the Express Scripts,
Inc. pharmacy benefit management services agreement, which could result
in financial penalties; our inability to meet customer demands, and
sanctions imposed by governmental entities, including the Centers for
Medicare and Medicaid Services; events that result in negative publicity
for us or the health benefits industry; failure to effectively maintain
and modernize our information systems; events that may negatively affect
our licenses with the Blue Cross and Blue Shield Association; state
guaranty fund assessments for insolvent insurers; possible impairment of
the value of our intangible assets if future results do not adequately
support goodwill and other intangible assets; intense competition to
attract and retain employees; unauthorized disclosure of member or
employee sensitive or confidential information, including the impact and
outcome of investigations, inquiries, claims and litigation related to
the cyber attack we reported in February 2015; changes in economic and
market conditions, as well as regulations that may negatively affect our
investment portfolios and liquidity; possible restrictions in the
payment of dividends by our subsidiaries and increases in required
minimum levels of capital and the potential negative effect from our
substantial amount of outstanding indebtedness; general risks associated
with mergers, acquisitions and strategic alliances; various laws and
provisions in our governing documents that may prevent or discourage
takeovers and business combinations; future public health epidemics and
catastrophes; and general economic downturns. Readers are cautioned not
to place undue reliance on these forward-looking statements that speak
only as of the date hereof. We do not undertake to update or revise any
forward-looking statements, except as required by applicable securities
laws. Investors are also advised to carefully review and consider the
various risks and other disclosures discussed in our SEC reports.

View Comments and Join the Discussion!
 

Partner Center

Loading...