WellPoint predicts double-digit rate increases


WellPoint surprised industry experts when it announced it will likely seek "double-digit plus" rate hikes. Insurers still have two months before they must submit their 2015 rates, so WellPoint's prediction could impact other insurers' rate-setting plans, Bloomberg reported.

Premium rates for 2015 will increase, although the rise in premiums will vary, depending on the region, state and insurer. The increases stem from the Obama administration's many delays and changes to the healthcare reform law, FierceHealthPayer previously reported.

"On a year-over-year basis on our exchanges, and it will vary by carrier, but all of them will probably be in double-digit plus," Ken Goulet, executive vice president for WellPoint's commercial and specialty business, said at the company's recent investor meeting.

Initially one of the loudest critics of the Affordable Care Act, WellPoint now stands to benefit significantly from the law--it's the largest participant of all exchanges and already boosted membership by increasing its Medicaid participation.

What's more, WellPoint CEO Joseph Swedish told analysts during an earnings call in January that its enrollment numbers have been "very consistent with our expectations," adding that the company does "feel good about what we've seen thus far in the exchanges."

That's why the second-largest insurer's announcement startled some analysts. "The double-digit increase surprised me," Stephen Zaharuk, an analyst at Moody's Investors Service, told Bloomberg. "If everything's working according to plan, then the increases should be where the medical trend is, which should not be double-digit."

But other analysts believe WellPoint's prediction means the insurer is trying to play it safe. "They don't know what the risk pool looks like yet, and until they get some experience, they're going to be more cautious," Ana Gupte, an analyst at Leerink Swann & Co., told the news outlet.

To learn more:
- read the Bloomberg article

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