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December 10, 2003

ShareState-by-State Listing of HMO Aggregate Profits and Losses

The chart shows the nation's health maintenance organizations (HMOs) reporting an aggregate 81% increase in profits in 2002 to $5.5 billion, up from $3 billion in 2001. Profits from Medicare + Choice (M+C) plans increased 117.7%, to $1 billion from $462.9 million in 2001, as insurers discontinued or reduced costly plans and realized higher reimbursements rates from the 1999 Balanced Budget Refinement Act. HMOs also capitalized on an increased need for Medicare supplement insurance (Medigap) as seniors left or were dropped by M+C plans and returned to traditional Medicare. This resulted in a 90.6% increase in Medigap profits in 2002, climbing to $270.5 million from $141.9 million in 2001.

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