Business Editors
HARTFORD, Conn. Those risk factors include
, but are
not limited to, CMS not awarding Aetna a contract under the new
Medicare prescription
drug program and/or under the Medicare Advantage
program.
Separate companies provide employee
benefit and third party administration,
preferred provider organization network services, medical
and case management,
wellness, and information technology including EDI clearing house, paper to
EDI conversion and PPO repricing.
tpas hmos
(FSI), a
leading provider in healthcare payer software and service
solutions, announced
that it has been recognized by Business Insurance Magazine
( http://www. This
integration of medical and prescription drug benefits will allow Aetna
to provide even greater
assistance to Medicare members and their
physicians in managing health conditions. Forward-looking
information is based on
management's estimates, assumptions and projections, and is subject to
significant
uncertainties and other factors, many of which are beyond
Aetna's control. (NYSE: AJG). "AAG and
GBA are a great boost to our long-term
strategy of geographic and product expansion."
The
Parker Group owns ICON Benefit Administrators, Inc.Lists consulting firms specializing in life and/or
health insurance.
buyouts underwriters
"In addition to the prescription drug plans, Aetna plans to
significantly
expand our Medicare Advantage medical plans in 2006,"
McCauley said.
Aetna plans for all of its
existing and new Medicare Advantage
medical plans - HMOs and PPOs - to include the Part D prescription
drug coverage in 2006, so that members will only have to join one plan
to receive the full benefit
of the federal government program.9 million dental members, 8. For more
information, please visit
www. ("GBA") a national
third-party employee benefits administrator.decrease validations
aetna. AAG has a 20-year
history
in retiree benefits and Medicare administration as well as business
process outsourcing services
for the group insurance and union market sectors.utilization spreadsheet
com ) as one of the industry's top ten largest
employee
benefit information systems. The new plans will provide Medicare beneficiaries an
unprecedented level
of support for their prescription drug benefits.repricing utilization
5 million group insurance members to help them
make
better informed decisions about their health care and protect
their finances against health-related
risks.
About The Parker Group
The Parker Group is a diverse health care management
organization.drg allegiance
4 million
pharmacy members and 13. For existing and new brokers, this acquisition opens
the door to a
wide spectrum of new and exciting opportunities across the country.tpas reinsurers
The combined revenues
clearly
put us among the top ten employee benefit TPAs in the nation," says Ted Parker,
CEO, The
Parker Group.brody utilization
Important risk factors could cause actual future
results and other future events to
differ materially from those
currently estimated by management. Employers and brokers alike
will
reap the benefits of administrative service excellence and an experienced,
stable management team
.buyouts projections
As one of the nation's leading providers of health care, dental,
pharmacy, group life, disability
and long-term care benefits, Aetna
puts information and helpful resources to work for its approximately
13. Bryan's company, American
Administrative Group, Inc.repricing decrease
The company was acquired from a
subsidiary
of Arthur J. ("ICON"), a
Lubbock, Texas-based Third Party Administrator with over 70,000 members
in
22 states, serving a combination of private employers, governmental entities,
church associations
and MEWA's.schechter buyouts
All FACTS products are available in a turnkey or
ASP model.----Aetna (NYSE:
AET) has
filed applications with the Centers for Medicare + Medicaid
Services (CMS) to be a nationwide provider
of the Medicare Part D
prescription drug plans, and also to participate in the regional
Medicare
PPO program that will be available in 2006."
Aetna filed an application to provide the Part D plans
to
individuals and employers in all of the regions designated by CMS,
except the territories.
Third-Party Administrator Acquisition Expands Scope and Brings Management
Depth
LUBBOCK, Texas, The Parker Group, a health care
and benefits management
holding company, announced today that it has closed on
the acquisition of Gallagher Benefit Administrators
, Inc. Gallagher + Co.adjusters underwriters
CORAL GABLES, Fla. Lopez, FSI's Vice President, Sales + Marketing."
The FACTS System provides advanced software and hardware solutions for
healthcare payers and employee
benefit administrators. Plan bids must be filed by
June 6, 2005, and CMS expects to award contracts
by early September.
With the regional PPO filings this week and local HMO and PPO plan
filings
that occurred earlier this year, Aetna more than doubles the
number of states in which it plans to
offer Medicare Advantage plans,
from 5 today to 13 by 2006.substantially intercontinental
Aetna provides easy
access to cost
-effective health care through a nationwide network of
more than 655,000 health care professionals
, including over 390,000
primary care and specialist doctors and 3,937 hospitals. Gallagher + Co.
brody reinsurers
Used by insurance companies, TPAs,
HMOs, MCOs, and self-administered corporations, the FACTS System
provides
dynamic flexibility and seamless automation for a large variety of health
plans including:
* Major medical health plans
* PPO plans
* POS plans
* Self-funded plans
* Indemnity plans
* Capitated managed care plans
* Hybrid health plans
* Medicare/Medicaid plan administration
* Supplemental Medicare plans
* Dental managed
care plans (DHMO)
* Consumer directed health plans
* Flex spending plans
* Disability
plans
* Workers Compensation
About FSI
Since 1981, FSI is a leading provider
of fully automated and integrated,
high performance software and hardware solutions for healthcare
payers,
specializing in claims processing, employee benefits, risk management, cost
containment
and managed care.
Aetna has applied to offer Medicare Part D prescription drug plans
to individuals
and employers in every state in 2006.
"We are pleased with the opportunity to be able to offer Medicare
beneficiaries across the country this new prescription drug benefit,"
said Frank McCauley, head
of Aetna's Retiree Markets.com.
tpas hmos
businessinsurance. FSI's integrated, best-in-class technologies
include systems for
automatic adjudication, HIPAA, EDI, Internet, IVR, and workflow.businessinsurance
. Gallagher Benefit
Administrators provides services to over 500,000 covered lives through offices
in Illinois, Texas, Ohio, Mississippi, California, Michigan and Colorado.
"Our acquisition
strategy is an effective way to accelerate growth,
improve operations and integrate new services
., an international insurance brokerage and risk
management services firm, is headquartered in Itasca
, Illinois, has operations
in eight countries and does business in more than 100 countries around
the
world through a network of correspondent brokers and consultants.continuation bancassurance
, FACTS Services, Inc.
The November 8, 2004 weekly issue of Business Insurance listed the top ten
leading employee benefit
information system vendors ranked by number of
installations in corporate benefit departments.com
, or visit http://www. ("AAG") of Fort Worth, Texas.
About Arthur J. Gallagher + Co.spreadsheet allegiance
Aetna
Files to Expand Medicare Offerings with New Part D Prescription Drug Benefit and Broader Medicare Advantage
Plans
The Aetna plans also will offer employers fully
insured options in providing prescription
drug benefits for their
retirees. For more discussion of important risk factors that may
materially
affect Aetna, please see the risk factors contained in
Aetna's 2004 Annual Report on Form 10-K, on
file with the Securities
and Exchange Commission, which also includes a discussion of Aetna's
historical
results of operations and financial condition.
AAG provides administrative services for benefit plans
that cover over
80,000 lives.hmos bancassurance
7 million medical members, 11.The Parker Group Acquires Gallagher Benefit
Administrators Inc.
"The timing of this acquisition allows us to take advantage of significant
market opportunities as a leading provider of employee benefit administrative
services," said
Michael Bryan, President and COO of the combined companies.pending substantially
FACTS Services Inc. Ranked Top Ten in Recent
Survey for Largest Employee Benefits Information Systems Vendor
"This recognition acknowledges
our strong presence in this market, and our
long-term viability as a leading employee benefits information
systems
vendor," said Jose A.factsservices."
Last month, The Parker Group acquired Mr.bancassurance allegiance
As
a single
source provider servicing the full spectrum of a company's health claims
management needs
, FSI also provides integrated hardware options, services,
training and support.
Visit
http://www.
This confirms
Aetna's intention, announced in February, to take a leadership
position in this historic new benefit for Medicare beneficiaries in
2006. (Figures as of December
31,
2004)
ADDITIONAL INFORMATION; CAUTIONARY STATEMENT - The information in
this press
release relating to Aetna's participation in the new
Medicare Part D prescription drug program and
the Medicare Advantage
program is forward looking.
termination insurers
com for more information and access
to
entire report issued by Business Insurance.
"Employers will receive the efficiencies and strategic
expertise needed to
assist their employees and retirees manage the pressures of rising health care
costs.pending analytics
The prescription drug plans would be available whether
beneficiaries enroll in an Aetna
Medicare Advantage plan or a Medicare
supplement plan, or choose to remain with Original Medicare
for their
medical coverage. The local market expansions are pending
CMS approval, while insurers
still must submit bids and receive CMS
approval for the regional PPOs. ICON administers Worker's
Compensation,
Section 125/Cafeteria plans, and Consumer Driven Health Plans.intercontinental adjusters
FSI was ranked ninth
overall.
For more information on the complete line of FACTS products and services,
please
contact the FSI Sales Department at (305) 284-7400,
sales@factsservices.com .buyouts schechter
"We will
continue
our commitment to our products and services to position our customers
for success in the markets
they serve. Today, the FACTS
System is in operation at some of the leading health insurance and
employee
benefit administrators in the industry. "The individual
and group prescription drug plans
would be added to Aetna's already
extensive offerings for Medicare beneficiaries. The CMS-approved
Part D prescription drug
plans will take effect January 1, 2006.
Arthur J.adjusters brody
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