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Lawmakers frowning on for-profit conversions

State legislation has WellPoint rethinking its bid for the Maryland Blues plan. Opponents claim the deal will eventually fail.

By Myrle Croasdale, AMNews staff. May 6, 2002.


Consolidation among health insurers may not have ended, but it could be slowing.

Blue Cross and Blue Shield of Kansas failed to win permission to convert to for-profit status and merge with Anthem. Maryland's CareFirst BlueCross BlueShield is also facing growing pains.


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Maryland's Legislature recently voted on a slew of proposed bills aimed at discouraging CareFirst's proposed $1.3 billion sale to WellPoint Health Networks. The result: The deal must be made entirely in cash, instead of the original cash/stock package.

Another change is that CareFirst must prove its sale will be beneficial to the public; traditionally, the state's insurance commissioner would have to show that it is not beneficial.

CareFirst has indicated that it will continue to pursue its conversion to for-profit status. However, WellPoint has not yet announced a decision on whether it is willing to proceed with the deal.

"No decision made yet, and there's no time table on when that decision will be made," said Ken Ferber, spokesman for WellPoint.

Meanwhile, analysts are watching for Trigon Healthcare, a major Blues carrier in Virginia, one of CareFirst's markets, to return as a bidder. Trigon had made a bid earlier, ultimately losing out to WellPoint.

For the time being, Maryland's insurance commissioner will review the business aspects of the proposal and a decision is anticipated by early 2003.

Michael Preston, executive director of the Maryland State Medical Society, said he expects the deal will fail. [...]

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Copyright 2002 American Medical Association. All rights reserved.