"In terms of
Gallina went on to tell analysts that the company needs "to partner with states that want to be partners" and that Anthem will continue to negotiate higher "actuarially justified rates."
"We feel very good about that fact, but if we do not get it then we will have a decision to make in
Confused by how the new
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On Monday -- about seven months into
The move was criticized by many of the state's
It is not unprecedented for these private companies to lobby for higher capitation rates after the start of a contract and before a rate period ends.
After arguments between the state and an MCO in
Anthem would not provide additional comment to The Gazette outside of the earnings call transcript regarding how much of an additional rate it was seeking or what it would do if it did not come to an agreement with the state.
"We are in the process of having deep discussions with the state regarding the possibility of adjustments," he said in the call. "I commented in our discussions just a moment ago that we have realized some positive effect from that discussion, and quite frankly we're hoping for more. Unfortunately, the recent rate increase still is inadequate."
Swedish said it was too early to discuss the company's legal position, but it was examining the contract.
"We are hopeful for a very positive outcome at the end of that review," he said. "We are concerned about the actuarial soundness of the rates. And that has been expressed by all the MCOs from the get-go.
"... We will continue to be deeply concerned until we get a resolution to this, and then we will weigh our options with respect to the endpoint of those negotiations with the state."
Anthem manages portions of the
Amerigroup operates in 11 states, including
The state also was tight-lipped on possible future rate increases.
"The state has reviewed emerging trends and updated the current 15-month capitation rate period," said
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