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Revenue in the fourth quarter was actually up 9%, but unfortunately the company's costs rose even faster. The medical care ratio -- medical costs divided by premiums -- jumped to 80.8% in the fourth quarter from 79.9% last year. But that's still an improvement compared to earlier in the year when the medical ratio was increasing at alarming rates.
There was some good news for UnitedHealth in 2008: Things could have been a whole lot worse. Insurers have a large stash of investments in bonds and other interest-paying investments like mortgage-backed securities that could have caused a bad blow-up -- think AIG (NYSE: AIG) bad. Considering how bad the economy was last year, investors should be pretty happy with the relatively minor losses that Aetna (NYSE: AET) and Humana (NYSE: HUM) reported.
For this year, UnitedHealth is looking for earnings of $2.90 to $3.15 -- essentially flat compared to last year. That doesn't seem so bad, considering that it's expecting to lose as many as 1.5 million members as the unemployment rate grows.
Like rivals Aetna, Cigna (NYSE: CI), and WellPoint (NYSE: WLP), UnitedHealth is trading at a P/E in the single digits -- multiples that were unheard of in years past. But with the non-existent growth this year and the uncertainty that President Obama brings, it seems that they're destined to stay this cheap until the growth returns and a little more is known about the future of universal health care.
Copyright © 2008 Universal Press Syndicate.