-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WDWcg72Ci5RH8YSdNSH2OjkhvpNBRX5gTnximCDSZjWw6+eAUT5tyORRT9rfWijt 3lUcz9UCR36sm9vbf+XJoA== 0001104659-07-025376.txt : 20070403 0001104659-07-025376.hdr.sgml : 20070403 20070403144920 ACCESSION NUMBER: 0001104659-07-025376 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20070330 ITEM INFORMATION: Other Events ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20070403 DATE AS OF CHANGE: 20070403 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MAGELLAN HEALTH SERVICES INC CENTRAL INDEX KEY: 0000019411 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 581076937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-06639 FILM NUMBER: 07743552 BUSINESS ADDRESS: STREET 1: 6950 COLUMBIA GATEWAY STREET 2: STE 400 CITY: COLUMBIA STATE: MD ZIP: 21046 BUSINESS PHONE: 4109531000 FORMER COMPANY: FORMER CONFORMED NAME: CHARTER MEDICAL CORP DATE OF NAME CHANGE: 19920703 8-K 1 a07-9809_18k.htm 8-K

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 8-K

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15 (D) OF THE

SECURITIES EXCHANGE ACT OF 1934

Date of report (Date of earliest event reported):

March 30, 2007

MAGELLAN HEALTH SERVICES, INC.

(Exact Name of Registrant as Specified in Charter)

 

DELAWARE

 

1-6639

 

58-1076937

(State or Other Jurisdiction

 

(Commission File

 

(IRS Employer

of Incorporation)

 

Number)

 

Identification No.)

 

 

 

 

 

55 NOD ROAD

 

 

 

 

AVON, CONNECTICUT

 

 

 

06001

(Address of Principal Executive Offices)

 

 

 

(Zip Code)

 

Registrant’s telephone number, including area code: (860) 507-1900

N/A

(Former Name or Former Address, if Changed Since Last Report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

o Written communications pursuant to Rule 425 under the Securities Act

(17 CFR 230.425)

o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 




ITEM 8.01 OTHER EVENTS

On April 3, 2007, Magellan Health Services, Inc. (the “Company”) announced that it has entered into a binding letter of agreement with Empire Blue Cross Blue Shield (“Empire”), to convert its existing fee-based administrative  services only (“ASO”) contract for radiology benefits management to a risk arrangement, upon achievement of certain regulatory approvals.

The Company also announced that the start of the implementation of the CIGNA risk radiology contract has been delayed until later in the second quarter or into the third quarter.

In addition, the Company stated that it had received official notice that the Empire behavioral contract, which expires December 31, 2007, would not be renewed.

Attached and incorporated herein by reference as Exhibit 99.1 is a copy of the press release dated April 3, 2007.

Item 9.01 FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS

(a)  Financial Statements of business acquired:              Not applicable.

(b)  Pro forma financial information:                  Not applicable.

(d)           Exhibits:

Exhibit Number

 

Description

99.1

 

Registrant’s press release dated April 3, 2007

 

2




SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

MAGELLAN HEALTH SERVICES, INC.

Date: April 3, 2007

By:

/s/ Mark S. Demilio

 

 

Name: Mark S. Demilio

 

 

Title: Executive Vice President and Chief Financial Officer

 

 

 

 

3



EX-99.1 2 a07-9809_1ex99d1.htm EX-99.1

Exhibit 99.1

 

 

 

 

For Immediate Release

 

 

 

 

 

 

Investor Contact:

 

Melissa Rose

 

 

 

 

877-645-6464

 

 

 

 

 

 

 

Media Contact:

 

Erin Somers

 

 

 

 

410-953-2405

 

MAGELLAN HEALTH SERVICES TO CONVERT RADIOLOGY MANAGEMENT
CONTRACT WITH EMPIRE BLUE CROSS BLUE SHIELD TO RISK

Company Also Announces Delay in Start of CIGNA Contract Implementation

 


 

AVON, Conn. — April 3, 2007 — Magellan Health Services, Inc. (Nasdaq:MGLN) announced today that it has entered into a binding letter of agreement with Empire Blue Cross Blue Shield, the largest insurer in New York and a subsidiary of WellPoint, Inc., to convert its existing fee-based administrative-services-only (ASO) contract for radiology benefits management to a fully insured risk arrangement.

Under the letter of agreement with Empire, the current contract, under which National Imaging Associates, Inc., a subsidiary of Magellan, manages MRI, CT and PET services for nearly 1.4 million Empire members on an ASO basis, will convert to a three-year, full-risk arrangement for approximately 800,000 of those members upon achievement of certain regulatory approvals. The Company anticipates receiving such approvals in the third quarter of 2007. The new contract is expected to generate annual revenues of over $100 million.  The Company stated that earnings would be adversely impacted in the early months of the contract due to a higher medical loss ratio in those months related in part to the establishment of financial reserves with respect to managing radiology services on a risk basis and other implementation activities.

Steven J. Shulman, chairman and chief executive officer of Magellan, said, “We are very pleased to have extended our provision of radiology services to Empire and WellPoint in the form of a risk-based contract in the New York area.  Comprehensive radiology benefits management, encompassing strategies to positively affect key radiology cost drivers, offers purchasers certainty over diagnostic imaging expenditures that translates into improved underwriting and pricing of their own products in the marketplace. At the same time, Magellan’s radiology program offers ready access to high quality care for members and streamlined and responsive processes for ordering and rendering providers.”

“Our agreement with Empire is the second risk radiology deal entered into by Magellan in recent months and is further validation of our strategy of leveraging our financial and operational strengths and robust infrastructure to grow our radiology business through expansion into risk contracting,” Shulman noted. “We are very pleased with our progress on this front and we look forward to continuing to meet Empire’s needs and those of its stakeholders through our new arrangement.”

The Company also announced that the start of the implementation of the CIGNA risk radiology contract has been delayed until later in the second quarter or into the third quarter.  The Company currently is contracted to provide services in 11 states, which represent annual revenue of approximately $150 million.  Magellan remains in discussions with CIGNA about providing services in additional markets.

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MAGELLAN HEALTH SERVICES TO CONVERT RADIOLOGY MANAGEMENT CONTRACT
WITH EMPIRE BLUE CROSS BLUE SHIELD TO RISK

- PAGE 2 -

 

The Company stated that the implementation delay in CIGNA and the higher projected medical loss ratio in the initial months of the new Empire contract would create a negative impact to segment profit in 2007 of approximately $10 million.

“It is important to note that, while implementation and initial contract costs are expected to adversely affect our radiology segment results in 2007, both the CIGNA and Empire contracts are very positive events for our radiology segment,” Shulman stated.  “We continue to make good progress in our implementation activities for CIGNA and overall are pleased with our successes in this important line of business.  In the past three months we have entered into risk contracts with CIGNA and now Empire, resulting in over $250 million of annual revenue.  We expect both of these contracts, once we complete the implementations in 2007, to generate segment profit margins in the range that we have previously estimated for radiology risk contracts.”

In addition, the Company stated that it had received official notice from WellPoint that it will not be renewing its Empire Blue Cross Blue Shield behavioral contract, which expires December 31, 2007.  The Company had previously disclosed that this contract, which is expected to generate approximately $88 million of revenue in 2007, was not expected to be renewed.

“While we are disappointed to be ending the Empire behavioral contract, we had publicly stated last year that this contract was not likely to renew in 2008,” Shulman said.  “Our strategic vision has been to expand beyond our behavioral business into managing additional areas of health care, such as radiology and specialty pharmacy, which provides both diversification and new growth opportunities.  Our ability to replace our lost behavioral contract with a risk radiology management agreement is validation of our diversification strategy and we are very pleased to be continuing our relationship with Empire.”

About Magellan:  Headquartered in Avon, Conn., Magellan Health Services, Inc. (Nasdaq:MGLN) is a leading specialty health care management organization.  In addition to radiology benefits, the Company manages behavioral health care and specialty pharmaceuticals.  Its customers include health plans, corporations and government agencies.

Cautionary Statement:  Certain of the statements made in this press release including, without limitation, statements regarding the letter of agreement with Empire, the estimated revenue and membership associated with the Empire radiology benefits management agreement, the adverse impact on earnings in the early months of the Empire radiology benefits management contract, required regulatory approvals for the Empire radiology benefits management contract, the effect on the Company’s 2007 segment profit from the implementation delay in the CIGNA contract, the estimated revenue from the Empire and CIGNA radiology benefits management contracts, the expected profit margins on the Empire and CIGNA radiology benefits management contracts, the estimated revenue from the Empire behavioral contract and other matters constitute forward-looking statements contemplated under the Private Securities Litigation Reform Act of 1995.  These forward-looking statements are based on management’s current expectations and are subject to known and unknown uncertainties and risks which could cause actual results to differ materially from those contemplated or implied by such forward-looking statements, including (among others) the risk that the Company does not properly underwrite the risk agreement with Empire; the risk that the Company does not effectively implement the agreement with Empire; the risk concerning the possible election of certain of the Company’s health plan customers to manage the health care services of their members directly; competition; renegotiation of rates paid to and/or by the Company by customers and/or to providers; higher utilization of treatment services by risk members; delays, higher costs or inability to implement the Company’s initiatives; the impact of changes in the contracting model for Medicaid contracts relating to managed health care services; termination or non-renewal of contracts by customers; the impact of new or amended laws or regulations; governmental inquiries and/or litigation; the impact of increased

- more-

 




MAGELLAN HEALTH SERVICES TO CONVERT RADIOLOGY MANAGEMENT CONTRACT
WITH EMPIRE BLUE CROSS BLUE SHIELD TO RISK

- PAGE 3 -

 

competition on the Company’s ability to maintain or obtain contracts; the impact of increased competition on rates paid to or by the Company; and other factors.  Any forward-looking statements made in this document are qualified in their entirety by the more complete discussion of risks set forth in the section entitled “Risk Factors” in Magellan’s Annual Report on Form 10-K for the year ended December 31, 2006 filed with the Securities and Exchange Commission on February 28, 2007 and posted on the Company’s Web site.

# # #



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-----END PRIVACY-ENHANCED MESSAGE-----