http://www.forbes.com/2010/03/21/health-care-vote-business-beltway-congress.html?partner=whiteglove_google

Private Insurers

America's Health Insurance Plans, an industry group for private
insurers, has complained that health care reform leaves 23 million
Americans uninsured, imposes drastic cuts in Medicare Advantage and
levies a $70 billion tax hike (over 10 years) on the industry. While
HMOs whine a lot, they actually came out OK. Their biggest nightmare
was long ago removed from the legislation: a government-run plan to
compete with private companies. Better yet, health insurers get 32
million new taxpayer-subsidized customers. In essence, it's a big Cash
for Clunkers program for HMOs.

Among the HMOs, the biggest winners are Cigna ( CI - news - people ),
Aetna ( AET - news - people ) and UnitedHealthcare ( UNH - news -
people ) because they are concentrated in big employer markets that
will be largely unaffected by the bill. The bill is more likely to
have a negative impact on WellPoint ( WLP - news - people ) and Humana
( HUM - news - people ). WellPoint could lose shelf space in the
individual market it now dominates in many states. Humana has a big
Medicare Advantage business and will get hammered by the reimbursement
cuts.

Drug and Biotech Companies

Drug companies like Merck ( MRK - news - people ), Pfizer ( PFE - news
- people ) and Amgen ( AMGN - news - people ) are among the biggest
industry winners in the legislation. They suddenly will have tens of
millions more insured customers who can afford their expensive
medicines. The pharmaceutical industry's trade group was a big
supporter of the legislation, and any threats to the industry were
stripped out early or never included. There's no real plan for
comparing treatments to one another, one approach that could lower
costs, or for giving the government power to bargain for lower prices.
The bill also gives drug makers extra layers of monopoly protection
for protein-based biotech drugs, one of the industry's hottest areas.

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