Moody's may downgrade Highmark's credit rating
Rating agency Moody's Investors Service wasn't impressed with Highmark Inc.'s plan to pay $635 million for West Penn Allegheny Health System's bond debt.
Moody's said on Thursday that it was reviewing “for downgrade” Highmark's credit and financial strength ratings, because the additional debt could weaken Pennsylvania's largest health insurer.
“The current proposed transaction increases Highmark's investment in WPAHS from $475 million to over $1 billion, creating a concentrated network investment that reduces its ability to pursue other investments and limits its flexibility with respect to its commitment to WPAHS,” Moody's analyst Steven Zaharuk said.
Meanwhile, a local health care expert praised Highmark's plan to use a bank loan to buy the bonds rather than raiding its more than $4 billion in surplus that the insurer holds in reserve from the premiums of its insurance customers.
“I like that they went out and borrowed to buy the bonds instead of using their reserves,” said Stephen Foreman, associate professor of health care administration at Robert Morris University. “I think that's a good deal.”
While Foreman said he is skeptical that Highmark will turnaround West Penn Allegheny, he hopes that the insurer is successful, because it will be good for Pittsburgh health care consumers.
“To preserve West Penn Allegheny for the community is great. And if they (Highmark) can run it and make it work, then you've got value added,” he said.
But Highmark has to figure out how to reduce the system's costs, which is no easy task, he said. “If West Penn was that low cost and efficient, it wouldn't be in the mess it's in.”
The Moody's action and Foreman's comments occurred a day after Highmark filed documents with the state Insurance Department detailing terms of its new deal to acquire West Penn Allegheny. The department is reviewing the deal, which has grown to nearly $1.2 billion.
The cost rose significantly because Highmark will buy West Penn Allegheny's $726 million in bond debt at a discount of 87.5 cents on the dollar. It had previously committed $475 million to the deal.
Highmark CEO William Winkenwerder also offered comments on the deal Thursday in a conference call with reporters. He said the new filing with the Insurance Department would “help pave the way for approval of the affiliation” between Highmark and West Penn Allegheny.
While the biggest portion of the nearly bankrupt health system's debt will be removed with the bond deal, its $280 million in unfunded pension liability remains.
Winkenwerder said he is confident the health system's finances will become strong enough that it will cover the pension liability without funds from Highmark.
“West Penn will retain responsibility for the pension funds,” Winkenwerder said. “We believe that the projected financial results (for the system) are sufficient to fund their pensions.”
In the new documents, Highmark predicts that its new health system, anchored by the five hospitals of West Penn Allegheny, but also including Jefferson Regional Medical Center in Jefferson Hills, St. Vincent Health System in Erie, a network of physicians and medical malls, will become profitable next year.
It forecasts the health system losing $58.9 million this year, followed by positive earnings of $3 million in 2014, $185.8 million in 2015, and $129.5 million in 2016, according to the documents filed with the state.
Key to achieving that result will be increasing the number of patients being treated at West Penn Allegheny by 20,000 a year, Winkenwerder said. That would return the system's patient volume to levels it had in 2008 and 2009.
The predictions were constructed on the assumption that rival health system UPMC, the largest hospital network in Western Pennsylvania, will not be “in network” for Highmark members after 2014, Winkenwerder said. If Highmark members cannot go to UPMC hospitals or see UPMC doctors, they would have to shift to West Penn Allegheny hospitals and doctors for medical treatment, unless they switch health insurers.
But Winkenwerder also said that Highmark wants to extend its contract with UPMC beyond the end of 2014.
“We want to work together with all the providers in the community,” he said.
UPMC spokesman Paul Wood said the region's dominant health system isn't interested in a new contract with Highmark.
“For the revitalization of West Penn Allegheny, Highmark appropriately assumed there will not be a contract beyond 2014,” Wood said. “Nothing has changed.”
While UPMC risks losing significant patient volume once Highmark members are out-of-network, it is banking on consumers switching to its in-house insurance division, UPMC Health Plan, or one of four national insurance companies that offer full access to UPMC.
“We have UPMC Health Plan that provides consumers in-network access,” Wood said. “And there's the four nationals that also provide in-network access ... UPMC is fine.”
Alex Nixon is a staff writer for Trib Total Media. He can be reached at 412-320-7928 or firstname.lastname@example.org.
Add Alex Nixon to your Google+ circles.
Show commenting policy
TribLive commenting policy
You are solely responsible for your comments and by using TribLive.com you agree to our Terms of Service.
We moderate comments. Our goal is to provide substantive commentary for a general readership. By screening submissions, we provide a space where readers can share intelligent and informed commentary that enhances the quality of our news and information.
While most comments will be posted if they are on-topic and not abusive, moderating decisions are subjective. We will make them as carefully and consistently as we can. Because of the volume of reader comments, we cannot review individual moderation decisions with readers.
We value thoughtful comments representing a range of views that make their point quickly and politely. We make an effort to protect discussions from repeated comments either by the same reader or different readers.
We follow the same standards for taste as the daily newspaper. A few things we won't tolerate: personal attacks, obscenity, vulgarity, profanity (including expletives and letters followed by dashes), commercial promotion, impersonations, incoherence, proselytizing and SHOUTING. Don't include URLs to Web sites.
We do not edit comments. They are either approved or deleted. We reserve the right to edit a comment that is quoted or excerpted in an article. In this case, we may fix spelling and punctuation.
We welcome strong opinions and criticism of our work, but we don't want comments to become bogged down with discussions of our policies and we will moderate accordingly.
We appreciate it when readers and people quoted in articles or blog posts point out errors of fact or emphasis and will investigate all assertions. But these suggestions should be sent via e-mail. To avoid distracting other readers, we won't publish comments that suggest a correction. Instead, corrections will be made in a blog post or in an article.
- Rules could kick door open for nuclear power
- MedExpress bought by United Health Group
- California drought may be felt in Pittsburgh restaurants, groceries
- Retailers vie for workers in tightening labor market
- Experts: If health insurers’ safeguard goes broke, consumers could pay
- Pittsburgh area home prices climb in first quarter
- Low average of jobless claims points to hiring rebound
- Tech sector drives gains on Wall Street
- Chief of Pittsburgh Regional Alliance sets sights on growth in Southwestern Pennsylvania
- Camera prevalence approaches sci-fi realm
- Nike, Under Armour invest in watching exercisers’ steps