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Illustration: Sarah Grillo/Axios

Corporate America is expecting big jumps in profits in the second quarter. That's especially the case in health care, an industry that hasn't really lost a lot of financial momentum throughout the coronavirus pandemic.

The bottom line: Health care spending is basically back to pre-COVID levels. Expect big numbers across the board.

What to watch: Medical loss ratios, the industry jargon for the percentage of premiums that health insurers pay out in medical claims.

  • This statistic is always closely watched because it's the engine of the industry.
  • Higher-than-expected ratios mean people are getting more care; which means more money being paid by insurers to hospitals, nursing homes, drug companies, device makers, etc. That trickles down in the form of more money to spend on technology, consultants and other vendors.
  • In the same way, lower-than-expected MLRs last year from patients delaying care was a financial boon for insurers.
  • UnitedHealth Group, which posted a historically profitable 2020 and is on pace to surpass that total this year, will kick off the industry's earnings season Thursday.

Between the lines: Wall Street estimates MLRs will be elevated compared with last year, considering COVID cases have decreased and more people are getting procedures and seeing their doctors.

  • Pharmaceutical companies and pharmacies also will benefit from more filled prescriptions and vaccines.
  • Wall Street expects UnitedHealth's MLR was 83% in the second quarter.

Yes, but: Health insurers are still expected to report sizable earnings.

  • They aren't paying for as many COVID hospitalizations, which are down significantly from last year and the start of the year, as more people got vaccinated.
  • And while hospitals and other providers are seeing more patients, the industry isn't assuming a full return to pre-COVID patient volumes until the fourth quarter of this year, according to analysts at Mizuho Securities.

Go deeper: Follow our health care earnings tracker

Go deeper

Sep 25, 2021 - Health

Montana VA medical center to treat non-veterans amid COVID surge

Billings Clinic in Billings, Montana, on Nov. 11, 2020. Photo: Lynn Donaldson/Bloomberg via Getty Images

A veterans medical facility in Montana is planning to accept non-eligible patients as a COVID-19 surge overwhelms nearby hospitals in the state, CNN reports.

Why it matters: The move underscores the dire health situation in Montana due to the latest COVID-19 case surge, where some hospitals in the state have started to consider rationing care, according to the Montana Free Press.

20 mins ago - Politics & Policy

Senate Republicans sink short-term government funding, debt limit bill

Senate Minority Leader Mitch McConnell. Photo: Drew Angerer/Getty Images

Senate Republicans on Monday voted down the House-passed bill to fund the government through Dec. 3 and raise the debt limit.

Why it matters: Congress is just 72 hours away from a potential shutdown, so now comes Democrats' Plan B. Democratic leadership is expected strip the short-term funding bill of language about raising the debt limit — the part that Republicans' reject — in order to pass a bill before federal agencies close down on Friday.

Mike Allen, author of AM
3 hours ago - Energy & Environment

Laurene Powell Jobs' $3.5 billion climate campaign

Laurene Powell Jobs, president of Emerson Collective, is investing $3.5 billion in her new climate-action group, the Waverley Street Foundation — all to be spent in 10 years, as a way to show urgency on the issue.

  • Then the group will sunset.

The big picture: The foundation "will focus on initiatives and ideas that will aid underserved communities who are most impacted by climate change," an official tells Axios.