By Jon Kamp 
 

WellPoint Inc. (WLP) shares slid Wednesday as investors digested the health insurers' unexpected decision to name nonprofit hospital leader Joseph R. Swedish, rather than an insurance veteran, as chief executive.

Mr. Swedish, 61 years old, will bring several decades of experience in the health sector--most recently as chief at Catholic hospital operator Trinity Health--when he takes WellPoint's helm next month. His deep hospital background points sharply at the blurring lines between health providers and payers, and WellPoint tied these credentials to ongoing efforts to work with providers on improving care and cutting costs.

But analysts were expecting WellPoint to name a seasoned health-insurance operator, such as James G. Carlson, the former CEO of recently acquired Amerigroup, to help a company that stumbled at times under former CEO, Angela Braly.

WellPoint shares recently fell 4.6% to $62.94 following the late-Tuesday announcement about Mr. Swedish.

"The market doesn't like uncertainty, and they don't know much about him," said Robert Medway, managing partner at WellPoint shareholder Royal Capital Management LLC, in an interview.

His firm sent a letter to WellPoint's board in August criticizing Ms. Braly's management, and she stepped down soon thereafter amid broader pressure from shareholders upset with the company's performance. John Cannon, who is sticking with WellPoint as executive vice president of legal and public affairs, has been running the company on an interim basis.

Mr. Medway expressed optimism because WellPoint board member George A. Schaefer Jr., a former banking CEO, led the search, and because Mr. Medway said the company seems "supremely confident in hitting their numbers and guidance." But Mr. Medway also said he'll reserve judgment on Mr. Swedish for now, as they haven't met.

Some observers said the unexpected CEO choice could prove helpful in the long run, given growing collaborations between health plans and health providers, but the announcement was still a curveball.

WellPoint "has been an inconsistent operator in recent years, with mistakes in pricing, steep rate hikes at inopportune times, and guidance cuts," Jefferies analyst David Windley said.

With this record, plus challenges looming as major parts of the health-care-overhaul law are implemented next year, "investors may have expected a new CEO with strong payor experience to lead the product strategy through 2014," Mr. Windley said.

Mr. Swedish does have some recent insurance experience at Coventry Health Care Inc. (CVH), where he's served on the board for three years. Aetna Inc. (AET) is in the process of buying Coventry. But his background is otherwise heavily tilted toward health providers, including Trinity, a 47-hospital system with revenue of about $9 billion last year. Mr. Swedish previously ran a major hospital system in Colorado.

The incoming CEO's experience "will be invaluable to WellPoint as we continue to find innovative ways to collaborate with providers in an effort to improve quality outcomes and reduce the cost of care," said Jackie M. Ward, WellPoint's board chairman, in a release.

Analysts questioned what the decision means for Mr. Carlson's role at the company, which WellPoint hasn't clarified. The company recently wrapped up its $4.46 billion Amerigroup purchase while bringing in Mr. Carlson and other top executives under two-year employment agreements. Former Amerigroup Chief Operating Officer Richard C. Zoretic is heading WellPoint's Medicaid operations.

"While in any combination of companies some turnover is inevitable, we are pleased that Amerigroup's top talent has remained to lead the combined Medicaid business," WellPoint spokeswoman Kristin Binns said. She also said the Amerigroup integration remains on track, and that any additional organizational details will be determined later.

Mr. Swedish officially takes over on March 25.

Citigroup analyst Carl McDonald suggested WellPoint's board was embarrassed when proxy details revealed the company paid $9 more per share for Amerigroup than first offered, even though WellPoint was alone in seriously pursuing the Medicaid insurer.

"Still, after being beaten soundly in a negotiation, our first instinct would be to figure out how to get that person on our team, not to push them away," Mr. McDonald said.

Write to Jon Kamp at jon.kamp@dowjones.com

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