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Cigna Corp. said Thursday its second-quarter net income jumped 39 percent compared to last year's quarter, when a hit from a discontinued business weighed on the managed care company's performance.

Shares of insurer HealthSpring Inc. stumbled Wednesday, a day after the health insurer said its second-quarter net income climbed 50 percent and it raised its annual earnings forecast.

Consumers may catch a little break when their health insurance policies renew. Lower-than-expected use of health care has helped push insurer earnings higher and that may temper how much they increase premiums.

Health insurer Aetna Inc. said Wednesday its second-quarter net income rose 9 percent in part because it benefited from a continued slowdown in the use of health care services by its members. The company also raised its full-year earnings forecast.

WellPoint Inc.'s second-quarter net income fell 3 percent as Medicare Advantage expenses climbed, and Wall Street punished the health insurer's stock in Wednesday trading even though the company raised its 2011 earnings forecast for the second time this year.

A budding model for primary care that encourages the family doctor to act as a health coach who focuses as much on preventing illness as on treating it has shown promising results and saved insurers millions of dollars.

UnitedHealth Group Inc. said Tuesday its second-quarter earnings rose 13 percent, as enrollment gains helped fuel revenue growth and consumers continued to moderate their health care system use.

Aetna Inc. has agreed to increase rates for 94,000 California small group plan enrollees just 1.1%, rather than 4%.