Humana Inc

Latest Humana Inc News and Updates

  • How Does Aetna Compare to Its Peers in Medical Care Ratio?
    Company & Industry Overviews

    How Does Aetna Compare to Its Peers in Medical Care Ratio?

    The medical care ratio of health insurance companies is calculated as the ratio of the total money spent in health care claims to premiums earned.

    By Margaret Patrick
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    Earnings Report

    Enrollments decreased in UnitedHealth’s international business

    In the US, the private health insurance industry has been expanding its footprint in international markets. International markets are less penetrated and competitive.

    By Margaret Patrick
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    Earnings Report

    UnitedHealth Group’s Optum segment: Earnings rose in 2014

    UnitedHealth Group (UNH) operates Optum. It provides health services like health technology, health and well-being, and pharmacy services.

    By Margaret Patrick
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    Company & Industry Overviews

    How Does UNH’s Valuation Look in October?

    UnitedHealth Group is a leading managed healthcare firm in the United States.

    By Sarah Collins
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    Fund Managers

    Eminence Capital Reduces Position in Humana

    During the fourth quarter of 2014, Eminence Capital lowered its stake in Humana (HUM). The company accounted for 1.33% of the fund’s 4Q14 portfolio.

    By Diana Key
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    Earnings Report

    Humana’s core business: The Medicare Advantage program

    Humana’s total enrollment is mainly enrollments in the MA program, a substitute for the original Medicare program, via private insurance companies.

    By Margaret Patrick
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    Miscellaneous

    Is the Cigna–Anthem Merger a Setup?

    The Cigna–Anthem merger deal will be subject to all sorts of headlines that will affect the spread. You can make a decent return trading around the position by keeping your head .

    By Brent Nyitray, CFA, MBA
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    Miscellaneous

    The Risk-to-Reward Ratio of the Cigna–Anthem Merger

    If the Cigna–Anthem merger closes, you end up making about $35 a share. If the deal breaks, then you would have to cover at $52 a share.

    By Brent Nyitray, CFA, MBA
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    Company & Industry Overviews

    Decoding Humana’s Revenue Stream in 2015

    Humana reported revenues of about $54.3 billion in its 2015 results. This amounts to a 12% revenue growth in 2015, compared to ~$48.1 billion in 2014.

    By Mike Benson
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    Miscellaneous

    What Is the Risk-to-Reward Ratio of the Humana–Aetna Deal?

    Scenario analysis  In the risk-arbitrage world, a 12.2% expected return means a deal that has a lot of risk. Arbitrageurs sometimes refer to risk as “hair.” This deal is guaranteed a second request, and the regulators may simply be unable to get comfortable with the transaction, no matter what the companies offer in the way […]

    By Brent Nyitray, CFA, MBA
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    Consumer

    Ricky Sandler’s Eminence Capital sells its stake in Pandora Media

    Eminence Capital exited a position in Pandora Media Inc. (P) that accounted for 2.58% of the fund’s 3Q portfolio.

    By Samantha Nielson
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    Company & Industry Overviews

    Moving Average Trends and Analyst Estimates of JPMNX’s Top Holdings

    All of JPMNX’s top holdings except CJPXX were trading below their 20-day and 100-day moving averages as of January 29, 2016.

    By Ivan Kading
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    Earnings Report

    How Is UNH’s Optum Business Positioned in the Industry?

    UnitedHealth Group is, by revenue, the largest healthcare company in the world.

    By Sarah Collins
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    Miscellaneous

    What’s the Rationale for the ITC-Fortis Merger?

    Fortis (FRTSF) is buying ITC (ITC) in the largest Canadian purchase of a US utility. Fortis intends to sell a 19% stake in order to help finance the transaction.

    By Brent Nyitray, CFA, MBA
  • Medicare and Medicaid
    Healthcare

    ‘Medicare for All’ Is No Reason to Drop Healthcare Stocks

    While the media caters to Millennial preferences, there’s one economic sector that’s shifting to a more seasoned crowd: healthcare stocks.

    By David Moadel
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    Company & Industry Overviews

    This Rebate Decision Saw Health Insurers Soar Yesterday

    On Thursday, the Trump administration announced the withdrawal of the proposal to abolish rebates paid to pharmacy benefit managers by drugmakers.

    By Margaret Patrick
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    Company & Industry Overviews

    What Does Humana Expect of Its Group & Specialty Segment in 2019?

    In its first-quarter earnings press release, Humana (HUM) guided for Group & Specialty segment earnings of $300 million–$350 million.

    By Margaret Patrick
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    Company & Industry Overviews

    United Health Group Stock Has Risen 28% in 2018

    On November 29, United Health Group’s (UNH) stock price closed at $282.55, which is ~8% growth from its close of $261.62 on November 23.

    By Daniel Collins
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    Company & Industry Overviews

    Insys Has Legal Issues Galore

    In December 2016, the U.S. Attorney’s office for the District of Massachusetts issued an indictment against six former Insys (INSY) employees.

    By Kenneth Smith
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    Healthcare

    Inside Pfizer’s Performance in 3Q17

    PFE stock rose ~7.3% in 3Q17 and has risen ~11.3% YTD (year-to-date) as of October 16.

    By Mike Benson
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    Company & Industry Overviews

    Akcea Therapeutics’ Volanesorsen: 1Q17 Performance

    Volanesorsen Ionis Pharmaceuticals’s (IONS) volanesorsen is a drug designed to reduce apolipoprotein C-III production and triglycerides in patients with dyslipidemia. Akcea Therapeutics, a wholly owned subsidiary of Ionis, is engaged in pre-commercialization activities for volanesorsen, and will take care of the drug’s commercialization once it is approved by the FDA and the European Commission. The […]

    By Mike Benson
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    Company & Industry Overviews

    WellCare Health Plans Expected to Report Solid Rise in EPS in 2017

    WellCare Health Plans has updated its earnings per share guidance from the previously estimated range of $6.00–$6.25 to the new range of $6.55–$6.80.

    By Margaret Patrick
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    Company & Industry Overviews

    Medicare Business Expected to Drive WellCare Health Plans’ Margin Growth

    In 1Q17, WellCare Health Plans’ (WCG) Medicare Health Plans business reported revenues close to $1.1 billion, which represents year-over-year growth of ~12.4%.

    By Margaret Patrick
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    Company & Industry Overviews

    WellCare Health Plans Expects Robust Revenue Performance in 2017

    In 1Q17, WellCare Health Plans (WCG) reported revenues of ~$3.9 billion, which totals year-over-year growth of around 11.7%.

    By Margaret Patrick
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    Company & Industry Overviews

    Analysts’ Recommendations for WellCare Health Plans in May 2017

    On April 28, 2017, WellCare Health Plans (WCG) completed the acquisition of Universal American Corp. This deal added 119,000 Medicare Advantage members from several major markets

    By Margaret Patrick
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    Company & Industry Overviews

    Performance of Incyte’s Jakafi in the United States

    Revenues for Jakafi rose more than 42.0% to $852.8 million in 2016, from $601.0 million in 2015.

    By Mike Benson
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    Company & Industry Overviews

    Novartis’s Recent Developments

    Novartis (NVS) reported flat revenues at constant exchange rates during 4Q16 as well as in fiscal 2016. This was driven by growth in Sandoz revenues.

    By Mike Benson
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    Company & Industry Overviews

    How Did Bristol-Myers Squibb’s Oncology Segment Perform in 3Q16?

    Due to the strong performance of Opdivo, the oncology segment has emerged as the largest revenue contributor for Bristol-Myers Squibb (BMY) in 3Q16.

    By Mike Benson
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    Macroeconomic Analysis

    How Could Trump’s Presidency Affect Hospitals and Insurance?

    The effects of repealing Obamacare Donald Trump is definitely not in favor of the Affordable Care Act, known as Obamacare. As he wants to repeal the act completely and replace it with another policy, the hospital sector fell on November 9, the day after the election. Trump believes that providing healthcare facilities to illegal immigrants costs […]

    By Jillian Dabney
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    Earnings Report

    Centene’s Revenue and Income Rose in 3Q15

    Centene has reported net revenue of $5,821 million in 3Q15, an increase of 5.7% compared to $5,506 million in 2Q15. Operating revenue increased 5.8% in 3Q15.

    By Gabriel Kane
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    Earnings Report

    What Are UnitedHealth Group’s Growth Opportunities?

    To strengthen their presence in international markets, health insurance companies have been involved in mergers and acquisitions with local insurance companies in these markets.

    By Margaret Patrick
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    Miscellaneous

    Synergies in Centene’s Acquisition of Health Net

    Centene projects that Health Net’s acquisition will help Centene realize pre-tax synergies worth $150 million by the end of the second year after the closure of the deal.

    By Margaret Patrick
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    Miscellaneous

    Centene Announces Its Acquisition of Health Net

    On July 2, Centene announced the acquisition of Health Net for a combination of cash and shares amounting to $6.8 billion. This includes the assumption of Health Net’s $500 million debt.

    By Margaret Patrick
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    Earnings Report

    Humana’s Commercial Enrollments Face Pressure in 1Q15

    Humana’s (HUM) revenues from commercial enrollments increased by 28.4%, from $2.2 billion in 1Q14 to $2.8 billion in 1Q15.

    By Margaret Patrick
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    Macroeconomic Analysis

    Should Markets Be Happy or Worried about April FOMC Statement?

    Should the markets be happy about a later-than-expected rate hike? Or should they be worried that the FOMC’s optimism may spell the end of their golden run?

    By David Ashworth
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    Earnings Report

    Key Takeaways from UnitedHealth Group 1Q15 Earnings

    UnitedHealth Group (UNH) posted its 1Q15 earnings on April 16, 2015. Following the release, UnitedHealth Group’s share price increased by 3.6%.

    By Margaret Patrick
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    Company & Industry Overviews

    Anthem: Mergers and Acquisitions Target Medicaid, Medicare

    Anthem’s mergers and acquisitions strategy mainly targets the company’s government-sponsored business.

    By Margaret Patrick
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    Company & Industry Overviews

    Medical Care Ratio – Centene Compared to Its Peers

    For health insurance companies, the medical care ratio is the ratio of total money spent on healthcare claims to premiums earned—adjusted for tax and regulatory expenses.

    By Margaret Patrick
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    Company & Industry Overviews

    Anthem’s Medical Care Ratio Improves, Boosts Profit Margin

    Anthem’s medical care ratio declined from 87.8% in 2013 to 83.1% in 2014, as a result of its favorable enrollment mix.

    By Margaret Patrick
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    Company & Industry Overviews

    Specialty Services: How Does Centene Manage Them?

    Aside from the standard healthcare policies, players—like Centene—in the private health insurance industry (IYH) also offer specialty insurance.

    By Margaret Patrick
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    Company & Industry Overviews

    Cigna Controls Risk-Based Capital Requirements

    The Cigna business model is more concentrated toward commercial enrollments but is diversified across various delivery platforms.

    By Margaret Patrick
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    Company & Industry Overviews

    Cigna: Global Supplemental Benefits Earn 9% of Revenues

    Cigna’s (CI) Global Supplemental Benefits segment accounts for about 9% of the company’s total revenues.

    By Margaret Patrick
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    Company & Industry Overviews

    Cigna: International Expansion Key to Growth Strategy

    International expansion is a hallmark of Cigna’s business. Cigna has inked deals in Turkey, Belgium, Brazil, Japan, Taiwan, Thailand, et cetera.

    By Margaret Patrick
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    Company & Industry Overviews

    How Has Aetna Implemented the Premium Stabilization Program?

    Aetna’s recoverables and payables from the premium stabilization program amounted to $338 and $230 million, respectively.

    By Margaret Patrick
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    Company & Industry Overviews

    Anthem’s Key Business Segments

    In 2014, of Anthem’s three business segments, Commercial and Specialty accounted for 53.7% of total revenues, and Government Business contributed 46.3%.

    By Margaret Patrick
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    Company & Industry Overviews

    Cigna’s Customer Segments a Healthy Mix

    Customer segments The players in the private health insurance industry (IYH) aim for a favorable enrollment mix to reduce taxes and other liabilities while at the same time generating sustainable profits. Accordingly, managed care organizations such as Humana (HUM), Aetna (AET), Anthem, Cigna (CI), and WellCare Health Plans (WCG) are increasingly focusing on government-sponsored and international enrollments to balance […]

    By Margaret Patrick
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    Company & Industry Overviews

    Cigna: Medicare and Medicaid Beneficiaries Top Earners

    Most of Cigna’s revenue comes from insurance for employer-sponsored as well as Medicare and Medicaid beneficiaries.

    By Margaret Patrick
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    Company & Industry Overviews

    What key risks does UnitedHealth Group face?

    UnitedHealth Group (UNH) is a health insurance provider. It faces a unique combination of business risks, including business mix and competition risks.

    By Margaret Patrick
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    Company & Industry Overviews

    OptumRx manages UNH’s pharmacy benefit management business

    UnitedHealth Group’s OptumRx segment provides PBM services to more than 30 million Americans. It manages about $40 billion in pharmaceutical spending annually.

    By Margaret Patrick
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    Earnings Report

    Star Ratings Increased Aetna’s Government-Sponsored Business in 4Q14

    Aetna (AET) earns about 38% of its revenue by providing health insurance services to government-sponsored enrollees.

    By Margaret Patrick
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    Company & Industry Overviews

    UnitedHealth Group’s OptumHealth – what does it provide?

    UnitedHealth Group’s OptumHealth segment is responsible for implementing measures to improve the quality of service and patient satisfaction.

    By Margaret Patrick
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    Company & Industry Overviews

    UnitedHealth’s operating expenses compared to its peers

    In the private health insurance industry, the operating expenses mainly involve the costs for providing hospital benefits and emergency services.

    By Margaret Patrick
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    Company & Industry Overviews

    How Is Aetna’s Membership Distributed Across Its Key Markets?

    Aetna’s membership is mainly concentrated in the western US, followed by the Southeast, the Northeast, the Mid-US, and finally consolidated international enrollments.

    By Margaret Patrick
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    Company & Industry Overviews

    What’s UnitedHealth Group’s strategy for international expansion?

    The private health insurance industry in the US has been expanding its footprint in international markets. International markets are less penetrated and competitive.

    By Margaret Patrick
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    Company & Industry Overviews

    What are UnitedHealth Group’s key business segments?

    Out of UnitedHealth Group’s (UNH) four business segments, UnitedHealthcare accounted for 71.3% of the company’s revenue.

    By Margaret Patrick
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    Company & Industry Overviews

    Why Aetna Is Shifting to a Value-Based Payment Model

    Aetna projects that its value-based spending as a part of the total spending will rise from 25% in 2014 to 50% in 2018.

    By Margaret Patrick
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    Company & Industry Overviews

    How Does Aetna Make Payments to Its Provider Network?

    Managed care organizations (XLV) enter into a contract with a set of health care providers, or a provider network, to provide care for members at reduced costs.

    By Margaret Patrick
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    Company & Industry Overviews

    Aetna’s Strategy for Its Specialty Insurance Business

    Aside from the standard healthcare policies, players in the private health insurance industry also offer specialty insurance.

    By Margaret Patrick
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    Company & Industry Overviews

    How Does Aetna Manage Its Commercial Business?

    Aetna (AET) derives 58% of its operating revenues from its commercial business, which involves offerings such as fully insured health plans and self-insured health plans.

    By Margaret Patrick
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    Company & Industry Overviews

    What Are Aetna’s Key Business Segments?

    Out of Aetna’s (AET) three business segments, Health Care accounted for 95% of the company’s revenue.

    By Margaret Patrick
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    Earnings Report

    Key drivers for Humana’s fully insured employer-sponsored plans

    Humana’s (HUM) fully insured enrollments remained almost stable at 1.2 million in the fourth quarter of 2013 and the fourth quarter of 2014.

    By Margaret Patrick
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    Company & Industry Overviews

    UnitedHealth Group: The history of a health insurance giant

    With a market capitalization of $107.1 billion, UnitedHealth Group is the largest insurance provider in the US. It registered revenue worth $130.5 billion in 2014.

    By Margaret Patrick
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    Earnings Report

    Humana employs and contracts more primary-care physicians in 4Q14

    Humana’s employed and contracted primary-care physicians rose by 29.2% from 11,300 in 2013 to 14,600 in 2014.

    By Margaret Patrick
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    Earnings Report

    Humana’s income rises 21% year-over-year in 4th-quarter 2014

    Humana reported its fourth quarter 2014 financial results. The company reported revenue of $12.3 billion—an increase of 21% year-over-year.

    By Margaret Patrick
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    Company & Industry Overviews

    Humana’s financial risk managed by capital requirements

    There are minimum amounts of capital that a health insurance company should possess in order to protect its customers and investors from financial risk.

    By Margaret Patrick
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    Company & Industry Overviews

    How Humana sells health plans on public and private exchanges

    Humana is competing based on price and geography to capture a higher market share of the customers buying plans on exchanges.

    By Margaret Patrick
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    Company & Industry Overviews

    Most Humana stakeholders are mutual funds or advisers

    Investment advisers or mutual funds are the main stakeholders in Humana, accounting for about 81.7% of its total ownership picture.

    By Margaret Patrick
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    Company & Industry Overviews

    Humana rumored to be making a move with pharmacy business

    Humana’s pharmacy business covers about 9 million people, and 6 million of those are Medicare beneficiaries.

    By Margaret Patrick
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    Company & Industry Overviews

    Humana’s integrated care delivery strategy

    Humana’s core strategy is an integrated care delivery model. Its Healthcare Services segment provides the required ancillary services.

    By Margaret Patrick
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    Company & Industry Overviews

    Humana’s Retail Insurance business segment is biggest earner

    Humana’s retail insurance business segment contributes 66.5% of overall company revenues. Employer-sponsored programs follow with 27.6%.

    By Margaret Patrick
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    Company & Industry Overviews

    Humana: Unraveling the history of a health insurance giant

    Humana (HUM) is the third-largest health insurance provider in the US, with over 13 million customers. Humana is also 73rd in Fortune 500 rankings.

    By Margaret Patrick
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    Company & Industry Overviews

    Understanding health insurance companies’ major operating expenses

    The operating expenses of the private health insurance industry depend on the design of health plans and on the life history, age, and health of enrollees.

    By Margaret Patrick
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    Company & Industry Overviews

    The health insurance industry’s major sources of revenue: A guide

    The share of commercial revenues within the private health insurance industry’s total revenues decreased from 67.0% in 2007 to 54.3% in 2013.

    By Margaret Patrick
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    Company & Industry Overviews

    Health insurance monopolies: What you need to know

    45 states have only two dominant health insurers accounting for half of the enrollments, giving rise to local market health insurance monopolies.

    By Margaret Patrick
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    Company & Industry Overviews

    Underwriting cycle: What health insurance investors need to know

    The underwriting cycle results from the uncertainty of predicting healthcare expenses and the fluctuating participants in the health insurance industry.

    By Margaret Patrick
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    Company & Industry Overviews

    Medical cost trend means rising premiums for health insurance

    The health insurance industry uses the medical cost trend as a benchmark to project future changes in medical costs and to set premium rates accordingly.

    By Margaret Patrick
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    Company & Industry Overviews

    Why the Affordable Care Act hurts the managed care industry

    The Affordable Care Act requires health insurers spend at least 80% of premiums on health expenses for small group plans and 85% for large group plans.

    By Margaret Patrick
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    Company & Industry Overviews

    Why Medicare Advantage drives health insurance stocks

    Medicare Advantage is a health insurance program offered by commercial insurance companies and managed care organizations to Medicare beneficiaries.

    By Margaret Patrick
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    Company & Industry Overviews

    Shift to self-insurance plans affects health insurance stocks

    As hospital utilization remains low, more employers are exploring the option of self-insurance to reduce their employee benefit costs.

    By Margaret Patrick
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    Company & Industry Overviews

    Why jobs are so essential to health insurance industry profits

    The health insurance industry is sensitive to changes in the employment rate. Employer-sponsored insurance accounts for about half of spending.

    By Margaret Patrick
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    Company & Industry Overviews

    Health insurance varies by geography, affecting XLV stocks

    The private health insurance industry generally focuses in states with lower use of medical products and services and a network of healthcare providers.

    By Margaret Patrick
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    Company & Industry Overviews

    2 key business models of the health insurance industry

    The health insurance industry runs on two business models: traditional insurance and managed care organizations.

    By Margaret Patrick
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    Company & Industry Overviews

    Making sense of health insurance companies’ payment options

    The health insurance industry (XLV) offers a wide range of healthcare plans with varied payment options as per insurance enrollees’ requirements.

    By Margaret Patrick
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    Company & Industry Overviews

    Your must-read guide to health insurance managed care plans

    Employer-sponsored coverage is a key factor for nationwide enrollment trends of managed care plans and independent insurance plans.

    By Margaret Patrick
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    Company & Industry Overviews

    Making sense of health insurance types: An investor’s guide

    The health insurance industry operates through two types of organizations: independent insurance companies and managed care organizations.

    By Margaret Patrick
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    Company & Industry Overviews

    How the health insurance industry manages risks

    The health insurance industry mainly gives individuals a risk management tool. People can’t predict the extent or timing of their their healthcare expenses.

    By Margaret Patrick
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    Consumer

    Eminence Capital reveals new share in Valmont Industries

    Eminence Capital opened a new position in Valmont Industries (VMI) that accounts for 1.48% of the fund’s portfolio.

    By Samantha Nielson
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    Healthcare

    Ricky Sandler’s Eminence Capital buys a new stake in Humana

    Eminence Capital started a new position in Humana Inc. (HUM) that accounts for 1.97% of the fund’s portfolio. Humana is a healthcare company.

    By Samantha Nielson
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    Consumer

    Eminence Capital buys a new position in KAR Auction Services

    Eminence Capital disclosed a new position in KAR Auction Services Inc. (KAR) that accounts for 2.09% of the fund’s portfolio.

    By Samantha Nielson
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    Consumer

    Assessing Eminence Capital’s 4Q13 positions in Humana and more

    Eminence Capital, LLC is an asset management firm founded in 1998 by Ricky Sandler that manages approximately $5.2 billion on behalf of institutions and individuals.

    By Samantha Nielson
  • Healthcare

    Molina Healthcare: Why Medicaid growth should directly help Molina

    Molina Healthcare, Inc. (MOH): Market overview Medicaid is a rapidly growing segment within healthcare, which should directly benefit MOH. In addition to typical market growth of mid-single digits, there are several supplemental drivers. Healthcare reform (Obamacare) Under current reform provisions starting 2014, Medicaid would expand coverage to additional 11 thousand uninsured. Based on its presence within […]

    By Samuel Madden, CFA
  • Healthcare

    Molina Healthcare: Why Molina’s revenues have been growing fast

    Molina Healthcare, Inc. (MOH): Revenue growth In general, Medicaid health plans grow revenue by increasing their membership or generating higher rates from state governments. The latter portion is often left up to negotiations between plans and states. States often have the final say, but given cost savings managed care can generate, they are loathe to bring […]

    By Samuel Madden, CFA
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    Healthcare

    Molina Healthcare: The company’s foothold in a growing market

    As one of the leading Medicaid-focused HMOs, MOH enjoys a strong foothold in one of the healthcare sector’s fastest-growing markets.

    By Samuel Madden, CFA
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