Humana Inc
Latest Humana Inc News and Updates

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.

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.

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.

How Does UNH’s Valuation Look in October?
UnitedHealth Group is a leading managed healthcare firm in the United States.

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.

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.

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 .

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.

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.

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 […]

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.

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.

How Is UNH’s Optum Business Positioned in the Industry?
UnitedHealth Group is, by revenue, the largest healthcare company in the world.

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.

‘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.

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.

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.

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.

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.

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.

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 […]

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.

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%.

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%.

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

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.

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.

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.

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 […]

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.

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.

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.

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.

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.

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?

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%.

Anthem: Mergers and Acquisitions Target Medicaid, Medicare
Anthem’s mergers and acquisitions strategy mainly targets the company’s government-sponsored business.

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.

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.

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.

Cigna Controls Risk-Based Capital Requirements
The Cigna business model is more concentrated toward commercial enrollments but is diversified across various delivery platforms.

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.

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.

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.

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%.

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 […]

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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%.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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.
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 […]
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 […]

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.