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Healthcare


HUMANA REPORTS $930 MILLION PROFIT AS CEO PLAN TO REBOOT MEDICARE BUSINESS
‘MAKES PROGRESS’

Bruce Japsen
Senior Contributor
Opinions expressed by Forbes Contributors are their own.
I write about healthcare business and policy
Apr 27, 2022,08:49am EDT|

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Humana's $1 billion plan to improve its Medicare Advantage business is making
progress, the company ... [+] said April 27, 2022. In this photo, Humana CEO
Bruce Broussard attends 2019 Forbes Healthcare Summit at the Jazz at Lincoln
Center on December 05, 2019 in New York City. (Photo by Steven Ferdman/Getty
Images)

Getty Images

Humana profits hit $930 million in the first quarter, reporting
better-than-expected results in a competitive environment for its Medicare
Advantage business.



The health insurer Wednesday said net income rose 12% to $930 million compared
to $828 million in the first quarter of 2021 that ended March 31. Revenues,
meanwhile, were up 16% to nearly $24 billion compared to $20.7 billion in the
year-ago period.




Humana attributed the first quarter results to a solid performance in its
pharmacy business and lower administrative costs. That figured in the company’s
decision to raise its adjusted earnings-per-share guidance by 50 cents to
“approximately $24.50” from “at least $24.00.”



Humana still expects 2022 membership growth from individual Medicare Advantage
plans of 150,000 to 200,000 members, but company chief executive Bruce Broussard
said the company is “making strong progress” to improve Medicare Advantage
membership growth in 2023. That, he said, includes “work underway with our
distribution partners, and steps we’re taking to improve retention.”




Humana’s total Medicare Advantage enrollment rose 5.2% to 5.1 million by the end
of the first quarter. That membership includes 4.5 million enrolled in
individual Medicare Advantage plans.

Humana is a big player in Medicare Advantage plans contract with the federal
government to provide extra benefits and services to seniors, such as disease
management and nurse help hotlines with some also offering vision, dental care
and wellness programs.

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But Humana surprised investors earlier this year with a disclosure that it would
add fewer individual Medicare Advantage members than an original forecast,
prompting a decision to invest $1 billion in the company’s Medicare offerings to
improve enrollment in 2023.



“The $1 billion value creation initiative we introduced last quarter is
developing as expected, creating capacity to further enhance our Medicare
offerings and expand our healthcare services capabilities,” Broussard said
Wednesday.

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Humana’s investments in Medicare Advantage come during perhaps the most
competitive time in the history of the program due to new plans entering the
business offering seniors an unprecedented number of choices. Established rivals
like UnitedHealth Group, CVS Health’s Aetna health insurance unit are expanding
into new markets while a flurry of startups and smaller health insurers have
entered the business, seeing a market of more than 10,000 Americans a day
turning 65 years old and becoming eligible for Medicare and Medicare Advantage
in particular.


Follow me on Twitter or LinkedIn. Check out my website or some of my other
work here. 
Bruce Japsen



I've written about health care for three decades, starting from my native Iowa
where I covered the presidential campaign bus rides of Bill and Hillary Clinton
through

... Read More



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