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Humana Wins TVH Assets in Bankruptcy Sale, But Cut Points Drag Shares
ZACKS· 2025-09-10 18:40
Core Insights - Humana Inc. has received court approval to acquire The Villages Health assets for $68 million, aiming to enhance its senior-focused primary care platform and strengthen its Medicare Advantage membership base [1][2] Group 1: Acquisition Details - The acquisition is valued at $68 million and is expected to close in the fourth quarter of this year, allowing Humana to gain eight primary care and two specialty care centers [2] - This move indicates Humana's strategy to vertically integrate by combining insurance with care delivery to improve healthcare outcomes [2] Group 2: Challenges and Market Reaction - The former business model of The Villages Health was focused solely on Medicare Advantage patients and was linked to Medicare overpayments due to upcoding practices, raising concerns about the sustainability of this acquisition [3] - Following the announcement, Humana's shares fell over 12%, while competitors UnitedHealth Group and Centene Corporation saw their shares rise by 8.6% and 7.7%, respectively, reflecting investor sentiment towards the industry [5][7] Group 3: Financial Performance - CenterWell reported an adjusted operating income of $404 million in Q2 2025, a 2.5% increase year-over-year, although the operating cost ratio worsened to 92.7% [4][7] - Humana's shares have increased 7.6% year-to-date, contrasting with a 25.2% decline in the industry [6] Group 4: Valuation and Earnings Estimates - Humana trades at a forward price-to-earnings ratio of 18.97, higher than the industry average of 16.17, and carries a Value Score of A [9] - The Zacks Consensus Estimate for Humana's 2025 earnings is $16.99 per share, indicating a 4.8% increase from the previous year [10]
Trump’s boost to insurers could cost Americans on Medicare Advantage plan a whole lot more
Yahoo Finance· 2025-09-10 14:25
Core Insights - Insurance companies are optimistic about the Trump administration's policies, particularly a record 5.06% benchmark increase to Medicare Advantage plans, which has positively impacted their stock prices [1][2]. Group 1: Policy Impact - The 5.06% increase is more than double the 2.23% proposed by the Biden administration, which was perceived as a budget cut by the insurance sector [2]. - The funding increase is expected to provide $25 billion to major insurers like Humana and UnitedHealthcare, enhancing their participation in the Medicare Advantage program [2]. Group 2: Market Dynamics - Insurers have faced declining margins due to increased care usage by enrolled older adults since the pandemic, leading to benefit cuts and market exits to maintain profitability [3]. - The additional funding is anticipated to make health insurance companies attractive in the stock market amid current volatility [3]. Group 3: Criticism and Concerns - Critics argue that the increased payments to insurers may not translate into better benefits for consumers, with expectations that profits will rise instead of care availability [4][5]. - The rise in healthcare costs, which increased by 3.3% between 2023 and 2024, suggests that Medicare beneficiaries may need to consider supplemental long-term care insurance [5].
Humana Stock: Is HUM Underperforming the Healthcare Sector?
Yahoo Finance· 2025-09-10 07:07
Core Insights - Humana Inc. is a healthcare plan provider based in Louisville, Kentucky, with a market cap of $37.3 billion, offering medical and specialty insurance products in the U.S. [1] - The company is classified as a large-cap stock, providing millions of medical memberships annually, which aligns with its valuation above $10 billion [2] Stock Performance - Humana's stock has decreased by 21.6% from its 52-week high of $348.24 on October 9, 2024, but has increased by 17.2% over the past three months, outperforming the Health Care Select Sector SPDR Fund's (XLV) 3.3% increase during the same period [3] - Year-to-date, Humana's stock has gained 7.6% but has dropped 20.6% over the past 52 weeks, outperforming XLV's slight increase of 0.74% in 2025, while underperforming XLV's 10.6% decline over the past year [4] Financial Performance - Following the release of better-than-expected Q2 results on July 30, Humana's stock surged by 12.4% in a single trading session, driven by membership growth in state-based contracts and stand-alone PDP business [5] - Humana's adjusted revenues grew by 10.2% year-over-year to $32.4 billion, exceeding consensus estimates by 1.9%, although adjusted EPS fell by 9.9% year-over-year to $6.27 [5][6] - The company raised its full-year adjusted EPS guidance from $16.25 to $17, which has positively impacted investor confidence [6] Peer Comparison - Compared to its peer Cigna Group, Humana's stock has lagged, with Cigna achieving 9.4% gains year-to-date and a 15.6% decline over the past year [7]
Humana (HUM) Teams Up with Vori Health and HOPCo to Enhance Patient Outcomes
Yahoo Finance· 2025-09-10 03:55
Core Insights - Humana Inc. ranks among the best performing S&P 500 stocks over the last three months, indicating strong market performance [1] - The company has announced new value-based care agreements with Vori Health and HOPCo to enhance care for Medicare Advantage members with musculoskeletal conditions [1][2] - These collaborations will provide qualified Humana Medicare Advantage members with access to care coordination teams that work alongside their primary care physicians [2] Company Focus - Humana Inc. is dedicated to improving health and well-being by offering a range of healthcare benefits, including fully insured medical and specialty health insurance that covers vision, dental, and supplemental health benefits [3] - The company also provides administrative services only (ASO) packages for individuals and employers, showcasing its diverse service offerings [3] Program Expansion - The new agreements expand Humana's existing musculoskeletal care program, which includes a partnership with TailorCare to serve Medicare Advantage members in Atlanta [2]
Court Approves CenterWell's Winning Bid to Acquire Assets of The Villages Health ("TVH")
Prnewswire· 2025-09-09 22:42
Core Insights - The Villages Health (TVH) has filed for Chapter 11 Bankruptcy restructuring and has received court approval for CenterWell Senior Primary Care to acquire its assets as a going concern [1][4] - The transaction is expected to close in the fourth quarter of 2025, pending customary closing conditions [1] - CenterWell is the largest senior-focused, value-based primary care provider in the U.S. and will integrate TVH's operations, including eight primary care centers and two specialty care centers serving over 55,000 patients [2][5] Company Overview - TVH has been a trusted healthcare provider in North Central Florida for 13 years, focusing on patient-centered care, particularly for Medicare and Medicare Advantage beneficiaries [5] - CenterWell, part of Humana Inc., emphasizes a patient-centered approach and aims to provide high-quality, accessible, and personalized healthcare services [8][9] Transaction Details - The court's approval allows TVH and CenterWell to proceed with the asset sale process, which was initiated through a "stalking horse" Asset Purchase Agreement [4] - The acquisition will ensure that TVH patients maintain access to their current health insurance providers, regardless of their selected insurance plans [2]
Humana (HUM) is a Top-Ranked Momentum Stock: Should You Buy?
ZACKS· 2025-09-08 22:06
Core Insights - Zacks Premium offers tools for investors to enhance their stock market engagement and confidence [1] - The Zacks Style Scores are designed to help investors select stocks with the highest potential to outperform the market in the short term [2] Zacks Style Scores Overview - The Style Scores categorize stocks into four types: Value Score, Growth Score, Momentum Score, and VGM Score, each focusing on different investment strategies [3][4][5][6] - Value Score identifies undervalued stocks using financial ratios [3] - Growth Score assesses a company's financial health and future growth potential [4] - Momentum Score capitalizes on existing price trends and earnings outlook [5] - VGM Score combines all three styles to highlight stocks with the best overall characteristics [6] Zacks Rank and Style Scores Interaction - The Zacks Rank utilizes earnings estimate revisions to simplify portfolio building, with 1 (Strong Buy) stocks historically yielding an average annual return of +23.75% since 1988 [7] - Investors are encouraged to select stocks with a Zacks Rank of 1 or 2 and Style Scores of A or B for optimal success [9] - Stocks with lower ranks, even if they have good Style Scores, may still face price declines due to negative earnings forecasts [10] Company Spotlight: Humana Inc. - Humana Inc. is a major health care plan provider in the U.S., offering various health insurance products and supplementary benefits [11] - Currently rated 3 (Hold) by Zacks, Humana has a VGM Score of B and a Momentum Style Score of B, with shares increasing by 15.5% in the last four weeks [12] - Analysts have raised earnings estimates for Humana, with the Zacks Consensus Estimate for fiscal 2025 increasing by $0.62 to $16.99 per share, alongside an average earnings surprise of +9.6% [12] - Given its solid Zacks Rank and favorable Style Scores, Humana is recommended for investors' consideration [13]
Adia Med Finalizing In-Network Access with the Nation's Largest Health Insurers Including Medicare, Medicaid, Humana, Cigna, and Florida Blue
Newsfile· 2025-09-02 14:27
Core Insights - Adia Nutrition Inc. is finalizing in-network provider status with major health insurers, including Humana, Florida Blue, Cigna, Medicare, and Medicaid, to enhance patient access to its stem cell therapies [2][3][4] Group 1: Company Developments - The company is making significant progress in securing in-network status, which is crucial for making its regenerative therapies more accessible and affordable [3] - This milestone will allow Adia to deliver therapies for widely covered treatments, such as wound repair, to a broader patient base [3] - Adia has partnered with the PI Doctors Elite Community, connecting its labs with over 4,000 personal injury physicians nationwide [3] Group 2: Vision and Commitment - The CEO of Adia Nutrition expressed that joining major insurance networks will provide countless patients access to regenerative therapies, thereby increasing value for investors [4] - The company is dedicated to transforming healthcare by making regenerative solutions more accessible [4] Group 3: Licensing and Partnerships - Clinic owners and healthcare practitioners interested in licensing the Adia Med name or integrating its therapies are encouraged to reach out for strategic partnerships [5] Group 4: Company Overview - Adia Nutrition Inc. operates in two key divisions: a supplement division offering premium organic supplements and a medical division focused on advanced stem cell therapies, including Umbilical Cord Stem Cells and Autologous Hematopoietic Stem Cell Transplantation [6]
Why Is Humana (HUM) Up 19.2% Since Last Earnings Report?
ZACKS· 2025-08-29 16:36
Core Viewpoint - Humana's recent earnings report indicates a mixed performance, with adjusted earnings per share missing estimates while revenues showed growth. The company faces challenges from rising benefit costs and a decline in Medicare Advantage membership, but the CenterWell unit's strong performance provides some offset [2][3][4]. Financial Performance - Humana reported Q2 2025 adjusted earnings of $6.27 per share, missing the consensus estimate by 0.8%, and a year-over-year decrease of 9.9% [2]. - Adjusted revenues reached $32.4 billion, reflecting a 10.2% year-over-year increase and surpassing the consensus mark by 1.9% [2]. - Total operating expenses rose to $31.3 billion, a 10.2% increase year-over-year, driven by higher benefits and operating costs [6]. Operational Insights - Premiums improved by 9.1% year-over-year to $30.7 billion, exceeding estimates [4]. - Services revenues climbed 27.3% year-over-year to $1.4 billion, also beating consensus estimates [4]. - The benefit ratio deteriorated by 70 basis points year-over-year to 89.7%, influenced by higher benefit ratios from state-based contracts and a decline in Medicare Advantage membership [5]. Segment Performance - The Insurance segment recorded adjusted revenues of $31.1 billion, up 9.6% year-over-year, supported by improved Medicare premiums and an expanding customer base [7]. - CenterWell revenues increased by 11.9% year-over-year to $5.5 billion, benefiting from higher pharmacy and primary care revenues [9]. Financial Position - As of June 30, 2025, Humana had cash and cash equivalents of $4 billion, an 81.9% increase from the end of 2024 [11]. - Total assets rose to $50.4 billion, an 8.3% increase from the previous year [11]. - Long-term debt increased to $12.6 billion, up 12.9% from December 31, 2024 [11]. Future Outlook - Adjusted EPS for 2025 is forecasted at around $17.00, up from a previous estimate of $16.25, indicating a 4.9% rise from 2024 [14]. - Revenues are estimated to be a minimum of $128 billion, reflecting an 8.7% increase from 2024 [15]. - Individual Medicare Advantage membership is expected to decline by up to 500,000 in 2025, while group membership is anticipated to remain flat [16].
HUM Expands Musculoskeletal Care Access With New Value-Based Tie-Ups
ZACKS· 2025-08-28 17:50
Core Insights - Humana Inc. (HUM) has announced new partnerships with Vori Health and Healthcare Outcomes Performance Company (HOPCo) to enhance value-based care for Medicare Advantage members with musculoskeletal conditions [1][9] - The initiative aims to improve care delivery and reduce medical expenses associated with musculoskeletal disorders, which affect one in two Americans [3][9] - Humana's strategy aligns with its goals of controlling costs and strengthening its position in the competitive value-based care landscape [4][5] Partnership Details - Eligible Humana Medicare Advantage members will have access to coordinated care teams, with Vori Health providing nationwide services and HOPCo focusing on Arizona [2][9] - TailorCare will expand its services to Dallas and Denver in late 2025 and early 2026, respectively [2][9] Financial Performance - Humana's CenterWell segment reported an 8.9% year-over-year revenue growth in the first half of 2025, indicating improved operational efficiency [4] - Year-to-date, HUM's shares have gained 17%, contrasting with a 31.6% decline in the industry [6] Strategic Implications - Successful implementation of these partnerships could lead to higher member satisfaction, better retention rates, and improved margins over time [5] - The focus on musculoskeletal care addresses the increasing demand for specialized healthcare solutions [5]
Humana(HUM) - 2025 Q4 - Earnings Call Transcript
2025-08-28 06:32
Financial Data and Key Metrics Changes - The statutory profit after tax for FY '25 was $36.9 million, while cash profit after tax was $52.9 million, reflecting a refined measure of performance [3][15] - Cash earnings per share was $0.01, and return on cash equity for the year was 10% [4] - Operating expenses decreased by 6%, resulting in a cost to income ratio of 51.7% [4][19] - Total dividends declared for FY '25 were $2.00 per share, consistent with FY '24, representing a 4.8% return to shareholders [5][9] Business Line Data and Key Metrics Changes - The commercial business generated a cash profit of $45.3 million, with assets under management growing by 12% and net operating income up 11% [23] - The consumer finance segment delivered a cash profit of $24.8 million, significantly up from $8.6 million in the prior period [25] - The Australian consumer business improved credit performance due to actions taken 18 months prior, while the Cards New Zealand business generated $15.7 million in cash profit [26][27] Market Data and Key Metrics Changes - The Irish business reported a profit of $11.2 million with a return on cash equity of 29.7%, while the UK business broke even in June [13][40] - The Canadian business underwent an operating model reset, resulting in $4.4 million in cost reductions expected in FY '26 [22][41] Company Strategy and Development Direction - The company is focused on profitable growth and enhancing customer experience through investments in technology and product platforms [35] - A transformation strategy is underway, with significant CapEx investments aimed at modernizing IT infrastructure and product offerings [12][20] - The company aims to balance shareholder returns with investments in technology to improve operational efficiency [8][19] Management's Comments on Operating Environment and Future Outlook - Management anticipates continued elevated losses in the commercial business in H1 FY '26, with expectations for normalization in the latter half of the year [36][50] - The company is optimistic about restoring volumes in the HUM AU business and refining the new regulated HUM loan offering [36][37] - Management expressed confidence in the performance of the Irish business and the potential for growth in the UK market [40][77] Other Important Information - The company has introduced a new reporting segment for corporate costs to enhance transparency [20][29] - The repayment of perpetual notes is expected to save approximately $7.7 million in future periods [9][70] Q&A Session Summary Question: Can you tell me about the offshore investment and the progress you are making? - The Irish business is performing well with low credit losses, and the UK business has achieved breakeven growth [40][41] Question: Commercial equipment finance system growth has been slower. How is flexi commercial performing? - The commercial business has maintained flat volume growth year-on-year despite market conditions, and the team is diversifying product offerings [43][44] Question: What is the outlook for volume in the commercial business for FY 2026? - An increase in volume is expected over the full year, with a potential turnaround in the second half [48][49] Question: What is driving confidence for improvement in the second half? - Confidence is based on understanding the sources of arrears linked to specific loan vintages, with expectations for losses to normalize [50][51] Question: What is the status of corporate costs and potential for further reductions? - Corporate costs include various central expenses, and while improvements have been made, there is potential for further efficiency [60][62] Question: What is the expected net loss to ANR ratio normalization? - The target remains around 1%, which is considered exceptional compared to market standards [63][65] Question: How will the funds from the repayment of perpetual notes be deployed? - The company will work with the Board to determine the capital management strategy, including potential dividends or share buybacks [69][70]