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Humana Benefits From Rising Premiums Amid High Benefit Ratio
ZACKS· 2025-10-02 15:21
Key Takeaways Humana's premiums grew 8.6% in 1H 2025, fueled by Medicare Advantage and state-based program gains.Insurance segment revenues are projected to reach at least $123B in 2025, with CenterWell topping $21.5B.Despite strong cash reserves, rising operating costs and a high benefit ratio weigh on Humana's margins.Humana Inc. (HUM) is well-poised to grow on increasing premiums, strategic acquisitions, an aging population in the United States and solid cash generation capacity. Headquartered in Louisvi ...
Major health insurers scaling back Medicare Advantage offerings in 2026
Fox Business· 2025-10-02 15:08
Core Insights - Leading health insurers are scaling back their Medicare Advantage offerings due to anticipated decreases in government reimbursement starting in 2024 [1][5] - The reduction in Medicare Advantage plans is a response to higher-than-expected medical service usage and lower payments related to patients' health conditions [5][6] Company Actions - CVS Health's Aetna will reduce its prescription drug plans by 100 counties in 2026, while Humana will decrease its plan availability to 85% of counties, down from 89% [2][8] - UnitedHealth will cease operations in 109 counties, impacting approximately 180,000 individuals [2][12] - Humana will operate in 46 states in 2026, down from 48, and Aetna will offer plans in 43 states and 2,159 counties, a reduction from 44 states and 2,259 counties [8] Market Dynamics - Insurers are exiting less profitable markets due to funding cuts from the Centers for Medicare and Medicaid Services, rising healthcare costs, and increased service utilization [6][7] - UnitedHealth's decision to shut down over 100 plans will affect around 600,000 members, primarily those enrolled in preferred provider organizations [12] Plan Offerings - Humana plans to introduce new plan types in four states across 177 counties, with 83% of its standalone prescription drug plans in 2026 expected to have decreased premiums [11] - CVS Health aims to expand its offerings for individuals eligible for both Medicare and Medicaid to 16 new states [11]
Alignment Healthcare announces its 2026 product portfolio
Yahoo Finance· 2025-10-02 12:15
Core Insights - Alignment Health Plan has announced its 2026 product portfolio, which includes 68 plan options across 45 counties in five states [1] - The plans aim to provide consistent value, broad coverage, and support for the diverse health needs of seniors [1] - The annual enrollment period for Medicare runs from October 15 to December 7, allowing 8.3 million Medicare-eligible adults in Alignment's service areas to choose from various plan options for coverage starting January 1, 2026 [1] - The president of Alignment Health, Dawn Maroney, emphasized the company's commitment to compassionate, high-quality care and long-term value for older Americans [1] Company Overview - Alignment Health Plan is focused on delivering health care solutions tailored to the needs of seniors [1] - The company positions itself as a provider of stability, choice, and support in navigating the health care system [1]
The Cigna Group's Third Quarter 2025 Earnings Release Details
Prnewswire· 2025-10-02 10:00
Financial Results Announcement - The Cigna Group will release its third quarter 2025 financial results on October 30, 2025, by 6:30 a.m. ET [1] - A conference call to discuss these results will take place at 8:30 a.m. ET on the same day [1][2] - Participants are encouraged to join the call by 8:15 a.m. ET, and a replay will be available from 12:30 p.m. ET on October 30 until 10:59 p.m. ET on November 13, 2025 [2] Company Overview - The Cigna Group is a global health company focused on improving health outcomes and community vitality [4] - The company operates under various brands, including Cigna Healthcare and Evernorth Health Services, and has a presence in over 30 markets with approximately 180 million customer relationships worldwide [4]
Evercore Notes Humana’s (HUM) Long-Term Earnings Growth Despite Medium-Term Uncertainty
Yahoo Finance· 2025-10-02 05:53
Humana Inc. (NYSE:HUM) ranks among the stocks with low beta that can beat market volatility. On September 22, Evercore ISI began coverage of Humana Inc. (NYSE:HUM) with an In Line rating and a $295 price target, emphasizing the company’s medium-term concerns as well as its potential for long-term earnings growth. Pixabay/Public Domain Evercore ISI stated that “after 2028, Humana Inc. (NYSE:HUM) has the right mix of assets to grow adjusted EBIT at an LDD rate (and EPS likely at a mid-teens CAGR),” despit ...
X @Bloomberg
Bloomberg· 2025-10-01 20:50
The health insurance lobby is leaning into the US government shutdown drama by running ads urging a renewal of expiring Obamacare subsidies https://t.co/gFB636fByO ...
Alignment Health Unveils 2026 Medicare Advantage Plans with Strong Benefits, Expanded Support for Seniors
Globenewswire· 2025-10-01 12:00
Core Insights - Alignment Health Plan is launching its 2026 product portfolio with 68 plan options across 45 counties in five states, aiming to reach nearly 8.3 million Medicare-eligible adults during the annual enrollment period from October 15 to December 7, 2025 [1][2]. Product Offerings - The 2026 plans emphasize benefit stability and quality of life enhancements, including supplemental benefits such as vision and hearing coverage, routine transportation, grocery and meal support, personal emergency response systems, in-home support, and caregiver reimbursements [3]. - Dental services will be available in select plans at $0 copay, with annual allowances ranging from $500 to $4,000 [3]. Special Needs Plans - Alignment will offer 24 special needs plans (SNPs) in 2026, including 19 for members with chronic conditions and five for those dually eligible for Medicare and Medicaid, featuring a monthly "Essentials" allowance for everyday needs [4]. Economic Support - The 2026 plans address economic insecurity by providing members with more flexibility in managing healthcare costs through expanded access to competitive Part B rebates [6]. Partnerships and New Plans - Alignment is expanding its partnership with Intermountain Health to introduce a new co-branded plan in Clark County, Nevada, featuring a $0 monthly premium and enhanced food and transportation benefits [6]. - New plans include the Heart & Diabetes Care HMO C-SNP in Southern California, the ONE/El Único HMO D-SNP in Nevada, and the Total Dual+ HMO D-SNP in Texas, among others, with various allowances and rebates [7]. Member Support Services - All Alignment members will have access to the ACCESS On-Demand Concierge program at no additional cost, providing services to facilitate access to care and benefits [8][11].
Humana to lower premiums for prescription drug plans
Reuters· 2025-10-01 11:31
Humana said on Wednesday about 83% of stand-alone prescription drug plans for 2026 will offer a premium decrease. ...
Aetna 2026 Medicare Advantage plans deliver access to affordable, personalized care
Prnewswire· 2025-10-01 11:00
Core Insights - Aetna, a CVS Health company, announced its 2026 Medicare Advantage products designed to meet the diverse needs of its members, emphasizing innovation and support for health care access [2][4]. Product Offerings - Aetna will provide Medicare Advantage Prescription Drug plans in 43 states and Washington, D.C., accessible to 57 million Medicare-eligible beneficiaries [3]. - The offerings include Special Needs Plans (SNPs), MA-only plans, prescription drug plans (PDP), and Medicare Supplement products [3]. Member-Centric Benefits - Aetna's plans focus on access, simplicity, and care tailored to members' needs, with supplemental benefits such as dental, vision, hearing, and fitness included in all MA plans [4][5]. - Key highlights for 2026 include $0 copays for Tier 1 drugs and covered vaccines at in-network pharmacies, as well as $0 copays for preventive services like colonoscopies and mammograms [5][6]. Financial Accessibility - Aetna offers a plan with a $0 monthly premium in every county where plans are available, with an estimated 82% of Medicare-eligible beneficiaries having access to a $0 monthly premium Aetna MA plan [6]. - The Aetna Medicare Extra Benefits Card allows eligible members to use an allowance for various services and products at CVS and other participating locations [6][8]. Special Needs Plans Commitment - Aetna is enhancing its commitment to Special Needs Plans, providing additional targeted benefits for members with unique health and coverage needs [7]. Prescription Drug Coverage - Aetna's Medicare Part D offerings are designed to improve access and support better health outcomes, with all plans including dental, vision, and hearing benefits [8]. - The company is expanding its Chronic Condition Special Needs Plans (C-SNPs) to 18 states, offering $0 copays for primary care related to chronic conditions [8][9]. Out-of-Pocket Maximums - Members will have an annual out-of-pocket maximum of $2,100 for covered prescription drugs, with various plans offering $0 copays for Tier 1 drugs [9]. Additional Resources - The CVS Health Resources For Living program will be available to Dual Eligible Special Needs Plans (D-SNPs) and C-SNPs, providing support for physical and mental health needs [8]. - Aetna's SilverScript® plans will offer $0 monthly premiums for members receiving full Extra Help in 18 states, with other premiums ranging from $14.70 to $116 [12].
Leerink Partners Maintains its Outperform Rating and Increases its Price Target for UnitedHealth Group Incorporated (UNH) from $300 to $402
Yahoo Finance· 2025-09-30 19:10
Core Insights - UnitedHealth Group Incorporated (NYSE:UNH) is recognized as one of the most profitable blue-chip stocks to consider for investment [1] Group 1: Financial Performance and Projections - Leerink Partners has maintained an Outperform rating for UnitedHealth Group and raised its price target from $300 to $402, citing a strong upside potential due to an earlier-than-expected turnaround in Optum operations [2] - The company reported a strong earnings per share (EPS) floor of $16 for the current year, with potential earnings projected at $25 per share, surpassing the consensus estimate of $21 [2] Group 2: Digital Health Initiatives - UnitedHealth Group launched the UnitedHealth Group Store, a digital health and wellness platform offering discounts on various health programs, currently accessible to 6 million members and expected to expand to 18 million by year-end [3] - This initiative reflects the company's strategy of integrating strong financial results with innovative, member-focused digital offerings [3] Group 3: Business Segments - UnitedHealth Group operates through various segments including UnitedHealthcare, Optum Health, Optum Insight, and Optum Rx, providing insurance, care services, and technology-enabled healthcare solutions both domestically and internationally [4]