Medicare Advantage plans
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Insider Sales and Financial Health of Alignment Healthcare, Inc. (NASDAQ: ALHC)
Financial Modeling Prep· 2026-01-07 05:00
Kim Hyong, Chief Medical Officer of Alignment Healthcare, Inc. (NASDAQ: ALHC), sold 16,506 shares at $21.35 each, following a previous sale of 12,694 shares.Despite the sales, Kim Hyong retains a significant stake in the company, holding 333,133 shares after the transactions.Alignment Healthcare's financial metrics indicate challenges, with a negative P/E ratio of -203.72 and a debt-to-equity ratio of 2.04, but a relatively healthy current ratio of 1.61.Alignment Healthcare, Inc. (NASDAQ: ALHC) is a healthc ...
UnitedHealth Group (UNH) Prepares for Operational Changes Following External Audit
Yahoo Finance· 2026-01-02 05:03
UnitedHealth Group Incorporated (NYSE:UNH) is included among the 7 Best Fortune 500 Dividend Stocks to Invest in Now. UnitedHealth Group (UNH) Prepares for Operational Changes Following External Audit UnitedHealth Group Incorporated (NYSE:UNH) is a US-based multinational company focused on health insurance and healthcare services. According to a December 19 report by Reuters, UnitedHealth Group Incorporated (NYSE:UNH) said audits conducted by outside consulting firms will lead to operational changes acr ...
US retirees should not trust these 5 people. Keep them away in 2026 (and beyond)
Yahoo Finance· 2025-12-30 11:15
Core Insights - The article highlights the vulnerability of retirees to exploitative individuals and practices, emphasizing the need for caution in financial dealings as they may be targeted by various predatory entities. Group 1: Predatory Lenders - Predatory lenders utilize complex credit products such as home equity agreements and reverse mortgages, which can take advantage of unsuspecting retirees [2][3] - The Senate Special Committee on Aging and organizations like the GAO and AARP have investigated how older Americans are targeted by subprime and home-equity lenders, often leading to unfavorable refinancing and high-cost loans [3] Group 2: Pushy Salespeople - Older adults are particularly susceptible to aggressive sales tactics, as they are often perceived as financially better off and more trusting [4] - A report by the Senate Finance Committee indicated that insurance companies have significantly increased spending on brokers to promote Medicare Advantage plans, which are aggressively marketed to older adults and are more profitable for insurers [5]
Is UnitedHealth an Undervalued Stock to Buy Now?
The Motley Fool· 2025-12-02 11:38
Core Insights - The U.S. healthcare industry is currently facing significant challenges, including political battles over the Affordable Care Act (ACA) subsidies and rising healthcare costs impacting consumers [1][4] - UnitedHealth Group has experienced a nearly 50% decline in stock price due to various issues, including the death of its CEO and rising Medicare costs [2][3] - The company is implementing strategies to stabilize profits, including raising premiums and shedding unprofitable business segments, which may lead to a loss of up to 1 million Medicare Advantage members [6][7] Industry Overview - The ongoing political debate regarding the renewal of ACA subsidies is critical, as the expiration of these subsidies could lead to increased premiums for consumers [4] - Rising living expenses and healthcare costs are straining consumers, making healthcare a contentious issue in the U.S. [1] Company Performance - UnitedHealth Group reported a significant drop in operating margin from 5.6% to 2.1% in the third quarter due to unexpected care costs in its Medicare business [3] - The company is raising premiums for ACA exchange policies by an average of 25%, which could reduce enrollment by up to two-thirds [7] Financial Outlook - Management has slightly increased the full-year earnings guidance from $16.00 to $16.25 per share, with long-term earnings growth expected at an annualized rate of 13% to 16% [9] - The stock trades at over 20 times the updated earnings guidance, presenting a compelling price-to-earnings ratio with a PEG ratio of 1.25 to 1.50 [10] - Even with a conservative growth estimate of 10%, the stock maintains a reasonable PEG ratio of 2.0, indicating some margin of safety [11] Risks and Considerations - The primary threat to UnitedHealth Group is the potential for government intervention in the healthcare sector, which remains a contentious issue during elections [12] - Despite negative publicity and allegations of misconduct, the company is viewed as a key player in a profitable industry, suggesting it may be undervalued at present [12]
Medicare Advantage woos seniors with plan perks, but a study found they often go unused
Yahoo Finance· 2025-11-29 11:57
Core Insights - Medicare Advantage plans are increasingly popular among seniors due to attractive perks like dental coverage and gym memberships, but many enrollees do not utilize these benefits [1][6][7] Enrollment Trends - Approximately 34.4 million individuals are enrolled in Medicare Advantage plans, representing about 54% of all eligible Medicare beneficiaries, a significant increase from 32% a decade ago [6] - The growth in enrollment is largely driven by the appealing additional benefits offered by private insurance companies [6][8] Benefit Utilization - A study from the Commonwealth Fund indicates that while 80% of enrollees consider supplemental benefits important, 30% reported not using any benefits in the past year [4] - Less than half of the enrollees utilized dental, vision, or gym membership benefits, and fewer than 10% took advantage of benefits like hearing aids or meal delivery [5] Awareness and Communication - Many enrollees are unaware of the benefits available to them or how to access them, with about 25% indicating a lack of knowledge regarding their plan's offerings [9] - Notifications about unused benefits could enhance awareness and utilization among Medicare Advantage enrollees [10] Financial Aspects - Medicare Advantage insurers receive approximately $86 billion from the federal government to provide these supplemental benefits, a significant increase from $21 billion in 2018 [8]
UnitedHealth is dropping a million seniors from Medicare Advantage as it aims to restore its ‘swagger'
MarketWatch· 2025-11-19 15:56
Core Insights - The largest insurer in America is implementing significant changes to its Medicare Advantage plans aimed at enhancing profit margins [1] Company Changes - The insurer is focusing on restructuring its Medicare Advantage offerings to optimize financial performance [1] - Adjustments are being made to improve operational efficiency and reduce costs associated with the plans [1] Industry Impact - These changes may set a precedent for other insurers in the Medicare Advantage market, potentially leading to a shift in competitive strategies [1] - The modifications could influence the overall landscape of Medicare Advantage plans, affecting both providers and beneficiaries [1]
Clover Health Investments (NasdaqGS:CLOV) 2025 Earnings Call Presentation
2025-11-11 16:00
Investor Presentation November 2025 LGTMs: Date: Peter K. LGTM 11.10.25 Legal (Karen / Peter R.) LGTM Disclaimer This presentation and the accompanying oral presentation include forward-looking statements, including, without limitation, statements regarding future events and Clover Health Investments, Corp.'s ("Clover Health," "we," "our," or "us") expectations regarding Adjusted EBITDA, Adjusted Net income from continuing operations, Adjusted SG&A, Adjusted SG&A as a percentage of revenue, Insurance BER, N ...
Humana's lack of 2026 commentary spooks investors
Yahoo Finance· 2025-11-05 15:46
Core Viewpoint - Humana's shares declined over 7% due to the lack of performance commentary for 2026, disappointing investors despite reporting better-than-expected quarterly profits and revenues [1] Company Performance - Humana reported a quarterly medical cost ratio of 91.1%, aligning with company expectations but slightly above analysts' expectations of 90.90% [4] - The company reaffirmed its adjusted profit and cost forecasts for 2025 but reduced its annual net profit forecast to $12.26 per share from $13.77 per share, indicating potential medical costs at the upper end of the 90.1% to 90.5% range [5] Membership and Growth Expectations - Humana anticipates a decline of about 425,000 members in its individual Medicare Advantage plans for 2025, an improvement from the previously expected loss of up to 500,000 members, attributed to stronger member retention and better-than-expected sales [5] - The company expects membership growth of approximately 160,000 in its Medicaid plans for low-income individuals in 2025, down from a prior expectation of 175,000 to 250,000 members [6] - Humana has around 1.2 million members enrolled in Medicare Advantage plans rated 4 stars and above for 2026, indicating a focus on higher-rated plans [3] Industry Context - The health insurance industry is facing high costs due to increased healthcare service usage across government-backed plans, impacting overall profitability [4] - Concerns regarding lower quality ratings for Medicare Advantage plans could result in significant financial implications for Humana, potentially costing millions in bonus payments from the U.S. government [2]
Humana Reports $195 Million Profit As Costs Land Within Expectations
Forbes· 2025-11-05 12:35
Core Insights - Humana reported a net income of $195 million for the third quarter, with medical cost trends aligning with previous forecasts [2][5] - The company is reaffirming its full year 2025 adjusted earnings per share outlook of approximately $17.00, supported by solid execution and results [6] Financial Performance - Humana's net income decreased to $195 million, or $1.62 per share, compared to $480 million, or $3.98 per share in the same quarter last year [5] - Revenue increased to $32.6 billion, up from $29.4 billion in the year-ago period [5] - The insurance segment benefit ratio was reported at 91.1%, consistent with guidance of just above 91% and an increase from 89.9% in the previous year [4] Medicare Advantage Plans - The company has been experiencing higher costs in its Medicare Advantage plans, which are a significant part of its business [3] - Humana's Medicare Advantage enrollment reached over 5.2 million individuals, with a projected decline of approximately 425,000 members for FY 2025, an improvement from earlier expectations [7] Growth in Healthcare Services - Humana's CenterWell healthcare services business reported growth of 56,600 patients, or nearly 15% [8] - CenterWell Pharmacy is driving strong growth across payor agnostic offerings, with increased specialty volumes and strong direct-to-consumer growth [8] Strategic Outlook - The company is confident in its strategy of prioritizing consumer needs, with solid year-to-date performance and strong momentum heading into the Annual Election Period [9][10]
Humana beats quarterly profit estimates on higher premiums, in-line medical costs
Yahoo Finance· 2025-11-05 11:38
Core Insights - Humana reported third-quarter profit exceeding Wall Street estimates, driven by higher premiums and medical costs aligned with expectations [1][4] - The health insurance industry has faced high costs due to increased healthcare service usage in government-backed plans [2] Company Performance - Humana anticipates a decline of approximately 425,000 members in its individual Medicare Advantage plans, an improvement from the previously expected loss of up to 500,000 members, attributed to stronger member retention and better sales [3] - The company expects most new members to enroll in higher-rated plans for 2026 [4] - Humana's quarterly medical cost ratio was 91.1%, consistent with its expectations of "just above 91%" and slightly above analysts' expectations of 90.90% [4] - The company reaffirmed its annual adjusted profit forecast of about $17 per share [4] - Adjusted quarterly profit was reported at $3.24 per share, surpassing estimates of $2.82 per share [5]