More Insurer Financial News
Medicare Advantage-dominant insurer Humana had better financial news than most insurers these days, but perhaps because of its earlier bad reports and its ongoing efforts to right its financial ship. Humana slightly raised its guidance on earnings, although it did have a decline in net income in Q2. Humana reported a net income of $545 million in the second quarter, down from a net income of $679 million during the same period last year.
Lower MA revenue and high utilization spend continues to challenge Humana. The medical loss ratio was reported as 89.7%, high but in line with forecasts. Its Medicaid financials bucked trends. Its pharmacy unit was a bright spot.
Humana says its projected loss in membership in MA will be lower than previously forecast – 500,000 vs. 550,000.
In other news, Fitch affirmed UnitedHealth Group’s “AA-” rating July 30 but revised the company’s outlook to negative from stable.
Alignment Healthcare posted its first quarterly profit and raised its full-year membership, revenue, adjusted profit and adjusted EBITDA outlooks.
Additional articles: https://www.modernhealthcare.com/insurance/mh-humana-medicare-advantage-outlook-earnings/ and https://www.healthcaredive.com/news/humana-2025-guidance-raise-medicare-advantage-pharmacy/756257/ and https://www.beckerspayer.com/payer/fitch-revises-unitedhealths-outlook-to-negative/ and https://www.beckerspayer.com/payer/medicare-advantage/alignment-healthcare-posts-first-profit/ and https://www.beckerspayer.com/payer/humana-posts-545m-q2-profit-raises-2025-outlook/
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#healthplans #margins #humana #unitedhealthcare #alignment #medicareadvantage #medicaid
https://www.fiercehealthcare.com/payers/humana-improves-outlook-revenue-beats-estimates-q2
Democrats Want Rollback Of Healthcare Cuts
Democrats want the $1.1 trillion in healthcare cuts enacted via the budget reconciliation bill rescinded. And they turned up their campaign messaging today — the 60th anniversary of Medicare and Medicaid.
About $1.1 trillion in cuts to Medicaid and the Exchanges will occur over ten years — $964 billion in Medicaid and $124 billion in the Exchanges. The sunset of the enhanced Exchange premiums subsidies and a new enrollment rule impact the Exchanges even more. The bill, the premium enhancement sunset, and the rule will eliminate over 15 million from the insurance rolls.
#budgetreconciliation #coverage #healthcare
https://www.modernhealthcare.com/politics-regulation/mh-medicare-anniversary-tax-law-health-cuts
— Marc S. Ryan
