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May 14, 2024

Broussard To Step Down As Humana CEO Bruce Broussard will step down as CEO of Humana on July 1 and be succeeded by Jim Rechtin, who came in as President and COO. Despite some challenges right now financially, he deserves tremendous credit for building a stellar MA business over a decade plus at the helm.  He tripled enrollment. Broussard will serve as a strategic advisor through 2026. Additional articles: https://www.fiercehealthcare.com/payers/jim-rechtin-step-humana-ceo-role-july-1 and https://www.modernhealthcare.com/insurance/humana-jim-rechtin-bruce-broussard-ceo (Some articles may require a subscription.) #medicareadvantage #humana #broussard https://www.healthcaredive.com/news/humana-ceo-transition-timeline-broussard-rechtin/716014 Aetna, Humana To Tighten Benefits And Shed MA Members Both Humana and Aetna have reported they will shed some benefits and likely lose membership in 2025.  CVS Aetna has come off a stellar increase, perhaps too much so as its MA financial turned upside down.  It could shed up to 10% of its membership.  Humana is expected to shed about 5%.  This is not unlike what happened with

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May 13, 2024

Kaiser Reports Good Financial News Kaiser Permanente reported $935 million of operating income (3.4% operating margin) and more than $2.7 billion of net income. This beats Q1 2023 dramatically. Kaiser is also looking to sell off up to $3.5 billion of its investment stakes. Additional articles: https://www.modernhealthcare.com/finance/kaiser-permanente-investments-wsj and https://www.beckershospitalreview.com/finance/kaiser-posts-935m-operating-profit-in-q1.html (Some articles may require a subscription.)  #kaiserpermanente #healthplans #hospitals https://www.fiercehealthcare.com/finance/kaiser-permanente-posts-34-operating-margin-billions-net-income-q1-2024 RAND Study Shows Huge Gap Between Commercial And Medicare Hospital Payments RAND reports in a new study that there is a huge gap between commercial and Medicare’s fee-for-service hospital payments for inpatient and outpatient services. The gap has increased as well. In 2022, employers and private insurers paid hospitals on average 254% of what Medicare pays. This is up from 224% in 2020 and 247% in 2018. Some states had prices that had a gap of over 300%, while others had prices below 200%. See my blog about my daughter’s brain surgery.  There

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