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Humana(HUM) - 2025 Q1 - Earnings Call Transcript
2025-04-30 12:00
Financial Data and Key Metrics Changes - The company reaffirmed its full-year guidance, indicating a strong start to 2025 with Q1 results ahead of plan [5][14] - Adjusted EPS guidance for the year is approximately $16.25, with an expected insurance segment benefit ratio of 90.1% to 90.5% [15][14] - G&A costs for the quarter were slightly better than expectations, attributed to the timing of costs expected in the second and third quarters [11][14] Business Line Data and Key Metrics Changes - The Medicare product and experience maintained membership guidance for 2025, with strong performance in the Open Enrollment Period (OEP) [8] - CenterWell and Medicaid businesses showed robust patient and membership growth, with 30 new centers added through acquisition and partnership [12][14] - The company reported a 30% to 50% reduction year over year in members with weight refills due to medication adherence campaigns [11] Market Data and Key Metrics Changes - The company is seeing strong year-to-date performance in markets with high concentrations of members, particularly in Florida, Illinois, and Texas [41] - Medicaid membership growth is on track, with approximately 100,000 growth year-to-date, aligning with the expected annual growth of 175,000 to 250,000 [74] Company Strategy and Development Direction - The company is focused on operational efficiencies, increasing flexibility, and operating leverage while making investments to improve member outcomes [14] - The integration between the insurance segment and CenterWell is aimed at delivering better health outcomes and improving STARS performance [58][60] - The company is committed to returning to a 3% pre-tax margin in Medicare Advantage (MA) by 2027, with ongoing focus on quality and operational excellence [48][90] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the underlying progress of the business despite external challenges, emphasizing control over medical costs and operational efficiencies [50][52] - The company is monitoring changes in consumer behavior due to the Inflation Reduction Act (IRA) and is prepared for potential impacts on future performance [6][14] - Management highlighted the importance of navigating regulatory headwinds while focusing on controllable factors [51][52] Other Important Information - The company is actively working through STARS strategy and bids, with a focus on balancing membership and margins [32][33] - Recent fulfillment agreements with multiple companies are expected to contribute positively to growth [12][63] Q&A Session Summary Question: How much of your investments moved out of Q1? - Management indicated that most of the impact of incremental investments flowed through the MLR in Q1, with expectations for higher levels in the second through fourth quarters [20] Question: Update on the path to the 3% MA margin target? - Management reiterated focus on achieving the 3% margin, with timing tied to STARS outcomes, and no significant changes from previous communications [23] Question: Update on STARS initiatives and bids? - Management expressed confidence in progress made on STARS initiatives and ongoing work on bids, emphasizing a balanced approach to membership and margins [27][32] Question: Experience in Part D relative to expectations? - Trends in the business are consistent with expectations, with mid-single-digit growth on the medical side and low double-digit growth on the pharmacy side [36] Question: Visibility on risk adjustment and Group MA? - Management reported strong membership changes and visibility into risk adjustment, with no significant behavioral changes noted in Group MA [41][43] Question: Comments on Medicaid visibility and utilization? - Medicaid is performing in line with expectations, with strong growth and positive trends in member engagement and outcomes [75][76] Question: Clarification on GAAP EPS and valuation adjustments? - Management clarified that the adjustment in GAAP EPS guidance is unrelated to structural impairment and is part of a complex calculation [93]
Humana(HUM) - 2025 Q1 - Quarterly Results
2025-04-30 10:05
Financial Performance - 1Q25 earnings per share (EPS) reported at $10.30 (GAAP) and $11.58 (Adjusted) compared to $6.11 and $7.23 in 1Q24, representing a year-over-year increase of 68% and 60% respectively[3] - Consolidated revenues for 1Q25 reached $32,112 million, up from $29,611 million in 1Q24, reflecting a year-over-year growth of 8.5%[8] - Humana's consolidated revenues for Q1 2025 reached $32,112 million, up from $29,611 million in Q1 2024, reflecting an increase of 8.4%[40] - Humana Inc. reported a net income of $1,242 million for Q1 2025, up from $739 million in Q1 2024, representing a 68% increase[64] - Total revenues for Q1 2025 reached $32,112 million, compared to $29,611 million in Q1 2024, marking an increase of 8.5%[65][66] Insurance Segment Performance - The Insurance segment reported revenues of $30,937 million in 1Q25, an increase from $28,699 million in 1Q24, marking a growth of 7.7%[20] - The Insurance segment reported revenues of $30,937 million in Q1 2025, compared to $28,699 million in Q1 2024, marking a growth of 7.7%[40] - The Insurance segment's benefit ratio improved to 87.4% in Q1 2025 from 89.3% in Q1 2024, indicating better cost management[41] - Income from operations for the Insurance segment increased significantly to $1,574 million in Q1 2025, up from $898 million in Q1 2024, representing a growth of 75.2%[45] - The benefit ratio improved to 87.0% in Q1 2025 from 89.3% in Q1 2024, indicating better cost management in claims[65][66] Membership and Enrollment - Individual Medicare Advantage annual membership is expected to decline by approximately 550,000 due to exiting unprofitable plans and counties[3] - The total Medicare Advantage membership decreased to 5,788.4 thousand as of March 31, 2025, down 5.1% from 6,100.4 thousand a year earlier[67] - Humana expects to see growth of approximately 200,000 in Medicare stand-alone PDP membership[56] Operational Efficiency - The benefit ratio for the Insurance segment improved to 87.4% in 1Q25 from 89.3% in 1Q24, indicating enhanced operational efficiency[20] - Days in claims payable (DCP) decreased to 38.8 days in 1Q25 from 42.5 days in 1Q24, indicating improved claims processing efficiency[15] - Humana's operating cost ratio for Q1 2025 was 10.6%, slightly higher than 10.4% in Q1 2024, with adjusted (non-GAAP) figures showing 10.5% versus 10.2%[42] - Operating expenses for Q1 2025 were $30,098 million, an increase from $28,375 million in Q1 2024, reflecting a rise of 6.1%[66] Cash Flow and Capitalization - Operating cash flows decreased to $331 million in 1Q25 from $423 million in 1Q24, primarily due to unfavorable working capital items[17] - Humana's cash and cash equivalents at the end of Q1 2025 were $4,250 million, down from $5,910 million at the end of Q1 2024[64] - The company reported a significant increase in proceeds from the issuance of senior notes, totaling $1,481 million in Q1 2025 compared to $2,232 million in Q1 2024[64] - Debt-to-total capitalization improved to 42.8% in 1Q25 from 45.1% in 1Q24, reflecting a stronger balance sheet[8] Future Projections - Humana affirms its Adjusted FY 2025 EPS guidance at approximately $16.25 while revising GAAP EPS guidance to approximately $14.68 from $15.88[6] - Total revenues for 2025 are expected to be between $126 billion and $128 billion, with the insurance segment contributing $121 billion to $123 billion[56] - The CenterWell segment is projected to generate revenues between $20.5 billion and $21.5 billion[56] - The benefit ratio for the insurance segment is projected to be between 90.1% and 90.5%[56] - Operating cost ratio for consolidated operations is expected to be between 11.3% and 11.7%[56] - Cash flows from operations are projected to be between $2.4 billion and $2.9 billion[56] Segment Growth - The CenterWell segment revenues increased to $5,095 million in 1Q25 from $4,818 million in 1Q24, driven by growth in the primary care business[27] - The CenterWell segment's income from operations rose to $392 million in Q1 2025, compared to $282 million in Q1 2024, reflecting a growth of 39.1%[47] - The number of primary care patients served grew to 417,800 as of March 31, 2025, up from 318,000 a year earlier, indicating a year-over-year growth of 31.4%[72] - The total number of de novo primary care centers increased to 136 in Q1 2025, compared to 113 in Q1 2024, marking a growth of 20.4%[72] - The company aims to expand its market presence through new primary care centers and enhanced pharmacy solutions, focusing on improving patient engagement and care quality[77]
Can Humana Beat Q1 Earnings Estimates on Growing Premiums?
ZACKS· 2025-04-28 17:25
Core Viewpoint - Humana Inc. is expected to report strong first-quarter 2025 results, with earnings projected at $9.98 per share and revenues at $32.22 billion, indicating significant year-over-year growth [1][3]. Financial Performance - The first-quarter earnings estimate reflects a 38% year-over-year increase, while revenues are expected to grow by 9.8% [1]. - For the current year, Humana's revenue consensus estimate stands at $126.55 billion, representing an 8% year-over-year rise, and the EPS consensus is $16.36, indicating a growth of approximately 0.9% [3]. Earnings Expectations - Humana has consistently beaten earnings estimates in the past four quarters, with an average surprise of 15.4% [3]. - The company has a positive Earnings ESP of +0.57% and a Zacks Rank of 3 (Hold), suggesting a likelihood of an earnings beat this quarter [4]. Revenue Drivers - Revenue growth in Q1 is anticipated to be driven by higher premiums, with the consensus estimate for premiums at $30.7 billion, reflecting an 8.6% year-over-year increase [5]. - Revenues from Medicare stand-alone PDPs are expected to reach $1.7 billion, indicating a substantial year-over-year increase of 110.8% [5]. Membership Trends - Despite the expected revenue growth, total medical memberships are projected to decline by 3.8% year-over-year, primarily due to decreases in individual Medicare Advantage units and ASO commercial memberships [6]. Operating Expenses - Total operating expenses for the Insurance segment are estimated to grow by 7.6% year-over-year, attributed to higher operating costs [7].
Stay Ahead of the Game With Humana (HUM) Q1 Earnings: Wall Street's Insights on Key Metrics
ZACKS· 2025-04-28 14:22
With that in mind, let's delve into the average projections of some Humana metrics that are commonly tracked and projected by analysts on Wall Street. The collective assessment of analysts points to an estimated 'Revenues- Premiums' of $30.68 billion. The estimate suggests a change of +8.6% year over year. Analysts' assessment points toward 'Revenues- Services' reaching $1.20 billion. The estimate suggests a change of +12.8% year over year. The upcoming report from Humana (HUM) is expected to reveal quarter ...
Humana (HUM) Reports Next Week: Wall Street Expects Earnings Growth
ZACKS· 2025-04-23 15:07
Company Overview - Humana (HUM) is expected to report quarterly earnings of $9.98 per share, reflecting a year-over-year increase of +38% [3] - Revenues are anticipated to reach $32.22 billion, which is a 9.8% increase from the same quarter last year [3] Earnings Expectations - The earnings report is scheduled for April 30, 2025, and could influence stock movement based on whether actual results exceed or fall short of expectations [2] - The consensus EPS estimate has been revised 3.41% higher in the last 30 days, indicating a more optimistic outlook from analysts [4] Earnings Surprise Prediction - The Zacks Earnings ESP for Humana is +0.57%, suggesting a potential positive deviation from the consensus estimate [11] - However, Humana currently holds a Zacks Rank of 4, which complicates the prediction of an earnings beat [11] Historical Performance - In the last reported quarter, Humana was expected to post a loss of $2.24 per share but actually reported a loss of $2.16, resulting in a surprise of +3.57% [12] - Over the past four quarters, Humana has successfully beaten consensus EPS estimates four times [13] Industry Context - In the Zacks Medical - HMOs industry, Centene (CNC) is projected to report earnings of $2.36 per share, marking a year-over-year increase of +4.4% [17] - Centene's revenue is expected to be $43.47 billion, up 7.6% from the previous year [17] - The consensus EPS estimate for Centene has been revised 1.7% lower, but a higher Most Accurate Estimate results in an Earnings ESP of 8.17%, indicating a likely earnings beat [18]
Humana (HUM) Surges 10.7%: Is This an Indication of Further Gains?
ZACKS· 2025-04-09 16:00
Company Overview - Humana (HUM) shares increased by 10.7% to $281.95 in the last trading session, with a higher-than-average trading volume [1] - The stock has gained 1.4% over the past four weeks [1] Revenue Drivers - The increase in Humana's stock price was primarily driven by the U.S. government's decision to raise Medicare Advantage payment rates by 5.06% for 2026, significantly higher than the initially proposed 2.23% increase [2] - This adjustment is projected to generate over $25 billion in additional revenue for insurers, benefiting companies like Humana [2] Earnings Expectations - Humana is expected to report quarterly earnings of $9.95 per share, reflecting a year-over-year increase of 37.6% [3] - Revenue for the upcoming quarter is anticipated to be $32.22 billion, which is a 9.8% increase compared to the same quarter last year [3] Market Sentiment - The consensus EPS estimate for Humana has remained unchanged over the last 30 days, indicating stability in earnings expectations [4] - The stock's price typically does not continue to rise without trends in earnings estimate revisions, suggesting that monitoring future earnings revisions will be crucial for assessing stock performance [4] Industry Context - Humana operates within the Zacks Medical - HMOs industry, which includes other companies like Select Medical (SEM) [4] - Select Medical's stock closed 0.6% higher at $15.75, but has seen a decline of 10% over the past month [4]
Healthcare insurers rally on boosted Medicare rates
Proactiveinvestors NA· 2025-04-08 13:21
Company Overview - Proactive is a financial news publisher that provides fast, accessible, informative, and actionable business and finance news content to a global investment audience [2] - The company has a team of experienced and qualified news journalists who produce independent content [2] Market Focus - Proactive specializes in medium and small-cap markets while also covering blue-chip companies, commodities, and broader investment stories [3] - The news team delivers insights across various sectors including biotech and pharma, mining and natural resources, battery metals, oil and gas, crypto, and emerging digital and EV technologies [3] Technology Adoption - Proactive is recognized for its forward-looking approach and enthusiastic adoption of technology to enhance workflows [4] - The company utilizes automation and software tools, including generative AI, while ensuring that all content is edited and authored by humans [5]
Humana Gains on Strong Membership Base and Sound Cash Reserves
ZACKS· 2025-03-31 14:15
Core Insights - Humana Inc. (HUM) is well-positioned for growth due to improved premium revenues, an aging U.S. population, acquisitions, and strong cash generation abilities [1] - The company has a strong outlook for 2025, with anticipated revenue growth and earnings per share [3][4] Revenue Growth - Humana's premium revenues increased by 10.7% year over year in 2024, driven by a solid customer base in its Medicaid and Medicare operations [5] - The company expects revenues for 2025 to be between $126 billion and $128 billion, reflecting a 7.8% improvement from 2024 [3] Earnings Performance - Humana has consistently outperformed earnings estimates, with an average surprise of 15.35% over the last four quarters [2] Strategic Acquisitions - The company has pursued strategic acquisitions to enhance its capabilities and expand its footprint, including Family Physicians Group, Curo, Enclara, iCare, and Inclusa [7] - The acquisition of Enclara improved hospice pharmacy services, while the iCare deal expanded its Medicare presence in Wisconsin [7] Financial Position - As of December 31, 2024, Humana held cash and investment securities totaling $20.4 billion, significantly exceeding its long-term debt of $11.1 billion [8] - The company anticipates GAAP cash flow from operations to be between $2.4 billion and $2.9 billion for 2025, supporting its capital deployment strategy [8] Market Demand - The growing elderly population in the U.S. is expected to sustain demand for Humana's Medicare plans, supported by its CenterWell brand introduced in 2022 [6]
Humana's CenterWell Launches Gladstone Walmart Location for Seniors
ZACKS· 2025-03-21 15:05
Core Viewpoint - Humana Inc. is expanding its CenterWell Senior Primary Care Centers, with a focus on providing accessible, value-based healthcare for seniors, particularly in underserved communities [1][3][4]. Group 1: Expansion and Accessibility - The grand opening of the CenterWell Senior Primary Care Center in Gladstone, MO, marks the beginning of a broader expansion, with plans for 22 additional centers at Walmart locations across four states by mid-2025 [1][2]. - The Gladstone facility began seeing patients in December, with further centers in Florida, Georgia, and Texas expected to open later this spring [2]. Group 2: Value-Based Care Model - Humana's value-based care model emphasizes preventive care, which has resulted in a 10% increase in primary care visits among patients in these models, leading to fewer hospital admissions and better management of chronic conditions [3][4]. - The company aims to strengthen its presence in the Medicare Advantage market, a significant revenue driver, by attracting more seniors to its network [4]. Group 3: Financial Performance - The CenterWell segment generated revenues of $5.1 billion in the fourth quarter of 2024, supported by expanding service lines and improved revenues from the Primary Care business [5]. - Humana's shares have seen a decline of 23.2% over the past year, contrasting with a 3% decline in the broader industry [6].
Humana & Icon Enhance Senior Healthcare With Integrated Specialty Care
ZACKS· 2025-03-18 17:25
Core Insights - Humana Inc. has partnered with Icon Health to enhance access to musculoskeletal care for seniors through its CenterWell and Conviva primary care providers, launching in Palm Beach County [1][2] - This collaboration is expected to strengthen Humana's CenterWell segment, which reported an 8.9% year-over-year revenue increase in Q4 2024, and aims to simplify access to comprehensive treatment for musculoskeletal conditions [2][3] - The initiative aligns with Humana's commitment to value-based care, potentially reducing emergency room visits and hospital admissions, thereby improving patient health and operational efficiency [3][4] Company Performance - Humana's shares have increased by 12.1% over the past three months, outperforming the industry growth of 4.1% [5] Strategic Positioning - By integrating specialized care within primary care settings, Humana is well-positioned to attract more seniors seeking comprehensive healthcare solutions, supporting its long-term growth strategy [4]