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Last $181.70 USD
Change Today +2.45 / 1.37%
Volume 1.1M
As of 8:04 PM 09/2/15 All times are local (Market data is delayed by at least 15 minutes).
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Company Description

Contact Info

500 West Main Street

Louisville, KY 40202

United States

Phone: 502-580-1000

Fax:

e company of its decision not to renew by May 1 of the calendar year in which the contract would end, or the company notifies CMS of its decision not to renew by the first Monday in June of the calendar year in which the contract would end. All material contracts between the company and CMS relating to its Medicare stand-alone PDP products have been renewed for 2015, and all of its product offerings filed with CMS for 2015 have been approved. The company administers CMS’ Limited Income Newly Eligible Transition (LI-NET) PDP program. This program allows individuals who receive Medicare’s low-income subsidy to also receive immediate prescription drug coverage at the point of sale if they are not already enrolled in a Medicare Part D plan. CMS temporarily enrolls newly identified individuals with both Medicare and Medicaid into the LI-NET PDP program, and subsequently transitions each member into a Medicare Part D plan that might or might not be a Humana Medicare plan. Medicare and Medicaid Dual Eligible and Long-Term Care Support Services Medicare beneficiaries who also qualify for Medicaid due to low income or special needs are known as dual eligible beneficiaries, or dual eligibles. The dual eligible population represents a disproportionate share of Medicaid and Medicare costs. There were approximately 9.6 million dual eligible individuals in the United States in 2014, trending upward due to Medicaid eligibility expansions and individuals aging into the Medicare program. These dual eligibles might enroll in a privately-offered Medicare Advantage product, and might also receive assistance from Medicaid for Medicaid benefits, such as nursing home care and/or assistance with Medicare premiums and cost sharing. The dual eligible population is a strategic area of focus for the company and it is leveraging the capabilities of its integrated care delivery model, including care management programs particularly as they relate to chronic conditions, to expand the company’s services to this population. As of December 31, 2014, the company served approximately 404,000 dual eligible members in its Medicare Advantage plans and approximately 992,000 dual eligible members in its stand-alone PDPs. The company partners with organizations, including CareSource Management Group Company, to serve individuals in certain states. It serves members in Kentucky and certain long-term care support services regions in Florida. The company owns American Eldercare Inc. (American Eldercare), a provider of nursing home diversion services in the state of Florida, serving frail and elderly individuals in home and community-based settings. American Eldercare complements the company’s core capabilities and strengths in serving seniors and disabled individuals with a focus on individualized and integrated care, and has contracts to provide Medicaid long-term support services across the entire state of Florida. The enrollment dates for various regions ranged from August 2013 to March 2014. Individual Commercial Coverage The company’s individual health plans are marketed under the HumanaOne brand. It offers products both on and off of the public exchange, including exchange offerings in certain metropolitan areas in 15 states. The company offers products on exchanges where it could achieve a cost of care, including HMO offerings and select networks in various markets. The company’s off-exchange products offered in 22 states are primarily PPO and POS offerings, including plans issued prior to 2014 that were previously underwritten. Policies issued prior to the enactment of the Health Care Reform Law on March 23, 2010 are grandfathered policies. Grandfathered policies are exempt from majority of the requirements of the Health Care Reform Law, including mandated benefits. The company’s grandfathered plans include provisions that guarantee renewal of coverage for as long as the individual chooses. Policies issued between March 23, 2010 and December 31, 2013 are required to conform to the Health Care Reform Law, including mandated benefits, upon renewal in 2014, 2015, or 2016, depending on the state. Rewards-based wellness programs are inc

 

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Industry Analysis

HUM

Industry Average

Valuation HUM Industry Range
Price/Earnings 21.2x
Price/Sales 0.5x
Price/Book 2.6x
Price/Cash Flow 16.1x
TEV/Sales 0.2x
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