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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:

some instances, a reduced monthly Part B premium. Majority Medicare Advantage plans offer the prescription drug benefit under Part D as part of the basic plan, subject to cost sharing and other limitations. Medicare Advantage plans might charge beneficiaries monthly premiums and other copayments for Medicare-covered services or for certain extra benefits. Medicare-eligible individuals enroll in one of the company’s plan choices between October 15 and December 7 for coverage that begins on the following January 1. The company’s Medicare HMO and PPO plans, which cover Medicare-eligible individuals residing in certain counties, might eliminate or reduce coinsurance or the level of deductibles on various other medical services while seeking care from participating in-network providers or in emergency situations. Except in emergency situations or as specified by the plan, various HMO plans provide no out-of-network benefits. PPO plans carry an out-of network benefit that is subject to higher member cost-sharing. In some cases, these beneficiaries are required to pay a monthly premium to the HMO or PPO plan in addition to the monthly Part B premium they are required to pay the Medicare program. Majority of the company’s Medicare PFFS plans are network-based products with in and out of network benefits due to a requirement that Medicare Advantage organizations establish adequate provider networks, except in geographic areas that CMS determines have fewer than two network-based Medicare Advantage plans. In these areas, it offers Medicare PFFS plans that have no preferred network. Individuals in these plans pay the company a monthly premium to receive Medicare Advantage benefits along with the freedom to choose any health care provider that accepts individuals at rates equivalent to Medicare FFS payment rates. CMS uses monthly rates per person for each county to determine the fixed monthly payments per member to pay to health benefit plans. These rates are adjusted under CMS’ risk-adjustment model, which uses health status indicators, or risk scores, to improve the accuracy of payment. The risk-adjustment model, which CMS implemented pursuant to the Balanced Budget Act of 1997 and the Benefits and Improvement Protection Act of 2000, uses principal hospital inpatient diagnoses, as well as diagnosis data from ambulatory treatment settings (hospital outpatient department and physician visits) to establish the risk-adjustment payments. Under the risk-adjustment methodology, all health benefit organizations must collect from providers and submit the necessary diagnosis code information to CMS within prescribed deadlines. As of December 31, 2014, the company provided health insurance coverage under CMS contracts to approximately 2,446,200 individual Medicare Advantage members, including approximately 542,400 members in Florida. The company’s HMO, PPO, and PFFS products covered under Medicare Advantage contracts with CMS are renewed for a calendar year term unless CMS notifies the 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 Advantage products have been renewed for 2015, and all of its product offerings filed with CMS for 2015 have been approved. Individual Medicare Stand-Alone Prescription Drug Products The company offers stand-alone prescription drug plans (PDPs) under Medicare Part D, including a PDP plan co-branded with Wal-Mart Stores, Inc. (Wal-Mart), or the Humana-Wal-Mart plan. The company’s stand-alone PDP offerings consist of plans offering basic coverage with benefits mandated by Congress, as well as plans providing improved coverage with varying degrees of out-of-pocket costs for premiums, deductibles, and co-insurance. The company’s revenues from CMS and the beneficiary are determined from its PDP bids submitted annually to CMS. The company’s stand-alone PDP contracts with CMS are renewed for a calendar year term unless CMS notifies th

 

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HUM

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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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