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Last $159.53 USD
Change Today +2.57 / 1.64%
Volume 1.2M
HUM On Other Exchanges
New York
As of 8:04 PM 02/9/16 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


eling capabilities and focus on proactive clinical outreach and member engagement, particularly for the company’s Medicare Advantage membership. Membership Provider Arrangements The company provides its members with access to health care services through its networks of health care providers whom the company employs or with whom it has contracted, including hospitals and other independent facilities, such as outpatient surgery centers, primary care providers, specialist physicians, dentists, and providers of ancillary health care services and facilities. These ancillary services and facilities include laboratories, ambulance services, medical equipment services, home health agencies, mental health providers, rehabilitation facilities, nursing homes, optical services, and pharmacies. The company’s membership base and the ability to influence where its members seek care enable the company to obtain contractual discounts with providers. The company uses various techniques to provide access to the use of health care services for its members. These techniques include the coordination of care for its members, product and benefit designs, hospital inpatient management systems, the use of analytics, and enrolling members into various care management programs. The focal point for health care services in majority of its HMO networks is the primary care provider who, under contract with the company, provides services to its members, and might control the utilization of appropriate services by directing or approving hospitalization and referrals to specialists and other providers. The company has available care management programs related to complex chronic conditions, such as congestive heart failure and coronary artery disease. The company also has programs for prenatal and premature infant care, asthma related illness, end stage renal disease, diabetes, cancer, and certain other conditions. The company contracts with hospitals on either a per diem rate, which is an all-inclusive rate per day; a case rate or diagnosis-related groups, which is an all-inclusive rate per admission; or a discounted charge for inpatient hospital services. Outpatient hospital services are contracted at a flat rate by type of service, ambulatory payment classifications (APCs) or at a discounted charge. APCs are similar to flat rates except multiple services and procedures might be aggregated into one fixed payment. These contracts are multi-year agreements, with rates that are adjusted for inflation annually based on the consumer price index, other nationally recognized inflation indexes, or specific negotiations with the provider. Outpatient surgery centers and other ancillary providers are contracted at flat rates per service provided or are reimbursed based upon a fee schedule, such as the Medicare allowable fee schedule. The company’s contracts with physicians are renewed automatically each year, unless either party gives written notice, ranging from 90 to 120 days, to the other party of its intent to terminate the arrangement. Majority of the physicians in its PPO networks and some of its physicians in its HMO networks are reimbursed based upon a fixed fee schedule, which provides for reimbursement based upon a percentage of the standard Medicare allowable fee schedule. The terms of the company’s contracts with hospitals and physicians might also vary between Medicare and commercial business. A portion of its Medicare network contracts, including those with both hospitals and physicians, are tied to Medicare reimbursement levels and methodologies. Capitation The company offers providers a continuum of opportunities to increase the integration of care and offer assistance to providers in transitioning from a fee-for-service to a value-based arrangement. These include performance bonuses, shared savings and shared risk relationships. For some of its medical membership, the company shares risk with providers under capitation contracts where physicians and hospitals accept varying levels of financial risk for a defined set of membership, primarily HMO membership. Under the typical capitation arrangement, the company prepays


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Industry Analysis


Industry Average

Valuation HUM Industry Range
Price/Earnings 18.1x
Price/Sales 0.4x
Price/Book 2.2x
Price/Cash Flow 13.9x
TEV/Sales 0.2x

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