Is Humana going out of business?
Asked by: Maybelle Rau Sr. | Last update: August 12, 2025Score: 4.6/5 (8 votes)
Is Humana in trouble financially?
Humana shares, among the sector's most hard hit, have fallen nearly 44% so far this year, after the company withdrew its 2025 forecast previously, citing disappointing government Medicare reimbursement rates.
Is Humana getting out of insurance business?
Humana has announced that it will be exiting the Employer Group Commercial Medical Products business, which includes all fully insured, self-funded and Federal Employee Health Benefit medical plans, as well as associated wellness and rewards programs.
What went wrong with Humana?
Humana's stock dived when it announced a sharp decline in memberships for the top-rated Medicare Advantage (MA) plan. There are serious concerns among investors that the company may not be as attractive an income investment play as it used to be. Humana earns revenue through healthcare services and health insurance.
What states is Humana pulling out of?
Similarly, because of CVS Health Aetna's moves, Humana now feels secure with losing 5% of its Medicare Advantage plan enrollees after it exits unprofitable markets, primarily in the Southeastern states of Florida, North Carolina, Georgia, Texas, and Illinois.
Warning: Big Changes Coming to Humana Advantage 2025
What is the downside of Humana?
High cost limits: Humana's average maximum out-of-pocket limit on plans is the highest of the major providers.
What changes are coming to Humana in 2025?
In 2025, the Part D “donut hole” will close
In 2025, the Part D “donut hole,” or coverage gap, will close. Once you reach your Part D deductible, you'll pay no more than 25% of the cost for Part D drugs covered by your plan until you reach the new maximum out-of-pocket drug cost of $2,000.
What is the new name for Humana?
During 2022, the Home Health division of Humana-owned Kindred at Home is transitioning to the CenterWell brand – becoming CenterWell Home Health. Also in 2022, Humana's pharmacy business has adopted the CenterWell name, becoming CenterWell Pharmacy and CenterWell Specialty Pharmacy.
What is going on with Humana Medicare?
Humana is committed to providing our Medicare Advantage members with access to high-quality, effective and affordable care. Humana Medicare Advantage members are being notified that our contract with Trinity Health will end if a new agreement is not reached before it expires effective Jan. 1, 2025.
Why did Humana lose star ratings?
More than one dozen of Humana's plans received lower stars because of the higher cut points, the payer said. Humana also accused the CMS of not giving the insurer a chance to verify regulators' calculations, in a break with historical norms.
Which insurance companies are going out of business?
Why is Humana falling?
And yet HUM share price is down 33% year-to-date. Why is Humana stock dropping? Humana stock has been dropping this year due to higher Medicare Advantage costs that have hurt medical loss ratios as service usage rose.
What is the best Medicare?
- Best Medicare Advantage Company: Aetna Medicare, Blue Cross Blue Shield of Michigan Mutual Ins. Co., Devoted Health, Inc., Highmark Health.
- Best Medicare Part D Company: Centene Corporation, Elevance Health, Inc., Humana Inc., Medica Holding Company.
Is Humana insurance closing down?
Humana will move out of commercial plans over the next 18 to 24 months and focus more on government-funded programs and specialty businesses. Included in the business Humana is leaving are all fully insured, self-funded, and Federal Employees Health Benefits medical plans.
What is the two midnight rule for Humana?
What is the two-midnight rule? The two-midnight rule, enacted in 2013, states that traditional Medicare must pay for an inpatient stay if admitting clinicians anticipate patients will remain in the hospital for at least “two midnights.” Beginning this year, Medicare Advantage insurers must also follow the rule.
Where does Humana rank in HealthCare?
U.S. News ranked Humana No. 1 nationally for its 2024 Medicare Advantage plan offerings in the following categories: 2024 Best Overall Medicare Advantage Plan Company. 2024 Best Company for Member Experience.
Is Humana insurance having problems?
Humana's plummeting stars continue a run of misfortune for the Kentucky-based payer. More so than most of its peers, Humana — the second-largest MA provider in the U.S. — has struggled to contain rising costs in MA and been forced to roll back its plan offerings in a bid to preserve profits.
Why are hospitals dropping Humana Medicare Advantage plans?
Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. In 2023, Becker's began reporting on hospitals and health systems nationwide that dropped some or all of their Medicare Advantage contracts.
How much does Humana cost per month for seniors?
Premiums for Humana's plans start at $0 per month in addition to your Medicare Part B premium. In 2024, the standard part B premium amount is $174.70, but this number can go all the way up to $594 per month for high-earning seniors3.
Is Humana good or bad?
About Humana
Humana has an average rating of 1.9 from 50 reviews. The rating indicates that most customers are generally dissatisfied. The official website is humana.com. Humana is popular for Insurance, Financial Services.
Did UnitedHealthcare buy out Humana?
United HealthCare Corp.'s acquisition of Humana Inc., once valued at $5.5 billion, has been derailed by a plunge in United's stock price. The companies said today that they mutually agreed to scrap the deal, which would have created one of the nation's largest managed-care companies.
Is Humana laying off?
Humana announces 'limited' workforce reductions
In 2023, more than 1,000 employees were laid off and SeniorBridge home care facilities were closed permanently, according to reports at the time.
Is Humana insurance in financial trouble?
Analysts expect Humana's earnings to drop 38% in 2024, to $16.18 per share from $26.09 in 2023, according to FactSet. Analysts had been anticipating a recovery in 2026, with earnings climbing back to $25.77 per share.
What is going on with Humana insurance for seniors?
Humana, the country's second largest Medicare Advantage insurer, is aggressively culling its plan offerings after several quarters of spending more than expected on its members' medical care, and getting hammered on Wall Street for it.
Is Humana cutting their benefits?
Humana and CVS are downsizing their Medicare Advantage plans for 2025. Which insurers could benefit? More seniors than usual could switch plans during next year's open enrollment, depending on how drastically major MA insurers slash benefits in an attempt to improve profits. This audio is auto-generated.