non-Medicare Advantage business; or other changes in the governmental
programs in which Humana participates. Changes to the risk-adjustment
model utilized by CMS to adjust premiums paid to Medicare Advantage plans
or retrospective recovery by CMS of previously paid premiums as a result
of the final rule related to the risk adjustment data validation audit
methodology published by CMS on January 30, 2023 (Final RADV Rule), which
Humana believes fails to address adequately the statutory requirement of
actuarial equivalence and violates the Administrative Procedure Act due
to its failure to include a "Fee for Service Adjuster" could have a
material adverse effect on the company's operating results, financial
position and cash flows.
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Humana's business activities are subject to substantial government
regulation. New laws or regulations, or legislative, judicial, or
regulatory changes in existing laws or regulations or their manner of
application could increase the company's cost of doing business and have
a material adverse effect on Humana's results of operations (including
restricting revenue, enrollment and premium growth in certain products
and market segments, restricting the company's ability to expand into new
markets, increasing the company's medical and operating costs by, among
other things, requiring a minimum benefit ratio on insured products,
lowering the company's Medicare payment rates and increasing the
company's expenses associated with a non-deductible health insurance
industry fee and other assessments); the company's financial position
(including the company's ability to maintain the value of its goodwill);
and the company's cash flows.
--
Humana's failure to manage acquisitions, divestitures and other
significant transactions successfully may have a material adverse effect
on the company's results of operations, financial position, and cash
flows.
--
If Humana fails to develop and maintain satisfactory relationships with
the providers of care to its members, the company's business may be
adversely affected.
--
Humana faces significant competition in attracting and retaining
talented employees. Further, managing succession for, and retention of,
key executives is critical to the Company's success, and its failure to
do so could adversely affect the Company's businesses, operating results
and/or future performance.
--
Humana's pharmacy business is highly competitive and subjects it to
regulations and supply chain risks in addition to those the company faces
with its core health benefits businesses.
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Changes in the prescription drug industry pricing benchmarks may
adversely affect Humana's financial performance.
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Humana's ability to obtain funds from certain of its licensed
subsidiaries is restricted by state insurance regulations.
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Downgrades in Humana's debt ratings, should they occur, may adversely
affect its business, results of operations, and financial condition.
--
Volatility or disruption in the securities and credit markets may
significantly and adversely affect the value of our investment portfolio
and the investment income that we derive from this portfolio.
In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that the company is unable to predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements.
Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:
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Form 10-K for the year ended December 31, 2023;
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Form 10-Qs for the quarters ended March 31, 2024, June 30, 2024, and
September 30, 2024; and
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Form 8-Ks filed during 2024 and 2025.
About Humana
Humana Inc. is committed to putting health first -- for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we make it easier for the millions of people we serve to achieve their best health -- delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
View source version on businesswire.com: https://www.businesswire.com/news/home/20250211538257/en/
CONTACT: Lisa Stoner
Humana Investor Relations
(502) 580-2652
e-mail: LStamper@humana.com
Mark Taylor
Humana Corporate Communications
(317) 753-0345
e-mail: MTaylor108@humana.com
(END) Dow Jones Newswires
February 11, 2025 06:30 ET (11:30 GMT)