Datapoint: Humana to Exit Some MA Markets

During an April 24 call to discuss first-quarter earnings, Humana executives revealed the company expects to exit some of its Medicare Advantage markets for the 2025 plan year. “We are anticipating net membership declines in 2025, largely because we do plan to exit certain plans and counties,” Chief Financial Officer Susan Diamond said. “Whether that is incrementally larger or smaller based on the other plans will be very dependent on what we see across the competitive landscape.” Humana is revisiting its 2025 earnings guidance following the release of CMS’s 2025 final rate notice, which cut benchmark payments and continues the phase-in of risk adjustment and coding changes. Diamond said the company expects to know which markets will be affected in June. Humana is currently the second-largest MA insurer in the U.S., serving 6.02 million members. Its largest markets are in Florida, Texas and North Carolina.

Source: AIS’s Directory of Health Plans

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AIS Health Staff

AIS Health Staff

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