regulatory
confidence high
sentiment negative
materiality 0.90
Humana's 2025 Medicare Advantage Star Ratings drop sharply, impacting 2026 bonus payments
HUMANA INC
- Only 25% of Humana's MA members are in plans rated 4 stars+ for 2025, down from 94% in 2024.
- Contract H5216, covering ~45% of MA membership, fell to 3.5 stars from 4.5 in 2024.
- Humana is appealing potential CMS calculation errors and expects no impact on 2024-2025 financial results.
- The company faces increased risk in achieving its individual MA margin target of at least 3% by 2027.