Humana

Humana

Medicare Advantage health insurer for seniors

Overview

Humana focuses on health and well-being by offering Medicare Advantage plans (HMO, PPO, and PFFS) mainly for seniors, military personnel, and communities. Its products are health insurance plans funded through a mix of government contracts and member premiums, enrolling members to provide comprehensive coverage with flexible benefits and a broad provider network. Members receive care through a network of providers, with additional services such as free language interpretation to improve accessibility. Humana differentiates itself through its emphasis on inclusivity, accessibility, and tailored benefits, aiming to deliver reliable service and high renewal rates. The goal is to improve health outcomes and overall well-being for members by delivering coverage that meets diverse needs and making care accessible to all.

Significant Headcount Growth

About Humana

Simplify's Rating
Why Humana is rated
B
Rated A on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Financial Services

Healthcare

Company Size

10,001+

Company Stage

IPO

Headquarters

Louisville, Kentucky

Founded

1961

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Simplify's Take

What believers are saying

  • Illinois awarded Humana a statewide Medicaid contract starting January 2027, adding new state scale.
  • Humana will display TrumpRx prices from 2027, strengthening prescription-shopping visibility inside its tools.
  • The company is exiting low-return MA plans to target a sustainable 3% pretax margin by 2028.

What critics are saying

  • Humana cut 2026 GAAP EPS to $6.52 after Medicare Star Ratings slashed CMS bonuses.
  • 2027 plan exits hit 600,000 MA members; member churn can damage revenue and scale.
  • If Stars stay weak through 2028, Humana loses pricing power and MA margin recovery fails.

What makes Humana unique

  • Humana dominates Medicare Advantage with 6.45 million members and deep senior relationships.
  • CenterWell pharmacy and primary care integrate benefits, clinics, and medication fulfillment under one roof.
  • NewRx Insights embeds payer recommendations into clinician workflows, cutting 70,000 faxes across 270 EHRs.

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Funding

Total Funding

$9.4B

Above

Industry Average

Funded Over

5 Rounds

Post IPO Debt funding comparison data is currently unavailable. We're working to provide this information soon!
Post IPO Debt Funding Comparison
Coming Soon

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Unlimited Paid Time Off

Paid Vacation

Paid Parental Leave

Short-term Disability

Long-term Disability

401(k) Retirement Plan

401(k) Company Match

Wellness Program

Stock Price

Growth & Insights and Company News

Headcount

6 month growth

6%

1 year growth

6%

2 year growth

6%
Fox Business
Aug 13th, 2026
Nine major PBMs to display TrumpRx prescription drug prices from 2027

Nine pharmacy benefit managers will integrate TrumpRx prescription drug pricing into their benefit tools, effective 1 January 2027. The Pharmaceutical Care Management Association and participating PBMs—including CVS Health, Express Scripts, Humana, and OptumRx—will display cash prices from TrumpRx alongside plan coverage costs. The agreement covers commercial, Medicare, and Medicaid plans. Patients will see TrumpRx prices for all listed drugs, whether through presidential deals or standard pricing. CMS Administrator Dr Mehmet Oz said the commitment will help patients compare prices and find better deals. PCMA CEO David Marin stated the transparency will allow consumers to make better-informed choices about prescription drug costs. Some PBMs will use Real Time Benefit Tools to display pricing comparisons, whilst others may employ different methods.

Yahoo Finance
Aug 1st, 2026
Humana to exit Medicare Advantage plans affecting 600,000 members in 2027 margin push

Humana announced plans to exit additional Medicare Advantage plans in 2027, affecting approximately 600,000 members. The US insurer is targeting lower-return plans as part of its strategy to achieve a sustainable 3% pre-tax margin by 2028. Chief financial officer Celeste Mellet said the company expects to retain just over 40% of affected members through other offerings, similar to its 2025 experience. Humana is prioritising higher-performing plans with stronger value-based care penetration. The announcement followed Humana's second-quarter earnings report, which showed adjusted earnings of $7.61 per share on revenue of $40.89 billion. Individual Medicare Advantage membership increased 23% year-over-year to 6.45 million.

Investor's Business Daily
Jul 29th, 2026
GEHC surges 11.7% on Q2 earnings, Humana drops 6.6% despite profit beat

GE HealthCare Technologies topped the S&P 500 on Wednesday morning whilst Humana lagged after both reported better-than-expected second-quarter earnings. GEHC shares jumped 11.7% to $71.60, breaking above their recent trading range. Earnings rose 6.6% to $1.13 per share, beating forecasts by 9 cents. Revenue climbed 5.9% to $5.295 billion, slightly exceeding estimates. The company maintained its full-year earnings guidance of $4.80 to $5 per share. Humana shares fell 6.6% to $363.18 despite posting earnings of $7.61 per share, up 21% year-on-year and 35 cents above expectations. Revenue increased 26% to $40.867 billion. However, the company maintained its prior full-year outlook and expects adjusted earnings per share of minus $1.00 in the third quarter. The contrasting market reactions reflected ongoing sector dynamics, with managed-care stocks generally outperforming medical equipment stocks this year.

Yahoo Finance
Jul 29th, 2026
Humana cuts 2026 profit outlook to $6.52 per share after Medicare star ratings decline

Humana cut its 2026 earnings outlook on Wednesday after lower Medicare Advantage Star Ratings reduced quality bonuses from the federal government. The health insurer revised its full-year GAAP earnings target to a minimum of $6.52 per share, down from at least $8.36 per share previously. The company's second-quarter profit reached $694 million, or $5.73 per share, versus $545 million a year earlier. Total revenue rose 26% to $40.87 billion. A significant decline in plans rated four stars or higher has weighed on 2026 bonus payments. Medicare Advantage Star Ratings, which run from one to five, are tied to bonus payments from the Centers for Medicare and Medicaid Services. Humana stock fell about 9% in premarket trading Wednesday.

Associated Press
Jul 29th, 2026
Humana appoints Anthropic CCO Paul Smith and ex-Aflac COO Frederick Crawford to board

Humana has appointed Paul Smith and Frederick Crawford to its board of directors, effective immediately. The additions bring the board to 13 members. Smith serves as Chief Commercial Officer at Anthropic, where he leads commercial strategy and global operations. He brings over 30 years of experience in technology, having previously held senior roles at ServiceNow, Salesforce, and Microsoft. Crawford has more than 30 years of experience in insurance and banking. He most recently served as President and Chief Operating Officer at Aflac until his retirement in 2024. He previously held CFO positions at CNO Financial Group and Lincoln Financial Group, and currently sits on Webster Financial Corporation's board. Chairman Kurt Hilzinger said the executives' expertise in technology adoption and financial management will support Humana's vision to become a consumer healthcare company.

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