Nov 5 (Reuters) - Humana reported third-quarter
profit that beat Wall Street estimates on Wednesday, helped by
higher premiums and medical costs which were in line with the
health insurer's expectations.
The company is one of the largest providers of Medicare
Advantage plans, under which the U.S. government pays private
insurers a set rate to manage healthcare for people 65 and
older, as well as those with disabilities.
The health insurance industry has been battling
stubbornly high costs for the last two years due to the
increased use of healthcare services across government-backed
plans.
Humana has been making efforts to contain costs by
repricing its plans and adjusting benefits to help boost
profits.
It now expects a decline of about 425,000 members in its
individual Medicare Advantage plans, an improvement from the
loss of up to 500,000 members expected previously. This was
driven by stronger member retention and better-than-expected
sales.
"We view membership growth as positive supported by our
2026 MA pricing and the plan and benefit repositioning we drove
in the prior two years," the company said in prepared remarks
ahead of a call with analysts.
Humana expects most of its new members to be on
higher-rated plans for 2026.
Its quarterly medical cost ratio - the percentage of
premiums spent on medical care - came in at 91.1%. Humana said
the medical cost ratio was in line with its expectations of
"just above 91%". Analysts had expected a ratio of 90.90%,
according to data compiled by LSEG.
It also reaffirmed its annual adjusted profit forecast
of about $17 per share.
The company posted adjusted quarterly profit of $3.24 per
share, surpassing estimates of $2.82 per share.