FILE - In a Feb. 9, 2006 file photo a sign for Aetna insurance is seen in Hartford, Conn. The Hartford, Conn., company said Monday Aug. 20, 2012 that it would buy Coventry Health Care for $5.7 billion. (AP Photo/Douglas Healey, file)
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FILE - In a Feb. 9, 2006 file photo a sign for Aetna insurance is seen in Hartford, Conn. The Hartford, Conn., company said Monday Aug. 20, 2012 that it would buy Coventry Health Care for $5.7 billion. (AP Photo/Douglas Healey, file)
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This undated image provided by WellPoint shows the Health insurer's new CEO Joseph Swedish. Swedish, a veteran hospital executive who has never run a public company, was named the insurance company's next CEO on Tuesday, Feb. 12, 2013. He will take the position on March 25. (AP Photo/WellPoint)
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In this Jan. 8, 2013 photo, business developer Robert Schultz poses for a photo outside his home office in Newton, Mass. Buying your own health insurance will never be the same. This fall, new insurance markets called exchanges will open in each state, the long-awaited and much-debated debut of President Barack Obama's health care overhaul. Schultz is a Boston-area startup business consultant who got his MBA in 2008, when the economy was tanking. Yet he was able to find coverage when he graduated and hang on to his insurance through job changes since. (AP Photo/Charles Krupa)
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In this Jan. 8, 2013 photo, business developer Robert Schultz poses for a photo just outside his home office in Newton, Mass. Buying your own health insurance will never be the same. This fall, new insurance markets called exchanges will open in each state, the long-awaited and much-debated debut of President Barack Obama's health care overhaul. Schultz is a Boston-area startup business consultant who got his MBA in 2008, when the economy was tanking. Yet he was able to find coverage when he graduated and hang on to his insurance through job changes since. (AP Photo/Charles Krupa)
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In this Tuesday, Oct. 16, 2012, photo, part of the UnitedHealth Group, Inc. campus is shown, in Minnetonka, Minn. UnitedHealth Group Inc.’s fourth-quarter net income slipped 1 percent, as growing medical costs countered revenue gains for the nation’s largest health insurer. The Minnetonka, Minn., company said Thursday, Jan. 16, 2012 it earned $1.24 billion, or $1.20 per share, in the three months that ended Dec. 31. That compares with $1.26 billion, or $1.17 per share, in the last quarter of 2011.(AP Photo/Jim Mone)
Humana falls on analyst downgrade
Shares of
Humana Inc. slipped Friday after an analyst lowered his rating on the company, as health insurers wait for the final word on possible steep
Medicare Advantage rate cuts next year.
THE SPARK: Shares of several insurers also slipped last month after the Centers for Medicare and Medicaid Services said it expects costs per person for Medicare Advantage plans to fall more than 2 percent in 2014. The government uses this figure as a benchmark to determine payments for the plans, which are administered by insurers.
Analysts and some insurers had expected that benchmark rate to be flat or nearly so. They said the decrease may translate into a rate drop of 7 percent or more in 2014, considering that the plans also will face other pressures. That includes a premium tax that will help fund the health care overhaul, which will expand next year to help millions of people get insurance coverage.
Many expect government to soften any potential rate cuts before final figures are announced on April 1.
THE BIG PICTURE: Medicare Advantage plans are privately run versions of the federally funded Medicare program for the elderly and disabled people, and the coverage represents a fast-growing market segment for insurers. These plans come with extra benefits like dental or vision coverage or premiums lower than standard Medicare rates.
Insurers offer hundreds of Medicare Advantage plans around the country, all with their own sets of variables like different deductibles, premiums and co-insurance. More than 13 million people were enrolled in Medicare Advantage plans last year, or about 27 percent of the Medicare population, according to the Kaiser Family Foundation.
Humana and UnitedHealth Group Inc. are the two largest Medicare Advantage providers.
THE ANALYSIS: Susquehanna analyst Chris Rigg lowered his rating on the shares to "Neutral" from "Positive."
He said in a Friday research note he remains bullish on the stock and Medicare Advantage plans in the long term, but Humana shares could fall or rise significantly depending on the final rates, which he expects to be slightly better than what was proposed in February.
"We are moving to the sidelines and we are reducing our price target to $74 (from $85) given this potential volatility," he said.
Rigg also noted that Humana's Medicare Advantage membership is skewed toward preferred provider organization plans, which can yield thinner profit margins than health maintenance organizations. They could wind up more at risk to cuts from CMS. That means Humana may have to dramatically raise premiums, cut benefits or leave markets that are no longer profitable if the cuts wind up being severe.
SHARE ACTION: Down 2.2 percent, or $1.48, to $66.88 Friday afternoon, while broader trading indexes climbed slightly. Humana shares have fallen about 14 percent since the CMS announcement last month.
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