2023 Annual Report
Annual Report
1
Dollars in millions, except per common share results
Generally Accepted Accounting Principles (GAAP)
OPERATING RESULTS
Revenues
Net income attributable to Humana
Diluted earnings per common share
2023 |
2022 |
2021 |
2020 |
2019 |
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FINANCIAL POSITION Total assets
Total liabilities
Total stockholders' equity
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Cash flows from operations |
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MEMBERSHIP (IN THOUSANDS) |
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Consolidated medical membership |
16,857.8 |
Consolidated specialty membership |
4,868.3 |
17,079.2 |
17,067.0 |
16,831.6 |
16,667.2 |
5,194.8 |
5,294.3 |
5,310.3 |
5,425.9 |
1
Dear fellow stockholders,
was a dynamic and challenging year as the Medicare Advantage (MA) industry faced a significant
and unanticipated increase in medical cost trends throughout the
year. We worked hard to offset the higher than anticipated medical costs through areas such as administrative cost containment and productivity initiatives, as well as other business outperformance. We take our commitments seriously and are disappointed we were unable to fully offset the further increase in cost trends experienced in the fourth quarter, despite our best efforts to identify mitigation opportunities throughout the year,
resulting in lower than anticipated earnings growth for 2023.
While not minimizing the significance of those challenges, we are proud of the strong growth we achieved in our individual MA, Medicaid and CenterWell™ businesses and the progress made across the enterprise to advance our industry-leading MA and senior-focusedvalue-based care platforms, supported by the unwavering commitment of our over 67,000 teammates.
2
We are proud of the strong growth we achieved in our individual MA, Medicaid and CenterWell businesses.
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Chief Executive Officer |
Chairman of |
and Board Member |
the Board |
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Business update
Our shift over the years from a health insurance company to a healthcare services organization symbolizes more than a strategic evolution;
it represents our dedication and commitment to caring for the needs of our customers and patients, our employees, our communities and our environment.
For our customers and patients, it is our responsibility to ensure they receive the high-quality, comprehensive care they deserve.
Medicare Advantage
In our individual MA business, we were pleased to grow membership by over 840,000 in 2023, representing an impressive 19% growth rate, significantly outpacing the industry. We're proud that our dedication to putting our members' health first was recognized again this year in our
In addition, for the third year in a row, Humana has been ranked No. 1 among health insurers for customer experience quality in
ranked No. 1 in customer satisfaction among MA plans in
roll based on CMS's newly released Star Ratings for MA plans. Additionally, Humana ranked as the best company for member experience and was declared the best company for low-premium plan availability. Collectively, these ratings demonstrate our continued commitment to customer satisfaction and quality of care.
While the elevated MA medical costs impacting the industry significantly influenced our financial results for 2023 and outlook for 2024, we continue to believe the strong fundamentals of MA remain intact and the strength and scale of our platform and differentiated capabilities will allow us to effectively manage through the near-term uncertainty, compete effectively and deliver compelling shareholder returns over the long term.
We believe the value proposition of MA will remain compelling
4
Today, more than half of all Medicare-eligible seniors and those with disabilities rely on MA-more than 32 million Americans.1 These beneficiaries choose MA because it delivers the accountable, high-quality,consumer-centric healthcare they depend on. In a time when MA is facing near-term challenges, we believe it is important to reinforce our belief that MA has strong industry fundamentals and secular growth prospects due to an aging population and a value proposition that will continue to be superior to fee-for-service Medicare.
The average MA enrollee is more likely, as compared to those with fee-for-service Medicare, to live on less than
Medicare-eligible Americans by 2030, with MA
penetration rates greater than 60%.6,4
In addition, the MA program has embedded adjusting mechanisms-including CMS benchmarks, risk adjustment and the ability to re-price each year-which enable Humana and others in the industry to adequately address unanticipated increases in medical costs within a relatively short period of time. Importantly, while moderate benefit adjustments will cause disruption for members in the near term, which the industry in its partnership with CMS must manage, we believe the value proposition of MA will remain compelling. As a result, we continue to expect the industry to experience high single-digit growth in the mid-term, including 2024.
94%
of our MA members in plans rated 4 stars or higher
25% → 54%
Seniors choosing MA have doubled since 2010
5
Medicaid
In our Medicaid business, Humana continues to demonstrate the ability to deliver unique value to communities by building on a strong operating model that integrates physical and behavioral health and develops meaningful partnerships and innovations to address health inequities and social determinants of health. After successfully implementing the
We expect to bring our total Medicaid footprint to nine states and approximately 1.5 million members by year-end 2024
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Access to care is a priority for
all state Medicaid agencies, and as an example of our success, our
We're significantly reducing hospital admissions and readmissions by increasing and enhancing preventive care. In 2023, our Florida Medicaid plan reduced preventable admissions by 22% and reduced readmissions by 11%. States want to see Medicaid managed care organizations empower elderly and disabled members to age in community settings; our Medicaid plans have successfully transitioned more than 5,000 members out of nursing homes since 2019. We see a path to continue a strong Medicaid growth trajectory through a continued focus on connecting
Humana's differentiating enterprise capabilities to state agency priorities and maintaining operational excellence as we continue to
manage significant growth.
Our Florida Medicaid plan
↓ 22%
reduced preventable hospital admissions
↓ 11%
reduced hospital readmissions
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CenterWell healthcare services
We've designed our CenterWell healthcare services so they are integrated and accessible where, when, and how our customers need them. Through our CenterWell offerings of primary care, home health, and pharmacy, our members and patients experience better health outcomes and greater satisfaction and are more likely to continue their health journey with us.
Primary care
Our primary care business is designed to address the unique needs of seniors, providing access to care in historically underserved areas by improving access to primary care. Focused on delivering quality care and patient experiences, our clinics emphasize prevention and lifestyle changes to improve the overall health of our patients. We continue to push for improvement in our operations and our ability to positively impact patient outcomes. Our primary care platform experienced significant growth in 2023, now operating 296 centers serving over 294,000 patients, representing year-over-year growth of 26% and 19%, respectively. In addition,
we increased the number of wholly owned centers that are contribution margin positive from 110 at the end of 2022 to 150 at year-end 2023, representing a 36% increase year over year.
Operating 296 centers serving over 294,000 patients
We also increased the number of centers that have reached our
rating in 2023 for our patients.
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