Humana, With Strong Run In Medicare, May Diversify
04 8월 2009 - 3:19AM
Dow Jones News
Medicare has been good for health insurer Humana Inc. (HUM),
which now thinks it may have too much of a good thing.
Chief Executive Michael McCallister told analysts Monday the
company, which derives a majority of its business from Medicare
Advantage health plans, would like to diversify.
"We understand the implications of having so much business with
our federal government," McCallister told Dow Jones Newswires
later. "Politics do matter and it has implications to our
business."
Humana, based in Louisville, Ky., has more than doubled its size
the last few years as it focused on selling Medicare Advantage and
Medicare prescription-drug plans. In reporting a 34% increase in
second-quarter earnings, the company said strength in its Medicare
business offset weaknesses in its smaller commercial segment.
The company did a good job taking advantage of the new Medicare
market in recent years, "but in doing so we did expose ourselves to
the vagaries of Washington more than we once did," McCallister
said.
Of the $30 billion to $32 billion in revenue Humana expects to
generate this year, the company forecasts at least $16 billion from
Medicare Advantage plans, $2.4 billion from stand-alone Medicare
drug plans and $7.5 billion from its commercial segment. The
company also expects at least $3.5 billion from its military
services business this year. (Humana is protesting a recent
Department of Defense decision to award its Tricare military
contract to a competitor.)
With a Democrat-controlled Congress and a Democratic president
taking aim at federal payments to private insurers offering
Medicare Advantage plans, Humana more than its major managed-care
peers, is exposed to likely rate cuts.
Humana has been working in small ways on diversifying, buying
various non-Medicare business, and a bigger move "is something we
have to think about," McCallister said. The decisions "will be
driven to a large extent by what does happen in Washington."
Turning to Washington policy makers' efforts to overhaul health
coverage, McCallister called Democrats' proposals for a government
health-plan option "the third rail" that would bring more
government intervention and control of the health sector. As others
in the industry have done, McCallister said a government option is
unnecessary under industry-supported proposals for mandated,
guaranteed coverage and would cause many to lose their private
insurance.
-By Dinah Wisenberg Brin, Dow Jones Newswires
215-656-8285; dinah.brin@dowjones.com