Latest news with #CardinalCare
Yahoo
2 days ago
- Business
- Yahoo
Humana Expands Medicaid Footprint with New Virginia Plan
Humana Inc. (NYSE:HUM) is one of the most undervalued large cap stocks to buy according to analysts. On July 2, Humana expanded its Medicaid offerings by introducing Humana Healthy Horizons in Virginia, which is a new Medicaid plan available to Virginians under the state's Cardinal Care program. The initiative shows Humana's focus on growing its presence in the Medicaid sector. Humana Healthy Horizons is now one of five plan administrators selected by Cardinal Care as part of a statewide Medicaid managed care procurement. As part of its commitment to the community, Humana plans to invest an additional $2 million over the next 5 years into the Virginia Health Care Foundation/VHCF. This follows an initial $500,000 investment for expanding Virginia's behavioral health workforce. A closeup of an elderly patient happily receiving a specialty healthcare product. Humana Healthy Horizons manages Medicaid benefits for ~1.5 million members nationally and emphasizes a whole-person approach to healthcare. The approach integrates physical health, behavioral health, pharmacy, long-term care, and social services to improve the health and well-being of its members and the communities it serves. Humana Inc. (NYSE:HUM) provides medical and specialty insurance products in the US. While we acknowledge the potential of HUM as an investment, we believe certain AI stocks offer greater upside potential and carry less downside risk. If you're looking for an extremely undervalued AI stock that also stands to benefit significantly from Trump-era tariffs and the onshoring trend, see our free report on the . READ NEXT: and . Disclosure: None. This article is originally published at Insider Monkey.
Yahoo
6 days ago
- Business
- Yahoo
Humana Expands Medicaid Footprint With Virginia's Cardinal Care Win
Virginia's Medicaid program, Cardinal Care, has chosen Humana Inc. HUM as one of five insurers to administer services through its new Humana Healthy Horizons plan. All Virginia Cardinal Care members are now eligible to choose this as a new Medicaid plan option. Cardinal Care offers health coverage to low-income individuals, children, seniors, people with disabilities and pregnant women. Rather than paying healthcare providers directly, the program partners with private insurance companies known as Managed Care Organizations, which manage medical services, prescriptions and overall care coordination for members. Humana Healthy Horizons is poised to deliver comprehensive care to individuals and families across the state, focusing not only on physical and mental health but also on the social factors that often hinder better overall well-being. With existing service to Medicare Advantage and TRICARE members in the state, the expansion into Cardinal Care allows Humana to extend its human-centred approach to Medicaid recipients, aiming to offer innovative solutions, address complex needs, and improve both health outcomes and quality of life. This move opens a valuable opportunity for Humana's growth. By managing care for enrolled members, the company can increase memberships and receive regular payments from the state, offering a steady and scalable source of revenue. Through Humana Healthy Horizons, the company already serves 1.5 million Medicaid members in the country. Expanding into Virginia's Medicaid broadens Humana's reach beyond Medicare and TRICARE. In the year-to-date period, Humana's shares have lost 3.9% compared with a 24% decline across the broader industry. Due to rising healthcare costs, increased service utilization, and operational inefficiencies, Humana continues to face pressure on its profitability and long-term margins. Image Source: Zacks Investment Research HUM currently has a Zacks Rank #3 (Hold). Some better-ranked stocks in the medical space areCentene Corporation CNC,Cigna Group CI and Molina Healthcare Inc. MOH,each carrying a Zacks Rank #2(Buy) at present. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here. The Zacks Consensus Estimate for Centene's current-year earnings is pegged at $7.28 per share, implying 1.5% year-over-year growth. CNC's earnings surpassed estimates in each of the last three of four quarters, the average surprise being 25.5%. The consensus estimate for Centene's current-year revenues is pegged at $179.5 billion, implying 10.1% year-over-year growth. The Zacks Consensus Estimate for Cigna's current-year earnings is pegged at $29.68 per share, implying 8.6% year-over-year growth. Cigna's earnings surpassed estimates in three of the last four quarters. It has witnessed eight upward revisions in the last 60 days against no movement in the opposite direction. The consensus estimate for Cigna's current-year revenues is pegged at $258.2 billion, implying 4.5% year-over-year growth. The Zacks Consensus Estimate for Molina's current-year earnings is pegged at $28.44 per share, implying 7.9% year-over-year growth. MOH's earnings surpassed estimates in three of the last four quarters. The estimate remained stable in the last 60 days. The consensus estimate for Molina's current-year revenues is pegged at $44.1 billion, implying 8.4% year-over-year growth. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report This article originally published on Zacks Investment Research ( Zacks Investment Research Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Business Wire
02-07-2025
- Health
- Business Wire
Humana Launches Medicaid Plan in Virginia
LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Healthy Horizons is now a Medicaid plan option for Virginians covered by Virginia Cardinal Care. 'We will deliver comprehensive health care services to Virginia's most vulnerable residents, addressing not only physical and mental health needs, but also the health-related social needs that often prevent individuals from achieving their best health.' 'At Humana, we put our members' health first, and we are committed to improving the holistic well-being of the communities we serve. We have the privilege of serving Medicare Advantage and TRICARE members throughout Virginia, and we are honored to expand our human-centered care to Virginians covered by Cardinal Care,' said Humana Healthy Horizons President John Barger. 'By providing Medicaid coverage under Cardinal Care, we have the opportunity to deliver innovative solutions to meet complex needs, improve health outcomes and enhance quality of life.' Humana is one of five plan administrators Cardinal Care selected as part of a statewide Medicaid managed care procurement issued last year. All individuals currently covered by Virginia Cardinal Care are eligible to enroll in the newly launched Humana Healthy Horizons plan. 'We at Humana are privileged to serve the whole-person health needs of Medicaid enrollees across Virginia,' said Linda Hines, President of Humana Healthy Horizons in Virginia. 'We will deliver comprehensive health care services to Virginia's most vulnerable residents, addressing not only physical and mental health needs, but also the health-related social needs that often prevent individuals from achieving their best health.' Humana is proud to be a community partner in Virginia to address urgent and long-term health needs. Over the next five years, Humana will commit an additional $2 million to the Virginia Health Care Foundation (VHCF), following an initial $500,000 investment to expand and support the Commonwealth's behavioral health workforce. To learn more about how Humana is ensuring comprehensive care and resources for our Medicaid enrollees, please read our Impact Report. About Humana Healthy Horizons Humana manages Medicaid benefits for nearly 1.5 million members nationally under the Humana Healthy Horizons TM brand, which reflects our expertise in managing complex populations, our commitment to creating solutions that lead to a better quality of life for our members, and our efforts to deliver human care that makes the healthcare experience easier, more personalized and more caring. During more than two decades of serving people with Medicaid, Humana and Humana Healthy Horizons have developed a wide range of capabilities to serve children, parents, childless adults, and beneficiaries that are aged, blind or disabled. We integrate physical health, behavioral health, pharmacy, long-term care, and social services for a whole-person approach to improve the health and well-being of our members and the communities we serve. Humana Healthy Horizons is a Medicaid Product offered by affiliates of Humana Inc. About Humana Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we strive to make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Learn more about what we offer at and
Yahoo
20-05-2025
- Health
- Yahoo
Here's how proposed federal cuts to Medicaid could impact Virginians
The massive tax cut and immigration bill narrowly advanced by House Republicans this week would have sweeping impacts to Medicaid users, including Virginians. The nonpartisan Congressional Budget Office estimates at least 8.6 million people could become newly uninsured by 2034 as a result of Medicaid spending cuts proposed under President Donald Trump's 'big beautiful bill.' In Virginia, experts say most people would likely lose Medicaid access by failing to comply with new administrative regulations on enrolling in and maintaining coverage. Virginia Medicaid, called Cardinal Care, and Children's Health Insurance Program, or CHIP, together cover nearly 1 in 4 Virginians. Here are some of the potential impacts the bill could have for Virginians. ___ One of the measures in the House proposal is to implement a work requirement on people who qualify for Medicaid through expansion — that's adults under age 65 who make about $21,000 or less annually. 'According to the Congressional Budget Office, many more people will lose coverage under this work requirement as structured because they will be unable to provide the documentation or meet the reporting requirements to show (that) they are working the requisite hours or that they do qualify for an exemption,' said Jennifer Tolbert, director of state health policy at KFF, a health policy research nonprofit. Tolbert said most adults — 64% — who receive Medicaid but do not receive a disability income are already working full time. An additional 28% of that population are not working because they care for a dependent child or family member, are in school, or have an illness or disability that prevents them from working. But proving that those people meet the work requirements or have a qualifying exemption could be burdensome, Tolbert said. Medicaid covers nearly 1 in 4 Virginians. Here's what could happen if federal funding goes away. 'I'll be stuck': Virginians contemplate life without Medicaid as Congress considers cuts Trump's big bill teeters as House conservatives demand more changes The bill also includes a provision that would increase the frequency of eligibility determinations from once a year to every six months. 'There are some provisions targeted directly at making it more difficult to enroll and stay enrolled in the program,' said Emily Hardy, an elder law attorney at the Virginia Poverty Law Center. 'For Medicaid expansion specifically, doubling up the number of times you have to get evaluated every year and adding work requirements essentially just push people off the program.' ___ Virginia has a trigger law that would end Medicaid expansion in the state if the federal contribution to the program dips below 90%. Thus far, nothing in the federal proposal appears to reduce federal contributions in a way that would trigger it. But some say one provision of the bill has raised questions. That provision says the federal government would reduce its share of Medicaid expansion coverage to states that provide health coverage to people living in the United States unlawfully. Unlike other states, Virginia doesn't have a specific state program that provides that coverage, but does provide emergency care to undocumented immigrants as required by federal law. 'The language (in the bill) is so vague that it's hard for me to say 'there's no way this would impact us' given everything else happening,' Hardy said. 'It would depend how they interpret that and what the final language looks like.' ___ The proposal also freezes the rate of provider taxes, one of the primary mechanisms by which states finance their share of Medicaid costs. 'States can pay for the state share of the Medicaid spending through state general funds, but they are also permitted to raise those funds through taxes on providers as well as arrangements with local governments,' Tolbert said. 'When it comes to provider taxes, the legislation freezes existing provider taxes, so (it) essentially prohibits states from establishing any new provider taxes or from increasing rate of existing taxes.' ___ The proposed legislation also excludes Planned Parenthood from participating in Medicaid. Jamie Lockhart, executive director of Planned Parenthood Advocates of Virginia estimated about 25,000 people statewide are served by Planned Parenthood health centers. Nationally, more than half of Planned Parenthood patients are enrolled in Medicaid. 'In Virginia, Medicaid provides coverage of birth control, STI testing and treatment, annual wellness exams, and preventative screenings, as well as life-saving cancer screenings and other essential care,' Lockhart said. 'Defunding Planned Parenthood really means blocking people that rely on Medicaid from accessing critical preventative services.' A letter signed by 562 state legislators, including Democratic Hampton Roads representatives Dels. Michael Feggans and Jackie Hope Glass, and Sen. Mamie Locke, urged Congress to oppose those efforts. 'The majority of Planned Parenthood patients rely on Medicaid and other federal and state programs to access care, and 64% of Planned Parenthood health centers are located in rural or medically underserved communities,' the letter reads. 'Without Planned Parenthood, many patients would have nowhere to turn for care.' The legislation also prohibits Medicaid from covering costs related to gender-affirming care. ___ Some Republicans say they want to see the spending bill go further in terms of cuts to spending. Rep. Ben Cline, a Virginia Republican, praised the bill during a House Budget Committee hearing last week. 'This bill reins in mandatory spending,' he said. 'This bill includes provisions that will prevent blue states from laundering your tax dollars to subsidize the health care of able-bodied adults and those who are here illegally.' U.S. Rep. Bobby Scott, a Virginia Democrat, also spoke at the committee meeting. 'After weeks of statements from Republican members that the budget they voted for twice does not cut Medicaid, this bill will rip away health care from millions of Americans who use Medicaid and makes health care expensive for everyone,' he said. The budget committee voted to advance the bill Sunday after some congressmembers changed their votes from 'no' to 'present.' House Speaker Mike Johnson said he would like the whole House to consider the bill before Memorial Day. Kate Seltzer, 757-713-7881,
