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Humana Tops Q1 but Trims Reported EPS Guidance as Cost Pressures Persist

Shares fell after Wednesday’s report signaled near-term margin strain from high care costs.

Overview

  • Humana, which reported results Wednesday, posted first-quarter revenue of $39.6 billion and net income near $1.2 billion.
  • The insurer’s benefit ratio was 89.4%, slightly better than its target of just under 90%, though it expects the ratio to tick slightly above 91% in the second quarter; this ratio shows how much premium money goes to paying members’ medical bills.
  • Management reaffirmed adjusted earnings of at least $9 a share for 2026 but cut reported earnings guidance to at least $8.36 as transformation charges and lower Medicare Star Ratings weigh on results.
  • Medicare Advantage membership rose to 7.1 million, and the company said it will adjust plan benefits to protect margins, signaling a shift to prioritize profit stability over aggressive growth where needed.
  • Humana shares fell as much as 7% after the release, with investors focusing on the unchanged outlook and ongoing cost pressures even as 2027 Medicare Advantage payments are set to rise an average 2.48%.