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“we anticipate only modest plan withdrawals in 2014. Approximately 78,000 or 4% of our individual Medicare Advantage members will not be offered their current Humana plan in 2014.”
“we continue to anticipate growth in individual Medicare Advantage membership in 2014. That said, the funding pressures from CMS are still quite onerous, Facing these ongoing challenges makes continued investment and execution discipline, particularly for our integrated delivery model, all the more critical moving forward.”
“Revenues for dual-eligible and Medicaid awards, thus far, could potentially add revenues in the mid-single digit billion dollar range over the next few years. Though the mix of lower-margin dual-eligible business with the higher-margin Medicare business will result in a decline for the retail segment margins over time, we anticipate the segment pretax results to expand nicely.”
“Turning now to health care exchanges. Our focus for the coming year includes 14 states with our existing HumanaOne footprint. We expect the exchange products to include primarily HMO offerings, with select market presence with each of the 14 states, ensuring we are offering a competitive and cost-effective value. The preparation process is tremendous, with short timelines for implementation. Nevertheless, our operational teams have risen to the challenge. Tactical plans for sales, enrollment and retention are well into the implementation phase.”
“our desire over the long haul is to get as many members and providers participating with us in HMO plans because they offer the best opportunity for us to provide economic value to the people that we serve.”
“around the dual-eligible population. And the margins are less, but the actual dollar per case is much greater as a result of the conditions that, that population brings to needing services. And so, the way we look at it, the absolute dollars that comes to the bottom line are much greater. And so, we look at that as a good returning business. The exchanges are a little different. They’re smaller dollars, but there’s less capital that you put out as a result of the less premium there. So the — so we — but those are great examples where the margin is impacted. But both for strategic reasons and for long-term returns, it’s a good business to enter into.”