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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 8-K
                
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): April 24, 2024 (April 24, 2024)
Humana Inc.
(Exact name of registrant as specified in its charter)
Delaware 1-5975 61-0647538
(State or other jurisdiction of incorporation) (Commission File Number) (IRS Employer Identification No.)
500 West Main Street Louisville, KY 40202
(Address of principal executive offices, including zip code)

502-580-1000
(Registrant’s telephone number, including area code)
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock HUM New York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (17 CFR §230.405) or Rule 12b-2 of the Securities Exchange Act of 1934 (17 CFR §240.12b-2).
Emerging growth company  ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐



Item 2.02    Results of Operations and Financial Condition.
Item 7.01    Regulation FD Disclosure.
Humana Inc. (the "Company") issued a press release this morning reporting financial results for the quarter ended March 31, 2024, and posted a detailed earnings release related to the same period to the Investor Relations portion of the Company’s website at www.humana.com. A copy of each release is attached hereto as Exhibit 99.1 and Exhibit 99.2, respectively, and each release is incorporated herein by reference. Additionally, a copy of management's prepared remarks on the Company's financial results for the quarter ended March 31, 2024 and expectations for future earnings, is attached hereto as Exhibit 99.3 and incorporated herein by reference.

Item 9.01    Financial Statements and Exhibits.
(d)Exhibits:
Exhibit No. Description
99.1
99.2
99.3
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)



SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.
HUMANA INC.
BY: /s/ John-Paul W. Felter
John-Paul W. Felter
Senior Vice President, Chief Accounting Officer & Controller
(Principal Accounting Officer)
Dated: April 24, 2024

EX-99.1 2 hum-2024q18kxex99x1brief.htm EX-99.1 Document





n e w s r e l e a s e
Exhibit 99.1
Humana Inc.
500 West Main Street
P.O. Box 1438
Louisville, KY 40202
http://www.humana.com
FOR MORE INFORMATION CONTACT:
Lisa Stoner
Humana Investor Relations
(502) 580-2652
e-mail: LStamper@humana.com
humanalogoa05.jpg
Mark Taylor
Humana Corporate Communications
(317) 753-0345
e-mail: MTaylor108@humana.com



Humana Reports First Quarter 2024 Financial Results;
Affirms Full Year Adjusted 2024 Financial Guidance

•Reports 1Q24 earnings per share (EPS) of $6.11 on a GAAP basis, Adjusted EPS of $7.23
•Revises FY 2024 EPS guidance to 'approximately $13.93' (previously 'approximately $14.87') on a GAAP basis, while affirming Adjusted EPS of 'approximately $16.00'; affirms FY 2024 Insurance segment benefit ratio of approximately 90 percent
•Raises 2024 individual Medicare Advantage annual membership growth by 50,000 to now anticipate annual growth of approximately 150,000, or 2.8 percent
•Continues successful track record of organic expansion in Medicaid with recent contract wins in Florida, Texas, and Virginia
•Publishes prepared management remarks to Investor Relations page of www.humana.com ahead of this morning's 9:00 a.m. ET question and answer session to discuss its financial results for the quarter and expectations for future earnings


LOUISVILLE, KY (April 24, 2024) – Humana Inc. (NYSE: HUM) today reported consolidated pretax results and net earnings per share (EPS) for the quarter ended March 31, 2024 (1Q24) versus the quarter ended March 31, 2023 (1Q23) as noted in the tables below.

Consolidated income before income taxes and equity in net earnings (pretax results) In millions
1Q24 (a) 1Q23 (a)
Generally Accepted Accounting Principles (GAAP) $1,014  $1,614 
Amortization associated with identifiable intangibles 16  18 
Put/call valuation adjustments associated with company's non-consolidating minority interest investments 131  53 
Transaction and integration costs —  (51)
Change in fair market value of publicly-traded equity securities —  (1)
Impact of exit of employer group commercial medical products business (81)
Value creation initiatives 29  — 
Adjusted (non-GAAP) $1,191  $1,552 

1






Net earnings per share (EPS) 1Q24 (a) 1Q23 (a)
GAAP $6.11  $9.87 
Amortization associated with identifiable intangibles 0.13  0.14 
Put/call valuation adjustments associated with company's non-consolidating minority interest investments 1.08  0.42 
Transaction and integration costs —  (0.41)
Change in fair market value of publicly-traded equity securities —  (0.01)
Impact of exit of employer group commercial medical products business 0.01  (0.64)
Value creation initiatives 0.24  — 
Tax impact of non-GAAP adjustments (0.34) 0.01 
Adjusted (non-GAAP) $7.23  $9.38 
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted (non-GAAP)
financial measures, as well as additional reconciliations.

Please refer to the tables above, as well as the consolidated and segment highlight sections in the detailed earnings release for additional discussion of the factors impacting the year-over-comparisons.
In addition, a summary of key consolidated and segment statistics comparing 1Q24 to 1Q23 follows.

2






Humana Inc. Summary of Results
($ in millions, except per share amounts)
1Q24 (a) 1Q23 (a)
CONSOLIDATED
Revenues $29,611 $26,742
Revenues - Adjusted (non-GAAP) $29,332 $25,652
Pretax results $1,014 $1,614
Pretax results - Adjusted (non-GAAP) $1,191 $1,552
EPS $6.11 $9.87
EPS - Adjusted (non-GAAP) $7.23 $9.38
Benefit ratio 88.9  % 85.5  %
Benefit ratio - Adjusted (non-GAAP) 88.9  % 85.9  %
Operating cost ratio 10.4  % 11.2  %
Operating cost ratio - Adjusted (non-GAAP) 10.2  % 10.9  %
Operating cash flows $423 $6,687
Operating cash flows - Adjusted (non-GAAP) (b) $423 $38
Parent company cash and short term investments $509 $909
Debt-to-total capitalization 45.1  % 41.1  %
Days in Claims Payable (DCP) 42.5 41.2
INSURANCE SEGMENT
Revenues $28,699 $25,903
Revenues - Adjusted (non-GAAP) $28,420 $24,814
Benefit ratio 89.3  % 86.1  %
Benefit ratio - Adjusted (non-GAAP) 89.4  % 86.4  %
Operating cost ratio 8.3  % 9.4  %
Operating cost ratio - Adjusted (non-GAAP) 8.2  % 9.0  %
Income from operations $898 $1,327
Income from operations - Adjusted (non-GAAP) $903 $1,252
CENTERWELL SEGMENT
Revenues $4,818 $4,505
Operating cost ratio 93.0  % 91.6  %
Income from operations $282 $330
Income from operations - Adjusted (non-GAAP) (c) $335 $379
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted (non-GAAP)
financial measures, as well as reconciliations.
3






FY 2024 Earnings Guidance
Humana revised its GAAP EPS guidance for the year ending December 31, 2024 (FY 2024) to approximately $13.93 from approximately $14.87, while affirming its Adjusted EPS guidance of approximately $16.00.

Diluted earnings per common share
FY 2024
 Guidance (d)
GAAP approximately $13.93
Amortization of identifiable intangibles 0.49 
Put/call valuation adjustments associated with company's non-consolidating minority interest investments 1.08 
Impact of exit of employer group commercial medical products business 0.90 
Value creation initiatives 0.24 
Cumulative net tax impact of non-GAAP adjustments (0.64)
Adjusted (non-GAAP) – FY 2024 projected approximately $16.00
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted (non-GAAP) financial measures, as well
as additional reconciliations.
Detailed Press Release
Humana’s full earnings press release, including the statistical pages, has been posted to the company’s Investor Relations site and may be accessed at https://humana.gcs-web.com/ or via a current report on Form 8-K filed by the company with the Securities and Exchange Commission this morning (available at www.sec.gov or on the company’s website).
Conference Call
Humana will host a live question and answer session for analysts at 9:00 a.m. Eastern time today to discuss its financial results for the quarter and the company’s expectations for future earnings. In advance of the question and answer session, Humana will post prepared management remarks to the Quarterly Results section of its Investor Relations page (https://humana.gcs-web.com/financial-information/quarterly-results).

To participate via phone, please register in advance at this link - https://register.vevent.com/register/BI6d7513be1a494bbb82b4b8caa62d3b2f.

Upon registration, telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number and a unique registrant ID that can be used to access the call.

A webcast of the 1Q24 earnings call may also be accessed via Humana’s Investor Relations page at humana.com. The company suggests participants for both the conference call and those listening via the web dial in or sign on at least 15 minutes in advance of the call.
For those unable to participate in the live event, the archive will be available in the Historical Webcasts and Presentations section of the Investor Relations page (https://humana.gcs-web.com/events-and-presentations), approximately two hours following the live webcast.
Footnotes
The company has included financial measures throughout this earnings release that are not in accordance with GAAP. Management believes that these measures, when presented in conjunction with the corresponding GAAP measures, provide a comprehensive perspective to more accurately compare and analyze the company’s core operating performance over time. Consequently, management uses these non-GAAP (Adjusted) financial measures as consistent and uniform indicators of the company’s core business operations from period to period, as well as for planning and decision-making purposes and in determination of incentive compensation. Non-GAAP (Adjusted) financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. All financial measures in this earnings release are in accordance with GAAP unless otherwise indicated.
4






Please refer to the footnotes for a detailed description of each item adjusted out of GAAP financial measures to arrive at non-GAAP (Adjusted) financial measures.
(a) For the periods covered in this earnings press release, the following items are excluded from the non-GAAP financial
measures described above, as applicable:

•Amortization associated with identifiable intangibles - Since amortization varies based on the size and timing of acquisition activity, management believes this exclusion provides a more consistent and uniform indicator of performance from period to period. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, EPS, and Insurance and CenterWell segments income from operations. The table below discloses respective period amortization expense for each segment.

1Q24 1Q23
Insurance segment $4 $6
CenterWell segment $12 $12

•Put/call valuation adjustments associated with company’s non-consolidating minority interest investments - These amounts are the result of fair value measurements associated with the company's Primary Care Organization strategic partnership and are unrelated to the company's core business operations. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results and EPS.
•Transaction and integration costs - The transaction and integration costs primarily relate to the acquisition of Kindred at Home in 2021 and the subsequent divestiture of Gentiva (formerly Kindred) Hospice in 2022. For 1Q23, GAAP measures affected include consolidated pretax results, EPS, and the consolidated operating cost ratio.
•Change in fair market value of publicly-traded equity securities - These gains and losses are a result of market and economic conditions that are unrelated to the company's core business operations. For 1Q23, GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues (specifically investment income).
•Impact of exit of employer group commercial medical products business - Prior period segment financial information has been recast to exclude the impact of the exit of the employer group commercial medical products business as announced by Humana on February 23, 2023. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, EPS, consolidated revenues, consolidated benefit ratio, consolidated operating cost ratio, Insurance segment revenues, Insurance segment benefit ratio, Insurance segment operating cost ratio, and Insurance segment income from operations.
•Value creation initiatives - These charges relate to the company's ongoing initiative to drive additional value for the enterprise through cost saving, productivity initiatives, and value creation from previous investments, and primarily consist of asset impairment and severance charges. For 1Q24, GAAP measures affected in this release include consolidated pretax results, EPS, and the consolidated operating cost ratio.
•Cumulative net tax impact of non-GAAP adjustments - This adjustment represents the cumulative net impact of the corresponding tax benefit or expense related to the aforementioned items excluded from the applicable GAAP measures. For all periods presented in this earnings release, EPS is the sole GAAP measure affected.

In addition to the reconciliations shown on pages 1 and 2 of this release, the following are reconciliations of GAAP to Adjusted (non-GAAP) measures described above and disclosed within this earnings release:

Revenues
Revenues - CONSOLIDATED
(in millions)
1Q24 1Q23
GAAP $29,611 $26,742
Change in fair market value of publicly-traded equity securities —  (1)
Impact of exit of employer group commercial medical products business (279) (1,089)
Adjusted (non-GAAP) $29,332 $25,652

5






Revenues - INSURANCE SEGMENT
(in millions)
1Q24 1Q23
GAAP $28,699 $25,903
Impact of exit of employer group commercial medical products business (279) (1,089)
Adjusted (non-GAAP) $28,420 $24,814

Benefit Ratio
Benefit ratio - CONSOLIDATED 1Q24 1Q23
GAAP 88.9  % 85.5  %
Impact of exit of employer group commercial medical products business —  % 0.4  %
Adjusted (non-GAAP) 88.9  % 85.9  %

Benefit ratio - INSURANCE SEGMENT 1Q24 1Q23
GAAP 89.3  % 86.1  %
Impact of exit of employer group commercial medical products business 0.1  % 0.3  %
Adjusted (non-GAAP) 89.4  % 86.4  %

Operating Cost Ratio
Operating cost ratio - CONSOLIDATED 1Q24 1Q23
GAAP 10.4  % 11.2  %
Impact of exit of employer group commercial medical products business (0.1) % (0.3) %
Value creation initiatives (0.1) % —  %
Adjusted (non-GAAP) 10.2  % 10.9  %

Operating cost ratio - INSURANCE SEGMENT 1Q24 1Q23
GAAP 8.3  % 9.4  %
Impact of exit of employer group commercial medical products business (0.1) % (0.4) %
Adjusted (non-GAAP) 8.2  % 9.0  %


Income from Operations

Income from operations - INSURANCE SEGMENT 1Q24 1Q23
GAAP $898 $1,327
Amortization associated with identifiable intangibles $4 $6
Impact of exit of employer group commercial medical products business (81)
Adjusted (non-GAAP) $903 $1,252

(b) Generally, when the first day of a month falls on a weekend or holiday, with the exception of January 1 (New Year's Day), the
company receives its monthly Medicare premium payment from CMS on the last business day of the previous month. On a GAAP
6






basis, this can result in certain quarterly cash flows from operations including more or less than three monthly payments. Consequently, when this occurs, the company reports Adjusted cash flows from operations to reflect three payments in each quarter to match the related expenses.

Net cash from operating activities
(in millions)
1Q24 1Q23
GAAP $423 $6,687
Timing of premium payment from CMS —  (6,649)
Adjusted (non-GAAP) $423 $38

(c) The CenterWell segment Adjusted income from operations includes an adjustment to add back depreciation and amortization expense to the segment's GAAP income from operations since such an adjustment is commonly utilized for valuation purposes within the healthcare delivery industry.
Income from operations - CENTERWELL SEGMENT
(in millions)
1Q24 1Q23
GAAP $282 $330
Depreciation and amortization expense 53  49 
Adjusted (non-GAAP) $335  $379 

(d) FY 2024 projected Adjusted results exclude the future impact of items that cannot be estimated at this time.

Cautionary Statement
This news release includes forward-looking statements regarding Humana within the meaning of the Private Securities Litigation Reform Act of 1995. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humana’s executive officers, the words or phrases like “expects,” “believes,” “anticipates,” “intends,” “likely will result,” “estimates,” “projects” or variations of such words and similar expressions are intended to identify such forward-looking statements.

These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the “Risk Factors” section of the company’s SEC filings, a summary of which includes but is not limited to the following:
•If Humana does not design and price its products properly and competitively, if the premiums Humana receives are insufficient to cover the cost of healthcare services delivered to its members, if the company is unable to implement clinical initiatives to provide a better healthcare experience for its members, lower costs and appropriately document the risk profile of its members, or if its estimates of benefits expense are inadequate, Humana’s profitability could be materially adversely affected. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. The company continually reviews estimates of future payments relating to benefit expenses for services incurred in the current and prior periods and makes necessary adjustments to its reserves, including premium deficiency reserves, where appropriate. These estimates involve extensive judgment, and have considerable inherent variability because they are extremely sensitive to changes in claim payment patterns and medical cost trends. Accordingly, Humana's reserves may be insufficient.
•If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, which are of particular importance given the concentration of the company's revenues in these products, state-based contract strategy, the growth of its CenterWell business, and its integrated care delivery model, the company’s business may be materially adversely affected. In addition, there can be no assurances that the company will be successful in maintaining or improving its Star ratings in future years.
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•If Humana, or the third-party service providers on which it relies, fails to properly maintain the integrity of its data, to strategically maintain existing or implement new information systems, to protect Humana’s proprietary rights to its systems, or to defend against cyber-security attacks, contain such attacks when they occur, or prevent other privacy or data security incidents that result in security breaches that disrupt the company's operations or in the unintentional dissemination of sensitive personal information or proprietary or confidential information, the company’s business may be materially adversely affected.
•Humana is involved in various legal actions, or disputes that could lead to legal actions (such as, among other things, provider contract disputes and qui tam litigation brought by individuals on behalf of the government), governmental and internal investigations, and routine internal review of business processes any of which, if resolved unfavorably to the company, could result in substantial monetary damages or changes in its business practices. Increased litigation and negative publicity could also increase the company’s cost of doing business.
•As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government healthcare programs including, among other things, loss of material government contracts; governmental audits and investigations; potential inadequacy of government determined payment rates; potential restrictions on profitability, including by comparison of profitability of the company’s Medicare Advantage business to non-Medicare Advantage business; or other changes in the governmental programs in which Humana participates. Changes to the risk-adjustment model utilized by CMS to adjust premiums paid to Medicare Advantage plans or retrospective recovery by CMS of previously paid premiums as a result of the final rule related to the risk adjustment data validation audit methodology published by CMS on January 30, 2023 (Final RADV Rule), which Humana believes fails to address adequately the statutory requirement of actuarial equivalence and violates the Administrative Procedure Act due to its failure to include a "Fee for Service Adjuster" could have a material adverse effect on the company's operating results, financial position and cash flows.
•Humana's business activities are subject to substantial government regulation. New laws or regulations, or legislative, judicial, or regulatory changes in existing laws or regulations or their manner of application could increase the company's cost of doing business and have a material adverse effect on Humana’s results of operations (including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the company’s ability to expand into new markets, increasing the company’s medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products, lowering the company’s Medicare payment rates and increasing the company’s expenses associated with a non-deductible health insurance industry fee and other assessments); the company’s financial position (including the company’s ability to maintain the value of its goodwill); and the company’s cash flows.
•Humana’s failure to manage acquisitions, divestitures and other significant transactions successfully may have a material adverse effect on the company’s results of operations, financial position, and cash flows.
•If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the company’s business may be adversely affected.
•Humana faces significant competition in attracting and retaining talented employees. Further, managing succession for, and retention of, key executives is critical to the Company’s success, and its failure to do so could adversely affect the Company’s businesses, operating results and/or future performance.
•Humana’s pharmacy business is highly competitive and subjects it to regulations and supply chain risks in addition to those the company faces with its core health benefits businesses.
•Changes in the prescription drug industry pricing benchmarks may adversely affect Humana’s financial performance.
•Humana’s ability to obtain funds from certain of its licensed subsidiaries is restricted by state insurance regulations.
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•Downgrades in Humana’s debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition.
•Volatility or disruption in the securities and credit markets may significantly and adversely affect the value of our investment portfolio and the investment income that we derive from this portfolio.



In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that the company is unable to predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements.
Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:
•Form 10-K for the year ended December 31, 2023; and
•Form 8-Ks filed during 2024.


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 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 Humana.com and at CenterWell.com.


9
EX-99.2 3 hum-2024q18kxex99x2detailed.htm EX-99.2 Document

n e w s r e l e a s e
                                        
Exhibit 99.2
Humana Inc.
500 West Main Street
P.O. Box 1438
Louisville, KY 40202
http://www.humana.com
FOR MORE INFORMATION CONTACT:
Lisa Stoner
Humana Investor Relations
(502) 580-2652
e-mail: LStamper@humana.com
humanalogoa051.jpg
Mark Taylor
Humana Corporate Communications
(317) 753-0345
e-mail: MTaylor108@humana.com

Humana Reports First Quarter 2024 Financial Results;
Affirms Full Year Adjusted 2024 Financial Guidance

•Reports 1Q24 earnings per share (EPS) of $6.11 on a GAAP basis, Adjusted EPS of $7.23
•Revises FY 2024 EPS guidance to 'approximately $13.93' (previously 'approximately $14.87') on a GAAP basis, while affirming Adjusted EPS of 'approximately $16.00'; affirms FY 2024 Insurance segment benefit ratio of approximately 90 percent
•Raises 2024 individual Medicare Advantage annual membership growth by 50,000 to now anticipate annual growth of approximately 150,000, or 2.8 percent
•Continues successful track record of organic expansion in Medicaid with recent contract wins in Florida, Texas, and Virginia
•Publishes prepared management remarks to Investor Relations page of www.humana.com ahead of this morning's 9:00 a.m. ET question and answer session to discuss its financial results for the quarter and expectations for future earnings
LOUISVILLE, KY (April 24, 2024) – Humana Inc. (NYSE: HUM) today reported consolidated pretax results and net earnings per share (EPS) for the quarter ended March 31, 2024 (1Q24) versus the quarter ended March 31, 2023 (1Q23) as noted in the tables below.


Consolidated income before income taxes and equity in net earnings (pretax results) In millions
1Q24 (a) 1Q23 (a)
Generally Accepted Accounting Principles (GAAP) $1,014  $1,614 
Amortization associated with identifiable intangibles 16  18 
Put/call valuation adjustments associated with company's non-consolidating minority interest investments 131  53 
Transaction and integration costs —  (51)
Change in fair market value of publicly-traded equity securities —  (1)
Impact of exit of employer group commercial medical products business (81)
Value creation initiatives 29  — 
Adjusted (non-GAAP) $1,191  $1,552 
1


Net earnings per share (EPS) 1Q24 (a) 1Q23 (a)
GAAP $6.11  $9.87 
Amortization associated with identifiable intangibles 0.13  0.14 
Put/call valuation adjustments associated with company's non-consolidating minority interest investments 1.08  0.42 
Transaction and integration costs —  (0.41)
Change in fair market value of publicly-traded equity securities —  (0.01)
Impact of exit of employer group commercial medical products business 0.01  (0.64)
Value creation initiatives 0.24  — 
Tax impact of non-GAAP adjustments (0.34) 0.01 
Adjusted (non-GAAP) $7.23  $9.38 
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted (non-GAAP)
financial measures, as well as additional reconciliations.
Please refer to the tables above, as well as the consolidated and segment highlight sections that follow for additional discussion of the factors impacting the year-over-year comparisons.
In addition, a summary of key consolidated and segment statistics comparing 1Q24 to 1Q23 follows.

2


Humana Inc. Summary of Results
($ in millions, except per share amounts)
1Q24 (a) 1Q23 (a)
CONSOLIDATED
Revenues $29,611 $26,742
Revenues - Adjusted (non-GAAP) $29,332 $25,652
Pretax results $1,014 $1,614
Pretax results - Adjusted (non-GAAP) $1,191 $1,552
EPS $6.11 $9.87
EPS - Adjusted (non-GAAP) $7.23 $9.38
Benefit ratio 88.9  % 85.5  %
Benefit ratio - Adjusted (non-GAAP) 88.9  % 85.9  %
Operating cost ratio 10.4  % 11.2  %
Operating cost ratio - Adjusted (non-GAAP) 10.2  % 10.9  %
Operating cash flows $423 $6,687
Operating cash flows - Adjusted (non-GAAP) (b) $423 $38
Parent company cash and short term investments $509 $909
Debt-to-total capitalization 45.1  % 41.1  %
Days in Claims Payable (DCP) 42.5 41.2
INSURANCE SEGMENT
Revenues $28,699 $25,903
Revenues - Adjusted (non-GAAP) $28,420 $24,814
Benefit ratio 89.3  % 86.1  %
Benefit ratio - Adjusted (non-GAAP) 89.4  % 86.4  %
Operating cost ratio 8.3  % 9.4  %
Operating cost ratio - Adjusted (non-GAAP) 8.2  % 9.0  %
Income from operations $898 $1,327
Income from operations - Adjusted (non-GAAP) $903 $1,252
CENTERWELL SEGMENT
Revenues $4,818 $4,505
Operating cost ratio 93.0  % 91.6  %
Income from operations $282 $330
Income from operations - Adjusted (non-GAAP) (c) $335 $379
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted (non-GAAP)
financial measures, as well as reconciliations.





3


FY 2024 Earnings Guidance
Humana revised its GAAP EPS guidance for the year ending December 31, 2024 (FY 2024) to approximately $13.93 from approximately $14.87, while affirming its Adjusted EPS guidance of approximately $16.00.
Additional FY 2024 guidance points are included on page 15 of this earnings release.

Diluted earnings per common share
FY 2024
 Guidance (d)
GAAP approximately $13.93
Amortization of identifiable intangibles 0.49 
Put/call valuation adjustments associated with company's non-consolidating minority interest investments 1.08 
Impact of exit of employer group commercial medical products business 0.90 
Value creation initiatives 0.24 
Cumulative net tax impact of non-GAAP adjustments (0.64)
Adjusted (non-GAAP) – FY 2024 projected approximately $16.00
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted (non-GAAP) financial measures, as well
as additional reconciliations.

Humana Consolidated Highlights
Humana Inc. Summary of Results
($ in millions, except per share amounts)
1Q24 (a) 1Q23 (a)
CONSOLIDATED
Revenues $29,611 $26,742
Revenues - Adjusted (non-GAAP) $29,332 $25,652
Pretax results $1,014 $1,614
Pretax results - Adjusted (non-GAAP) $1,191 $1,552
EPS $6.11 $9.87
EPS - Adjusted (non-GAAP) $7.23 $9.38
Benefit ratio 88.9  % 85.5  %
Benefit ratio - Adjusted (non-GAAP) 88.9  % 85.9  %
Operating cost ratio 10.4  % 11.2  %
Operating cost ratio - Adjusted (non-GAAP) 10.2  % 10.9  %
Operating cash flows $423 $6,687
Operating cash flows - Adjusted (non-GAAP) (b) $423 $38
Parent company cash and short term investments $509 $909
Debt-to-total capitalization 45.1  % 41.1  %
Days in Claims Payable (DCP) 42.5 41.2
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted (non-GAAP)
financial measures, as well as reconciliations.
Consolidated Revenues
The favorable year-over-year consolidated revenues comparison was primarily driven by the following factors:
•higher per member Medicare premiums and
4


•individual and group Medicare Advantage membership growth.
These factors were partially offset by the continued decline in the company's group commercial medical and stand-alone PDP membership, as well as a decline in state-based contracts membership as a result of the end of the suspension of state eligibility redetermination efforts previously enacted as part of the Public Health Emergency.
Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) consolidated revenues for the respective periods.
Consolidated Benefit Ratio
The year-over-year increase in the GAAP consolidated ratio primarily reflected higher Medicare Advantage medical cost trends in 1Q24 compared to 1Q23. This was partially offset by the impact of pricing and benefit design of the company's 2024 Medicare Advantage products, which included a reduction in benefits in response to the net impact of the final rate notice and the initial emergence of increased medical cost trends.
Furthermore, the year-over-year comparison continues to reflect a shift in line of business mix, with growth in Medicare Advantage and state-based contracts and other membership, which can carry a higher benefit ratio.
Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) consolidated benefit ratio for the respective periods.
Prior Period Medical Claims Reserve Development (Prior Period Development)
Consolidated Favorable Prior Period Development
$ in millions
Basis points (bps)
First
Quarter
Prior Period Development from prior years recognized in 2024 (e)
$535
Decrease to GAAP benefit ratio (190 bps)
Prior Period Development from prior years recognized in 2023 (e)
$522
Decrease to GAAP benefit ratio (200 bps)
Consolidated Operating Cost Ratio
The year-over-year decrease in the GAAP consolidated operating cost ratio from the 2023 quarter primarily related to the following:
•scale efficiencies associated with growth in the company's individual Medicare Advantage membership,
•administrative cost efficiencies resulting from the company's value creation initiatives, and
•lower commission expense for brokers in 1Q24 compared to 1Q23 as a result of the significant individual Medicare Advantage membership growth in 2023.
These factors were partially offset by the impact from charges related to value creation initiatives in 1Q24. These charges were recorded at the corporate level and not allocated to the segments.
Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) consolidated operating cost ratio for the respective periods.

5


Balance sheet
•Days in claims payable (DCP) of 42.5 days at March 31, 2024 represented an increase of 1.1 days from 41.4 days at December 31, 2023, and an increase of 1.3 days from 41.2 days at March 31, 2023.
The 1.1 day sequential increase was primarily driven by a higher incurred but not reported (IBNR) balance as a result of the Change Healthcare disruption in February 2024, partially offset by seasonality related to net pharmacy expenses.
The 1.3 day year-over-year increase was primarily driven by a higher incurred but not reported (IBNR) balance as a result of the Change Healthcare disruption in February 2024, partially offset by lower reserve requirements in provider-capitation accruals due to lower performance-based payment expectations.
•Humana's debt-to-total capitalization at March 31, 2024 increased 330 basis points to 45.1 percent from 41.8 percent at December 31, 2023 primarily driven by the previously disclosed $2.25 billion issuance of senior notes in March 2024 and a decrease in total capitalization as a result of 1Q24 open market share repurchases, partially offset by 1Q24 net earnings and repayment of commercial paper balances.
Operating cash flows
The year-over-year decline in GAAP operating cash flows primarily reflected the significant impact of the early receipt of the $6.65 billion April 2023 premium payment from CMS in March 2023(b) and lower earnings in 1Q24.
Share repurchases
1Q24
Total number of shares repurchased 1,804,645
Average price paid per share $ 388.78 
Remaining repurchase authorization as of April 23, 2024 $2.96 billion
Effective February 16, 2024, the Board of Directors replaced the previous share authorization of up to $3 billion (of which approximately $824 million remained unused) with a new authorization for repurchases of up to $3 billion of Humana Inc. common shares exclusive of shares repurchased in connection with employee stock plans, expiring as of February 15, 2027.
Humana’s Insurance Segment
This segment is comprised of insurance products serving Medicare and state-based contract beneficiaries, as well as individuals and employers. The segment also includes the company's Pharmacy Benefit Manager, or PBM, business.
6


Insurance Segment Results
$ in millions
1Q24 (a) 1Q23 (a)
Revenues $28,699 $25,903
Revenues - Adjusted (non-GAAP) $28,420 $24,814
Benefit ratio 89.3  % 86.1  %
Benefit ratio - Adjusted (non-GAAP) 89.4  % 86.4  %
Operating cost ratio 8.3  % 9.4  %
Operating cost ratio - Adjusted (non-GAAP) 8.2  % 9.0  %
Income from operations $898 $1,327
Income from operations - Adjusted (non-GAAP) $903 $1,252
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted
(non-GAAP) financial measures, as well as reconciliations.

Insurance Segment Revenues
The year-over-year increase in GAAP segment revenues from the 2023 quarter primarily reflects the following items:
•higher per member Medicare premiums and
•individual and group Medicare Advantage membership growth.
These factors were partially offset by the continued decline in the company's group commercial medical and stand-alone PDP membership, as well as a decline in state-based contracts membership as a result of the end of the suspension of state eligibility redetermination efforts previously enacted as part of the Public Health Emergency.
Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) Insurance segment revenues for the respective periods.
Insurance Segment Benefit Ratio
The year-over-year increase in the GAAP segment ratio primarily reflected higher Medicare Advantage medical cost trends in 1Q24 compared to 1Q23. This was partially offset by the impact of pricing and benefit design of the company's 2024 Medicare Advantage products, which included a reduction in benefits in response to the net impact of the final rate notice and the initial emergence of increased medical cost trends.
Furthermore, the year-over-year comparison continues to reflect a shift in line of business mix, with growth in Medicare Advantage and state-based contracts and other membership, which can carry a higher benefit ratio.

Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) Insurance segment benefit ratio for the respective periods.
7


Insurance Segment Operating Cost Ratio
The year-over-year decrease in the GAAP segment operating cost ratio from the 2023 quarter primarily related to the following:
•scale efficiencies associated with growth in the company's individual Medicare Advantage membership,
•administrative cost efficiencies resulting from the company's value creation initiatives, and
•lower commission expense for brokers in 1Q24 compared to 1Q23 as a result of the significant individual Medicare Advantage membership growth in 2023.
Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) Insurance segment operating cost ratio for the respective periods.
Humana’s CenterWell Segment
This segment includes pharmacy (excluding the PBM operations), primary care, and home solutions. The segment also includes the impact of non-consolidating minority interest investments related to the company's strategic partnerships with Welsh, Carson, Anderson & Stowe (WCAS) to develop and operate senior-focused, payor-agnostic, primary care centers, as well as the Gentiva (formerly Kindred) Hospice operations. Services offered by this segment are designed to enhance the overall healthcare experience. These services may lead to lower utilization associated with improved member health and/or lower drug costs.
CenterWell Segment Results
$ in millions
1Q24 1Q23
Revenues $4,818 $4,505
Operating cost ratio 93.0  % 91.6  %
Income from operations $282 $330
Income from operations - Adjusted (non-GAAP) (c) $335 $379
Refer to the "Footnotes" section included herein for further explanation on disclosures for Adjusted
(non-GAAP) financial measures, as well as reconciliation.
CenterWell Segment Revenues
CenterWell segment revenues increased in 1Q24 compared to 1Q23, which was impacted by the following factors:
•greater intersegment revenues associated with the Home Solutions business in 1Q24 as compared to 1Q23 as a result of the expansion of the value-based home care model and
•higher revenues associated with growth in the company's Primary Care business, partially offset by the impact of the v28 risk model revision.
CenterWell Segment Operating Cost Ratio
The year-over-year increase in the segment's operating cost ratio compared to the 2023 quarter primarily resulted from the unfavorable impact of the v28 risk model revision to the company's Primary Care business.
See additional operational metrics for the CenterWell segment on pages S-10 through S-12 of the statistical supplement included in this earnings release.
Conference Call
Humana will host a live question and answer session for analysts at 9:00 a.m. Eastern time today to discuss its financial results for the quarter and the company’s expectations for future earnings. In advance of the question and answer session, Humana will post prepared management remarks to the Quarterly Results section of its Investor Relations page (https://humana.gcs-web.com/financial-information/quarterly-results).
8



To participate via phone, please register in advance at this link - https://register.vevent.com/register/BI6d7513be1a494bbb82b4b8caa62d3b2f.

Upon registration, telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number and a unique registrant ID that can be used to access the call.

A webcast of the 1Q24 earnings call may also be accessed via Humana’s Investor Relations page at humana.com. The company suggests participants for both the conference call and those listening via the web dial in or sign on at least 15 minutes in advance of the call.
For those unable to participate in the live event, the archive will be available in the Historical Webcasts and Presentations section of the Investor Relations page (https://humana.gcs-web.com/events-and-presentations), approximately two hours following the live webcast.
Footnotes
The company has included financial measures throughout this earnings release that are not in accordance with GAAP. Management believes that these measures, when presented in conjunction with the corresponding GAAP measures, provide a comprehensive perspective to more accurately compare and analyze the company’s core operating performance over time. Consequently, management uses these non-GAAP (Adjusted) financial measures as consistent and uniform indicators of the company’s core business operations from period to period, as well as for planning and decision-making purposes and in determination of incentive compensation. Non-GAAP (Adjusted) financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. All financial measures in this earnings release are in accordance with GAAP unless otherwise indicated. Please refer to the footnotes for a detailed description of each item adjusted out of GAAP financial measures to arrive at non-GAAP (Adjusted) financial measures.
(a) For the periods covered in this earnings press release, the following items are excluded from the non-GAAP financial
measures described above, as applicable:

•Amortization associated with identifiable intangibles - Since amortization varies based on the size and timing of acquisition activity, management believes this exclusion provides a more consistent and uniform indicator of performance from period to period. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, EPS, and Insurance and CenterWell segments income from operations. The table below discloses respective period amortization expense for each segment.

1Q24 1Q23
Insurance segment $4 $6
CenterWell segment $12 $12

•Put/call valuation adjustments associated with company’s non-consolidating minority interest investments - These amounts are the result of fair value measurements associated with the company's Primary Care Organization strategic partnership and are unrelated to the company's core business operations. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results and EPS.
•Transaction and integration costs - The transaction and integration costs primarily relate to the acquisition of Kindred at Home in 2021 and the subsequent divestiture of Gentiva (formerly Kindred) Hospice in 2022. For 1Q23, GAAP measures affected include consolidated pretax results, EPS, and the consolidated operating cost ratio.
•Change in fair market value of publicly-traded equity securities - These gains and losses are a result of market and economic conditions that are unrelated to the company's core business operations. For 1Q23, GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues (specifically investment income).
•Impact of exit of employer group commercial medical products business - Prior period segment financial information has been recast to exclude the impact of the exit of the employer group commercial medical products business as announced by Humana on February 23, 2023. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, EPS, consolidated revenues, consolidated benefit ratio, consolidated operating cost ratio, Insurance segment revenues, Insurance segment benefit ratio, Insurance segment operating cost ratio, and Insurance segment income from operations.
9


•Value creation initiatives - These charges relate to the company's ongoing initiative to drive additional value for the enterprise through cost saving, productivity initiatives, and value creation from previous investments, and primarily consist of asset impairment and severance charges. For 1Q24, GAAP measures affected in this release include consolidated pretax results, EPS, and the consolidated operating cost ratio.
•Cumulative net tax impact of non-GAAP adjustments - This adjustment represents the cumulative net impact of the corresponding tax benefit or expense related to the aforementioned items excluded from the applicable GAAP measures. For all periods presented in this earnings release, EPS is the sole GAAP measure affected.

In addition to the reconciliations shown on pages 1 and 2 of this release, the following are reconciliations of GAAP to Adjusted (non-GAAP) measures described above and disclosed within this earnings release:

Revenues

Revenues - CONSOLIDATED
(in millions)
1Q24 1Q23
GAAP $29,611 $26,742
Change in fair market value of publicly-traded equity securities —  (1)
Impact of exit of employer group commercial medical products business (279) (1,089)
Adjusted (non-GAAP) $29,332 $25,652
Revenues - INSURANCE SEGMENT
(in millions)
1Q24 1Q23
GAAP $28,699 $25,903
Impact of exit of employer group commercial medical products business (279) (1,089)
Adjusted (non-GAAP) $28,420 $24,814

Benefit Ratio

Benefit ratio - CONSOLIDATED 1Q24 1Q23
GAAP 88.9  % 85.5  %
Impact of exit of employer group commercial medical products business —  % 0.4  %
Adjusted (non-GAAP) 88.9  % 85.9  %

Benefit ratio - INSURANCE SEGMENT 1Q24 1Q23
GAAP 89.3  % 86.1  %
Impact of exit of employer group commercial medical products business 0.1  % 0.3  %
Adjusted (non-GAAP) 89.4  % 86.4  %







10


Operating Cost Ratio

Operating cost ratio - CONSOLIDATED 1Q24 1Q23
GAAP 10.4  % 11.2  %
Impact of exit of employer group commercial medical products business (0.1) % (0.3) %
Value creation initiatives (0.1) % —  %
Adjusted (non-GAAP) 10.2  % 10.9  %

Operating cost ratio - INSURANCE SEGMENT 1Q24 1Q23
GAAP 8.3  % 9.4  %
Impact of exit of employer group commercial medical products business (0.1) % (0.4) %
Adjusted (non-GAAP) 8.2  % 9.0  %

Income from Operations

Income from operations - INSURANCE SEGMENT 1Q24 1Q23
GAAP $898 $1,327
Amortization associated with identifiable intangibles 4 6
Impact of exit of employer group commercial medical products business (81)
Adjusted (non-GAAP) $903 $1,252

(b) Generally, when the first day of a month falls on a weekend or holiday, with the exception of January 1 (New Year's Day), the
company receives its monthly Medicare premium payment from CMS on the last business day of the previous month. On a GAAP
basis, this can result in certain quarterly cash flows from operations including more or less than three monthly payments. Consequently, when this occurs, the company reports Adjusted cash flows from operations to reflect three payments in each quarter to match the related expenses.

Net cash from operating activities
(in millions)
1Q24 1Q23
GAAP $423 $6,687
Timing of premium payment from CMS —  (6,649)
Adjusted (non-GAAP)
$423 $38

(c) The CenterWell segment Adjusted income from operations includes an adjustment to add back depreciation and amortization expense to the segment's GAAP income from operations since such an adjustment is commonly utilized for valuation purposes within the healthcare delivery industry.
Income from operations - CENTERWELL SEGMENT
(in millions)
1Q24 1Q23
GAAP $282 $330
Depreciation and amortization expense 53  49 
Adjusted (non-GAAP) $335  $379 

11


(d) FY 2024 projected Adjusted results exclude the future impact of items that cannot be estimated at this time.

(e) Prior Period Development related to the employer group commercial medical products business:
Favorable First Quarter
Prior Period Development from prior years recognized in 2024
$34
Prior Period Development from prior years recognized in 2023
$23
Cautionary Statement
This news release includes forward-looking statements regarding Humana within the meaning of the Private Securities Litigation Reform Act of 1995. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humana’s executive officers, the words or phrases like “expects,” “believes,” “anticipates,” “intends,” “likely will result,” “estimates,” “projects” or variations of such words and similar expressions are intended to identify such forward-looking statements.
These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the “Risk Factors” section of the company’s SEC filings, a summary of which includes but is not limited to the following:
•If Humana does not design and price its products properly and competitively, if the premiums Humana receives are insufficient to cover the cost of healthcare services delivered to its members, if the company is unable to implement clinical initiatives to provide a better healthcare experience for its members, lower costs and appropriately document the risk profile of its members, or if its estimates of benefits expense are inadequate, Humana’s profitability could be materially adversely affected. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. The company continually reviews estimates of future payments relating to benefit expenses for services incurred in the current and prior periods and makes necessary adjustments to its reserves, including premium deficiency reserves, where appropriate. These estimates involve extensive judgment, and have considerable inherent variability because they are extremely sensitive to changes in claim payment patterns and medical cost trends. Accordingly, Humana's reserves may be insufficient.
•If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, which are of particular importance given the concentration of the company's revenues in these products, state-based contract strategy, the growth of its CenterWell business, and its integrated care delivery model, the company’s business may be materially adversely affected. In addition, there can be no assurances that the company will be successful in maintaining or improving its Star ratings in future years.
•If Humana, or the third-party service providers on which it relies, fails to properly maintain the integrity of its data, to strategically maintain existing or implement new information systems, to protect Humana’s proprietary rights to its systems, or to defend against cyber-security attacks, contain such attacks when they occur, or prevent other privacy or data security incidents that result in security breaches that disrupt the company's operations or in the unintentional dissemination of sensitive personal information or proprietary or confidential information, the company’s business may be materially adversely affected.
•Humana is involved in various legal actions, or disputes that could lead to legal actions (such as, among other things, provider contract disputes and qui tam litigation brought by individuals on behalf of the government), governmental and internal investigations, and routine internal review of business processes any of which, if resolved unfavorably to the company, could result in substantial monetary damages or changes in its business practices. Increased litigation and negative publicity could also increase the company’s cost of doing business.
12


•As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government healthcare programs including, among other things, loss of material government contracts; governmental audits and investigations; potential inadequacy of government determined payment rates; potential restrictions on profitability, including by comparison of profitability of the company’s Medicare Advantage business to non-Medicare Advantage business; or other changes in the governmental programs in which Humana participates. Changes to the risk-adjustment model utilized by CMS to adjust premiums paid to Medicare Advantage plans or retrospective recovery by CMS of previously paid premiums as a result of the final rule related to the risk adjustment data validation audit methodology published by CMS on January 30, 2023 (Final RADV Rule), which Humana believes fails to address adequately the statutory requirement of actuarial equivalence and violates the Administrative Procedure Act due to its failure to include a "Fee for Service Adjuster" could have a material adverse effect on the company's operating results, financial position and cash flows.
•Humana's business activities are subject to substantial government regulation. New laws or regulations, or legislative, judicial, or regulatory changes in existing laws or regulations or their manner of application could increase the company's cost of doing business and have a material adverse effect on Humana’s results of operations (including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the company’s ability to expand into new markets, increasing the company’s medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products, lowering the company’s Medicare payment rates and increasing the company’s expenses associated with a non-deductible health insurance industry fee and other assessments); the company’s financial position (including the company’s ability to maintain the value of its goodwill); and the company’s cash flows.
•Humana’s failure to manage acquisitions, divestitures and other significant transactions successfully may have a material adverse effect on the company’s results of operations, financial position, and cash flows.
•If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the company’s business may be adversely affected.
•Humana faces significant competition in attracting and retaining talented employees. Further, managing succession for, and retention of, key executives is critical to the Company’s success, and its failure to do so could adversely affect the Company’s businesses, operating results and/or future performance.
•Humana’s pharmacy business is highly competitive and subjects it to regulations and supply chain risks in addition to those the company faces with its core health benefits businesses.
•Changes in the prescription drug industry pricing benchmarks may adversely affect Humana’s financial performance.
•Humana’s ability to obtain funds from certain of its licensed subsidiaries is restricted by state insurance regulations.
•Downgrades in Humana’s debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition.
•Volatility or disruption in the securities and credit markets may significantly and adversely affect the value of our investment portfolio and the investment income that we derive from this portfolio.

In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that the company is unable to predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements.
Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:
•Form 10-K for the year ended December 31, 2023; and
•Form 8-Ks filed during 2024.
13


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 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 Humana.com and at CenterWell.com.

14


Humana Inc. Full Year 2024 Projections - As of April 24, 2024
in accordance with GAAP unless otherwise noted
Current Guidance Prior Guidance
Diluted earnings per common share
GAAP: approximately $13.93
GAAP: approximately $14.87
no change
Non-GAAP: approximately $16.00
Total Revenues
Consolidated no change
GAAP: approximately $113 billion
Consolidated and segment level revenue projections include expected investment income.
Segment level revenues include amounts that eliminate in consolidation.
Insurance segment no change
GAAP: approximately $110 billion
CenterWell segment no change
GAAP: approximately $19 billion
Change in year-end medical membership from prior year-end
Individual Medicare Advantage Growth of approximately 150,000 Growth of approximately 100,000
Group Medicare Advantage no change Growth of approximately 45,000
Medicare stand-alone PDP no change Decline of approximately 650,000
State-based contracts no change Growth of approximately 250,000 State-based contracts guidance includes membership in Florida, Illinois, Indiana, Kentucky, Louisiana, Ohio, Oklahoma, South Carolina, and Wisconsin.
Benefit Ratio
 Insurance segment
no change
GAAP: approximately 90.0%
Ratio calculation: benefits expense as a percent of premiums revenues.
Operating Cost Ratio Consolidated
no change
GAAP: approximately 11.4%
Ratio calculation: operating costs excluding depreciation and amortization as a percent of revenues excluding investment income.
Segment Results
Insurance segment income from operations no change
GAAP: approximately $1.2 billion
CenterWell segment income from operations no change
GAAP: approximately $1.4 billion
Effective Tax Rate
GAAP: approximately 25.2%
Non-GAAP: approximately 25.0%
GAAP: approximately 24.5%
Weighted Avg. Share Count for Diluted EPS approximately 121 million approximately 122 million
Cash flows from operations no change
GAAP: approximately $2 billion
Capital expenditures no change
GAAP: approximately $800 million
15




Humana Inc.
Statistical Schedules
and
Supplementary Information
1Q24 Earnings Release



S-1







Humana Inc.
Statistical Schedules and Supplementary Information
1Q24 Earnings Release
(S-3) Consolidated Statements of Income
(S-4) Consolidated Balance Sheets
(S-5) Consolidated Statements of Cash Flows
(S-6) - (S-7) Consolidating Statements of Income - Quarter
(S-8) Membership Detail
(S-9) Premiums and Services Revenue Detail
(S-10) - (S-12) CenterWell Segment - Pharmacy Solutions, Primary Care, & Home Solutions
(S-13) Footnotes
S-2


Humana Inc.
Consolidated Statements of Income (Unaudited)
Dollars in millions, except per common share results
  For the three months ended March 31,
  2024 2023
Revenues:
Premiums $ 28,261  $ 25,550 
Services 1,062  999 
Investment income 288  193 
Total revenues 29,611  26,742 
Operating expenses:
Benefits 25,124  21,858 
Operating costs 3,042  2,979 
Depreciation and amortization 209  186 
Total operating expenses 28,375  25,023 
Income from operations 1,236  1,719 
Interest expense 159  113 
Other expense (income), net 63  (8)
Income before income taxes and equity in net earnings 1,014  1,614 
Provision from income taxes 251  359 
Equity in net losses (A) (24) (17)
Net income 739  1,238 
Net loss attributable to noncontrolling interests
Net income attributable to Humana $ 741  $ 1,239 
Basic earnings per common share $ 6.13  $ 9.91 
Diluted earnings per common share $ 6.11  $ 9.87 
Shares used in computing basic earnings per common share (000’s) 120,978  125,005 
Shares used in computing diluted earnings per common share (000’s) 121,268  125,564 





S-3


Humana Inc.
Consolidated Balance Sheets (Unaudited)
Dollars in millions, except share amounts
  March 31, December 31,
  2024 2023
Assets
Current assets:
Cash and cash equivalents $ 5,910  $ 4,694 
Investment securities 16,697  16,626 
Receivables, net 3,925  2,035 
Other current assets 6,264  6,631 
Total current assets 32,796  29,986 
Property and equipment, net 2,979  3,030 
Long-term investment securities 380  382 
Equity method investments 730  740 
Goodwill 9,563  9,550 
Other long-term assets 3,643  3,377 
Total assets $ 50,091  $ 47,065 
Liabilities and Stockholders’ Equity
Current liabilities:
Benefits payable $ 11,729  $ 10,241 
Trade accounts payable and accrued expenses 6,504  6,569 
Book overdraft 333  353 
Unearned revenues 301  266 
Short-term debt 822  1,443 
Total current liabilities 19,689  18,872 
Long-term debt 12,390  10,213 
Other long-term liabilities 1,826  1,662 
Total liabilities 33,905  30,747 
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $1 par; 10,000,000 shares authorized, none issued —  — 
Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 198,690,593 issued at March 31, 2024 33  33 
Capital in excess of par value 3,369  3,346 
Retained earnings 28,173  27,540 
Accumulated other comprehensive loss (1,086) (999)
Treasury stock, at cost, 78,189,958 shares at March 31, 2024 (14,359) (13,658)
Total stockholders’ equity 16,130  16,262 
Noncontrolling interests 56  56 
Total equity 16,186  16,318 
Total liabilities and equity $ 50,091  $ 47,065 
Debt-to-total capitalization ratio 45.1  % 41.8  %
S-4


Humana Inc.
Consolidated Statements of Cash Flows (Unaudited) Dollars in millions
For the three months ended March 31,
  2024 2023
Cash flows from operating activities
Net income $ 739  $ 1,238 
Adjustments to reconcile net income to net cash provided by operating activities:
(Gain) loss on investment securities, net (1) 60 
Equity in net losses 24  17 
Stock-based compensation 45  38 
Depreciation 226  200 
Amortization 16  18 
Impairment of property and equipment 33  — 
Changes in operating assets and liabilities, net of effect of businesses acquired and disposed:
Receivables (1,890) (1,433)
Other assets 97  (907)
Benefits payable 1,488  754 
Other liabilities (422) (238)
Unearned revenues 35  6,934 
Other, net 33 
Net cash provided by operating activities 423  6,687 
Cash flows from investing activities
Acquisitions, net of cash and cash equivalents acquired (14) (73)
Purchases of property and equipment, net (177) (223)
Purchases of investment securities (1,259) (1,313)
Maturities of investment securities 645  267 
Proceeds from sales of investment securities 391  50 
Net cash used in investing activities (414) (1,292)
Cash flows from financing activities
Receipts from contract deposits, net 499  2,997 
Proceeds from issuance of senior notes, net 2,232  1,215 
Repayments of senior notes —  (60)
Repayments of commercial paper, net (644) (177)
Repayment of term loan —  (500)
Debt issue costs (5) (4)
Change in book overdraft (20) 108 
Common stock repurchases (717) (94)
Dividends paid (109) (100)
Other (29) (106)
Net cash provided by financing activities 1,207  3,279 
Increase in cash and cash equivalents 1,216  8,674 
Cash and cash equivalents at beginning of period 4,694  5,061 
Cash and cash equivalents at end of period $ 5,910  $ 13,735 
S-5


Humana Inc.
Consolidating Statements of Income—For the three months ended March 31, 2024 (Unaudited)
In millions

Insurance CenterWell Eliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage $ 22,448  $ —  $ —  $ 22,448 
Group Medicare Advantage 1,989  —  —  1,989 
Medicare stand-alone PDP 821  —  —  821 
Total Medicare 25,258  —  —  25,258 
State-based contracts and other 2,311  —  —  2,311 
Commercial fully-insured 256  —  —  256 
Specialty benefits 239  —  —  239 
 Medicare Supplement 197  —  —  197 
Total premiums 28,261  —  —  28,261 
Services revenue:
Home solutions —  335  —  335 
Pharmacy solutions —  211  —  211 
Primary care —  241  —  241 
Military and other 251  —  —  251 
Commercial ASO 24  —  —  24 
Total services revenue 275  787  —  1,062 
Total revenues—external customers 28,536  787  —  29,323 
Intersegment revenues 4,031  (4,032) — 
Investment income 162  —  126  288 
Total revenues 28,699  4,818  (3,906) 29,611 
Operating expenses:
Benefits 25,251  —  (127) 25,124 
Operating costs 2,364  4,483  (3,805) 3,042 
Depreciation and amortization 186  53  (30) 209 
Total operating expenses 27,801  4,536  (3,962) 28,375 
Income from operations $ 898  $ 282  $ 56  $ 1,236 
Benefit ratio 89.3  % 88.9  %
Operating cost ratio 8.3  % 93.0  % 10.4  %
S-6


Humana Inc.
Consolidating Statements of Income—For the three months ended March 31, 2023 (Unaudited)
In millions


Insurance CenterWell Eliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage $ 19,809  $ —  $ —  $ 19,809 
Group Medicare Advantage 1,765  —  —  1,765 
Medicare stand-alone PDP 616  —  —  616 
Total Medicare 22,190  —  —  22,190 
State-based contracts and other 1,909  —  —  1,909 
Commercial fully-insured 1,018  —  —  1,018 
Specialty benefits 254  —  —  254 
 Medicare Supplement
179  —  —  179 
Total premiums 25,550  —  —  25,550 
Services revenue:
Home solutions —  314  —  314 
Pharmacy solutions —  242  —  242 
Primary care —  201  —  201 
Military and other 171  —  —  171 
Commercial ASO 71  —  —  71 
Total services revenue 242  757  —  999 
Total revenues—external customers 25,792  757  —  26,549 
Intersegment revenues 14  3,748  (3,762) — 
Investment income 97  —  96  193 
Total revenues 25,903  4,505  (3,666) 26,742 
Operating expenses:
Benefits 21,993  —  (135) 21,858 
Operating costs 2,418  4,126  (3,565) 2,979 
Depreciation and amortization 165  49  (28) 186 
Total operating expenses 24,576  4,175  (3,728) 25,023 
Income from operations $ 1,327  $ 330  $ 62  $ 1,719 
Benefit ratio 86.1  % 85.5  %
Operating cost ratio 9.4  % 91.6  % 11.2  %
S-7


Humana Inc.
Membership Detail (Unaudited)
In thousands
         
  March 31, 2024 Average 1Q24 March 31, 2023 December 31, 2023
Medical Membership:
Individual Medicare Advantage* 5,548.9  5,539.8  5,153.0  5,408.9 
Group Medicare Advantage 551.5  551.6  511.2  509.6 
Total Medicare Advantage 6,100.4  6,091.4  5,664.2  5,918.5 
Medicare stand-alone PDP 2,347.0  2,380.4  2,956.3  2,849.1 
Total Medicare 8,447.4  8,471.8  8,620.5  8,767.6 
Medicare supplement 323.2  319.5  294.0  307.2 
State-based contracts and other 1,261.4  1,272.5  1,371.5  1,228.8 
Military 5,955.3  5,970.4  5,930.7  5,960.2 
Total excluding employer group commercial medical 15,987.3  16,034.2  16,216.7  16,263.8 
Fully-insured commercial medical 109.7  121.5  522.6  338.7 
ASO commercial 77.7  88.8  414.8  255.3 
Total employer group commercial medical 187.4 210.3  937.4  594.0 
Total Medical Membership 16,174.7  16,244.5  17,154.1  16,857.8 
Specialty Membership:    
Dental—fully-insured (B) 2,099.0  2,108.5  2,327.9  2,205.0 
Dental—ASO 303.8  304.8  309.6  307.0 
Total Dental 2,402.8  2,413.3  2,637.5  2,512.0 
Vision 1,884.3  1,895.8  2,061.6  1,971.4 
Other supplemental benefits 366.1  368.2  415.6  384.9 
Total Specialty Membership 4,653.2  4,677.3  5,114.7  4,868.3 
March 31, 2024 Member Mix
March 31, 2024
March 31, 2023 Member Mix
March 31, 2023
Individual Medicare Advantage Membership
HMO 2,848.6  51  % 2,778.0  54  %
PPO/PFFS 2,700.3  49  % 2,375.0  46  %
Total Individual Medicare Advantage
5,548.9  100  % 5,153.0  100  %
Individual Medicare Advantage Membership
Shared Risk (C) 2,051.9  37  % 1,749.9  34  %
Path to Risk (D) 1,785.4  32  % 1,755.2  34  %
Total Value-based 3,837.3  69  % 3,505.1  68  %
Other 1,711.6  31  % 1,647.9  32  %
Total Individual Medicare Advantage 5,548.9  100  % 5,153.0  100  %
*Individual Medicare Advantage membership includes 922,200 Dual Eligible Special Need Plans (D-SNP) members as of March 31, 2024, a net increase of 140,100, or 18 percent, from 782,100 as of March 31, 2023, and up 50,900, or 6 percent, from 871,300 as of December 31, 2023.
S-8


Humana Inc.
Premiums and Services Revenue Detail (Unaudited)
Dollars in millions, except per member per month; includes intersegment revenues
  For the three months ended March 31, Per Member per Month (I)
For the three months ended March 31,
Dollar Percentage
  2024 2023 Change Change 2024 2023
Insurance
Individual Medicare Advantage $ 22,448  $ 19,809  $ 2,639  13.3  % $ 1,351  $ 1,293 
Group Medicare Advantage 1,989  1,765  224  12.7  % 1,202  1,146 
Medicare stand-alone PDP 821  616  205  33.3  % 115  69 
State-based contracts and other (E) 2,311  1,909  402  21.1  % 576  451 
Fully-insured commercial medical (F) 256  1,018  (762) -74.9  % 565  550 
Specialty benefits (G) 239  254  (15) -5.9  % 18  18 
Medicare Supplement 197  179  18  10.1  % 206  202 
Military and other (H) 252  185  67  36.2  %
Commercial ASO 24  71  (47) -66.2  %
Total 28,537  25,806  2,731  10.6  %
CenterWell
Pharmacy solutions 2,828  2,857  (29) -1.0  %
Primary care 1,170  1,020  150  14.7  %
Home solutions 820  628  192  30.6  %
Total 4,818  4,505  313  6.9  %








S-9


Humana Inc.
CenterWell Segment - Pharmacy Solutions (Unaudited)


For the three months ended
March 31, 2024
For the three months ended
March 31, 2023
For the three months ended
December 31, 2023
Generic Dispense Rate
Total Medicare 91.0  % 91.4  % 91.8  %
Mail-Order Penetration
Total Medicare 29.0  % 30.3  % 29.0  %










S-10


Humana Inc.
CenterWell Segment - Primary Care (J) (Unaudited)


As of March 31, 2024 As of March 31, 2023 Year-over-Year Growth
Primary Primary Primary
Center Care Patients Center Care Patients Center Care Patients
Count Providers Served (K) Count Providers Served (K) Count Providers Served
De novo 113  275 52,000  58  162 26,600  94.8  % 69.8  % 95.5  %
Wholly-owned 186 625 203,100  191 586 180,700  (2.6) % 6.7  % 12.4  %
Independent Physician Associations 62,900  58,400  7.7  %
299 900  318,000  249 748  265,700  20.1  % 20.3  % 19.7  %


As of December 31, 2023 Sequential Growth
Primary Primary
Center Care Patients Center Care Patients
Count Providers Served (K) Count Providers Served
De novo 108  274 43,100  4.6  % 0.4  % 20.6  %
Wholly-owned 188 617 189,600  (1.1) % 1.3  % 7.1  %
Independent Physician Associations 61,500  2.3  %
296 891  294,200  1.0  % 1.0  % 8.1  %







S-11


Humana Inc.
CenterWell Segment - Home Solutions (Unaudited)






For the three months ended
March 31, 2024
For the three months ended
March 31, 2023
Year-over-Year Growth
Episodic Admissions (L) 84,260  73,937  14.0  %
Total Admissions - Same Store (M) 102,236  96,358  6.1  %





S-12


Humana Inc.
Footnotes to Statistical Schedules and Supplementary Information
1Q24 Earnings Release

A.Net losses associated with the company's non-consolidated minority interest investments.
B.Fully-insured dental membership as reported does not include Humana members that have a Medicare Advantage plan that includes an embedded dental benefit.
C.In certain circumstances, the company contracts with providers to accept financial risk for a defined set of Medicare Advantage membership. For these Downside Risk arrangements, the provider is measured against a medical expense ratio target and the company may share savings from reduction to the total cost of care of the defined membership. The result is a high level of engagement on the part of the provider. Under these arrangements, the company may contract with providers to accept partial, full, or global financial risk. In certain instances (capitated shared risk) of these arrangements, the company may choose to prepay these providers a monthly fixed-fee per member to coordinate substantially all of the medical care for their Medicare Advantage members assigned or attributed to their provider panel, including some health benefit administrative functions and claims processing.
D.A Path to Risk provider is one who has a high level of engagement and has contracted with the company to participate in an Upside Only/Shared Savings total cost of care arrangement and/or in one of Humana’s Quality Bonus programs (Model Practice), through which the company rewards the provider for achieving quality and utilization targets. Providers who are contracted in an Upside Only/Shared Savings arrangement may receive a portion of achieved surpluses when the actual cost of the medical services provided to patients assigned or attributed to their panel is less than the agreed upon medical expense targets. These contracts may also include a Downside Risk trigger (future date or membership threshold) which has not yet been met.
E.Per Member per Month (PMPM) shown reflects only Medicaid premiums and average Medicaid membership for the period; includes impact of dual eligible demonstration members.
F.Fully-insured commercial medical premiums also include stop-loss premiums associated with the commercial ASO product; for purposes of the PMPM metric, the commercial ASO stop-loss premiums have been excluded.
G.Specialty per member per month is computed based on reported specialty premiums and average fully-insured specialty membership for the period.
H.The amounts primarily reflect services revenues under the TRICARE East Region contract that generally are contracted on a per-member basis.
I.Computed based on average membership for the period (i.e. monthly ending membership during the period divided by the number of months in the period).
J.De novo refers to all new centers opened or acquired since 2020 under a WCAS joint venture. Wholly-owned refers to all centers outside a WCAS joint venture.
K.Represents Medicare Advantage (MA) risk, MA path to risk, MA value-based, Direct Contracting Entity, and Accountable Care Organization patients.
L.Reflects patient admissions under the Patient Driven Groupings Model (PDGM) payment model.
M.Reflects all patient admissions regardless of reimbursement model. Same store is defined as care centers that have been owned and operated at least the last twelve months and startups that are an expansion of a same store care center.

S-13
EX-99.3 4 a1q2024humanaincpreparedre.htm EX-99.3 Document
Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024
image_0.jpg
Please view these remarks in conjunction with our 1Q 2024 earnings release that can be found on our website at www.humana.com under the Investors section, or via the following link: https://humana.gcs-web.com/financial-information/quarterly-results.

We also invite you to listen to our live question and answer webcast with our Chief Executive Officer, Bruce Broussard, our Chief Financial Officer, Susan Diamond, and our President and Chief Operating Officer, Jim Rechtin which will begin today at 9:00 a.m. Eastern Time and will be available at via the following link: https://humana.gcs-web.com/events-and-presentations/upcoming-events. For those unable to listen to the live event, the archive will be available in the Historical Webcasts and Presentations section of the Investor Relations page via the following link: https://humana.gcs-web.com/events-and-presentations.

Cautionary Statement
Certain of the matters discussed in these prepared remarks are forward-looking and are subject to a number of risks, uncertainties and assumptions. Actual results could differ materially.
Investors are advised to read the detailed risk factors discussed in our latest Form 10-K, our other filings with the Securities and Exchange Commission, and our 1Q 2024 earnings press release as they relate to forward-looking statements along with other risks discussed in our SEC filings. We undertake no obligation to publicly address or update any forward-looking statements in future filings or communications regarding our business or results.
Today’s press release, our historical financial news releases and our filings with the SEC are all also available on our Investor Relations site.
These remarks include financial measures that are not in accordance with generally accepted accounting principles, or GAAP.
Management's explanation for the use of these non-GAAP measures and reconciliations of GAAP to non-GAAP financial measures are included in today’s press release which can be found via the following link: https://humana.gcs-web.com/financial-information/quarterly-results.
Finally, any references to earnings per share or EPS made during this conference call refer to diluted earnings per common share.




1


Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024

Management Commentary
Key Messages:
•First quarter financial results exceeded internal expectations and consensus estimates, driven primarily by lower than planned administrative expenses, some of which is considered timing in nature
•The first quarter benefit ratio is in line with expectations as we have taken a more conservative approach to quarter end reserving considering the Change Healthcare disruption, although certain key individual Medicare Advantage (MA) early indicators are largely in line to slightly positive to expectations
•We raised our full year 2024 individual MA membership growth guidance by 50,000 to 150,000, supported by higher than anticipated non-DSNP sales
•Based on results to date, we reaffirmed our 2024 Adjusted EPS outlook of ‘approximately $16’ and full year Insurance segment benefit ratio guidance of approximately 90 percent
•We are proud of our continued organic success expanding our Medicaid platform with recent contract wins in Florida, Texas, and Virginia
•Looking ahead to 2025, we expect benefit levels, plan stability and choice for seniors to be negatively impacted as a result of the final MA rate notice, which is not sufficient to address the current medical cost trend environment
oConsidering the significant difference between the final rate notice and our previous funding assumption, combined with the inherent pricing limitations imposed by the Total Beneficiary Cost (TBC) change thresholds, we no longer believe $6 to $10 of Adjusted EPS growth is the appropriate target range for 2025
oWe remain committed to margin recovery and profitable growth through multiyear pricing actions, creating value for our shareholders over the long term – though now believe the recovery process will be longer than previously anticipated
oOur 2025 Adjusted EPS growth outlook will be impacted by several variables into which we will not have clear visibility until later this year. As a result, we believe it is prudent to provide more specific guidance for 2025 once we have greater clarity
oWe are evaluating plan level pricing decisions and the expected impact to net membership along with opportunities to drive growth and further productivity across all lines of business to support 2025 Adjusted EPS growth
oImportantly, we believe in the strong fundamentals and growth outlook of MA and expect that the industry will adjust to the current funding and regulatory environment, continue to deliver strong top line growth, and normalize at an appropriate margin of at least 3 percent over time
•We continue to believe there is strong bipartisan support for the MA program and that the strong core fundamentals and growth outlook for MA and value-based care (VBC) remain intact. Further,
2


Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024
we expect that Humana’s platform, unique focus on MA, and expanding CenterWell capabilities will allow us to compete effectively and deliver compelling shareholder value over the long-term

First Quarter 2024 Results and Full Year 2024 Outlook
    Today, Humana reported financial results for the first quarter of 2024, reflecting a solid start to the year. Adjusted earnings per share for the first quarter were $7.23, which was above our initial expectations. This outperformance was primarily driven by lower than planned administrative expenses, some of which is considered timing in nature. The first quarter benefit ratio is in line with expectations as we have taken a more conservative approach to quarter end reserving considering the Change Healthcare disruption, although certain key individual MA early indicators are largely in line to slightly positive to expectations, as discussed more below.
Based on results to date, we have reaffirmed our 2024 Adjusted EPS outlook of ‘approximately $16’ and full year Insurance segment benefit ratio guidance of approximately 90 percent.
Further discussion of our first quarter performance and full year 2024 outlook are in the sections that follow.
Individual Medicare Advantage
Individual MA membership growth to date is positive to previous expectations driven primarily by higher non-DSNP sales. We now anticipate full year individual MA net membership growth of approximately 150,000 as compared to our previous expectation of approximately 100,000 net growth. From an industry perspective, we anticipate overall individual MA growth of approximately 6 to 7 percent, with the impact of Medicaid redeterminations and related implications on DSNP MA membership which is projected to have a one-time negative 100 basis point impact to industry growth in 2024.
Revenue for the quarter was slightly favorable to expectations driven by the higher than anticipated membership growth, along with slightly higher than anticipated member risk scores. We continue to expect our premium PMPM yield to be in the lower mid-single digits for the full year.
Now turning to medical cost trend. We experienced modest favorability in prior year development in the quarter primarily related to the third quarter of 2023 across both inpatient and non-inpatient categories. With respect to current year utilization, inpatient admissions per thousand (APT) were in line with expectations for the quarter.
3


Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024
APTs ran slightly higher than anticipated in January and February, offset by favorability in March. As previously shared, we have limited visibility into non-inpatient trends and inpatient unit cost until claims are received, and so as is customary, our first quarter results assume these costs items are in line with previous expectations.
While we have seen some positive early medical cost indicators in both prior year development and current year utilization, we recognize the Change Healthcare disruption is impacting claim submissions and therefore took a more conservative approach to quarter end reserving resulting in a benefit expense ratio consistent with expectations.
All-in, acknowledging it remains early in the year, we are cautiously optimistic about the performance of our individual Medicare Advantage business relative to our initial expectations.
Medicaid
Our Medicaid business performed in line with financial expectations in the first quarter. We were very pleased to receive a statewide award in Virginia as well as a regional award in Texas during the quarter. Humana was the only non-incumbent to receive an award in both states, validating the strength of our Medicaid capabilities and value proposition for our state partners. Further, we are incredibly proud of our recent statewide award in Florida, building upon decades of strong performance in the state.
Looking ahead to the full year, the Oklahoma contract successfully went live on April 1st adding approximately 190,000 members, and we are actively preparing for the Indiana contract to go live this summer where we expect to add an additional 35,000 members, bringing our total active Medicaid footprint to 9 states. At this time, we continue to expect an increase of 250,000 Medicaid members for the full year, growing to approximately 1.5 million members by year end.
We are excited about our momentum in Medicaid. We believe it validates our vision toward delivering 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. We anticipate continued investments to grow our platform organically with a focus on procuring additional awards in priority states, with request for proposals (RFPs) currently active or upcoming across several new state programs.
CenterWell
4


Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024
Within our Primary Care Organization (PCO), we have seen strong patient growth year to date, adding 8,900 patients or greater than 20 percent growth in our de novo centers and 13,500 patients in our more mature wholly-owned centers, representing 7 percent growth year to date. Aiding this growth is improved patient retention, which increased 80 basis points year over year. We continue to anticipate our end of year patient panel for 2024 to be between 330,000 and 340,000, as a result of organic growth and programmatic M&A, representing expected growth of approximately 35,000 to 45,000 patients year over year.
As previously shared, we expect a margin headwind in the PCO in 2024 because of the initial phase in of the v28 risk model revision. While we expect a margin headwind in the near term, we continue to anticipate we will largely mitigate the ultimate impact of the risk model changes over the three-year phase in through a multi-pronged mitigation plan, including numerous operational efficiencies such as centralizing and streamlining administrative functions, standardizing the clinic operating model, investing in new clinical models to continue driving improved patient outcomes, and improving clinician productivity to increase capacity. These mitigation efforts continue to make the expected progress.
As we continue efforts to drive integration of our CenterWell assets, we doubled the number of CenterWell primary care patients serviced by CenterWell Home Health under value-based care during the quarter, adding 20,000 patients as of March 31st. In addition, we are pleased to report that the voluntary disenrollment rate for Humana health plan members who utilized two or more CenterWell assets in 2023 was 400 basis points less than members who did not utilize CenterWell in 2023. This speaks to the opportunity we have to provide differentiated member experiences, centered around ease, convenience, and improved health outcomes, leading to increased satisfaction and loyalty.

Capital Deployment

We recognize the importance of returning capital to shareholders and have completed $715 million of share repurchases year to date, taking advantage of the dislocation in the stock price relative to our confidence in the long-term earnings outlook of our business. This is underpinned by our strong Medicare Advantage platform, further expansion of our Medicaid footprint, and the continued build out and integration of our CenterWell assets.
5


Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024
From an M&A perspective, we remain focused on opportunities to enhance our CenterWell capabilities, with a particular focus on growing our Primary Care and Home businesses.

Earnings Seasonality

We expect second quarter earnings to be approximately 37 percent of our full year 2024 earnings. In addition, we expect the second quarter Insurance segment benefit ratio to be slightly higher than our first quarter ratio given the seasonality of favorable prior year development. Finally, we anticipate the Consolidated benefit ratio will be approximately 40 basis points less than the Insurance ratio.
Looking Ahead to 2025
We expect benefit levels, plan stability and choice for seniors to be negatively impacted by the 2025 final MA rate notice, which is not sufficient to address the current medical cost trend environment.
We continue to assess the impacts of the final rate notice and Policy and Technical Rule, as well as the Inflation Reduction Act (IRA), and are finalizing our pricing decisions for the 2025 MA bids which will be submitted by the first Monday in June. We are taking a granular approach to our bid strategy, assessing the needs and benefit preferences of various consumer segments, the current and expected profitability of our offerings and greatest opportunities for attractive membership growth. We anticipate utilizing a combination of targeted plan and county exits and varying levels of benefit reductions, among other actions, to optimize our portfolio for both the near and longer term. While we always strive to minimize benefit disruption for members, given the constraints of the current landscape, we anticipate significant impacts in the near term, which the industry must manage in partnership with CMS.
Considering the significant difference between the final rate notice and our previous funding assumption, combined with the inherent pricing limitations imposed by the Total Beneficiary Cost (TBC) change thresholds, we no longer believe $6 to $10 of Adjusted EPS growth is the appropriate target range for 2025. We remain committed to margin recovery and profitable growth through multiyear pricing actions, creating value for our shareholders over the long term – though now believe the recovery process will be longer than previously anticipated.
6


Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024
Our 2025 Adjusted EPS growth outlook will be impacted by several variables to which we will not have clear visibility until later this year. As a result, we believe it is prudent to provide more specific guidance for 2025 once we have greater clarity. These variables include finalization of our MA bid pricing decisions, the continued evolution of industry cost trends, and the level of competitor pricing actions in 2025 which will impact our net membership growth. Finally, we continue to evaluate opportunities to drive growth and further productivity across all lines of business to support 2025 Adjusted EPS growth.
Importantly, we believe in the strong fundamentals and growth outlook of MA and expect that the industry will adjust to the current funding and regulatory environment, continue to deliver strong top line growth, and normalize at an appropriate margin of at least 3 percent over time.
We appreciate the desire for more detail regarding our outlook for 2025 and will therefore provide an update on our bid strategy post bid finalization, with a further update in the Fall once we have visibility into competitor plans and expected membership implications. As is customary, we will provide formal 2025 guidance on our fourth quarter earnings call early next year.

MA Industry Value Proposition and Growth Outlook
The MA program has strong bipartisan support and is increasingly being selected by seniors as they view it as the best option to receive affordable, high-quality coverage that meets their unique needs, with benefits such as a zero-dollar Part D premium, transportation benefit for rides to the doctor, and dental, vision and hearing coverage.
Today, more than half of all Medicare-eligible seniors and those with disabilities rely on MA – more than 32 million Americans1. MA has a higher overall share of diverse populations at 29 percent, compared to original Medicare at 19 percent and MA plans represent a larger share of low-income enrollees versus Original Medicare2. 38 percent of enrollees with MA coverage have annual incomes of less than $25,000 as compared to 23 percent Original Medicare enrollees2. These statistics underscore that MA is deeply valued and relied on by millions of seniors, particularly those with lower incomes and that are underserved.
In addition, MA encourages utilization of VBC, resulting in more proactive and comprehensive care and better health outcomes for beneficiaries. Data on Humana’s 2022 individual MA plan members show patients in VBC models were 3 to 11 percent more adherent with their preventive screenings and medications3, and experienced 7.1 percent fewer admissions and 12.7 percent fewer ER visits versus patients of non-VBC providers3.
7


Exhibit 99.3
Humana Inc. First Quarter 2024 Prepared Management Remarks 04/24/2024
Further, Humana’s MA members in VBC arrangements experienced 30.1 percent fewer in-patient hospital admissions than individuals in original Medicare3.
As we look ahead, the Medicare population will continue to grow. And given the clear benefits of MA and VBC, Kaiser Family Foundation anticipates there will be 70 million Medicare eligible Americans by 20304, with MA penetration rates greater than 60 percent5.

Closing
Humana had a solid start to 2024. And while we acknowledge that the entire MA industry is navigating a difficult near-term environment, we continue to believe the strong fundamentals and growth outlook of MA and VBC remain intact and the strength and scale of our platform and differentiated capabilities will allow us to effectively manage through the uncertainty, compete effectively and deliver compelling shareholder returns over the long term.
We appreciate your continued support and look forward to providing updates on our performance and outlook throughout the year.

Bruce Broussard, Chief Executive Officer
Susan Diamond, Chief Financial Officer
Jim Rechtin, President and Chief Operating Officer


1 Centers for Medicare & Medicaid Services, Monthly Contract and Enrollment Summary Report, December 2023.
2 Medicare Advantage Demographics Report - AHIP (www.ahip.org/resources/medicare-advantage-demographics?utm_campaign=Daily%20Dispatch&utm_medium=email&_hsmi=290599646&_hsenc=p2ANqtz-9USb2APbw2aE2NJDbXJjooMTEcgpKdT85E8CBDJC07NOQUrB_u3CknKqye_l6Beb5vSlUOor4M6uK4JKdS1e5742YvQg&utm_content=290599646&utm_source=hs_email)
3Humana’s 2023 Value Based Care Report, https://humana.gcs-web.com/static-files/2d174b46-2f41-4ab9-acc4-2f400b703c10
4 U.S. Census Bureau, Projected Age Groups and Sex Composition of the Population: Main Projections Series for the United States, 2017-2060. Available at: https://www.census.gov/data/tables/2017/demo/popproj/2017-summary-tables.html
5Kaiser Family Foundation, Medicare Advantage in 2022: Enrollment Update and Key Trends, August 25, 2022
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