Humana
What Humana is up to now
The thinnest actor in the wave — genuinely, not search-unlucky. No fresh Humana-specific AI/CenterWell/BH item; its nH Predict AI- denial suit sits in the background (don't conflate with UHC's discovery order). Exposed to the WISeR prior-auth pilot fight and the OIG MA-denial report as the #2 MA insurer, without a Humana- specific finding yet. Dedicated crawl recommended.
as of 2026-07-28
Sphere us
Pocket
Health
The most constrained payer — ~85% government-book (MA/Medicaid), CMS rate-set.
The metrics
- Posture high
- retrenching 2 src →
- Capital · available high
- ~$5.0B cash (~$36.5B total investments/float) against a light ~$14.3B debt — thinnest free liquidity of the payers relative to its book 1 src →
- Capital · operating high
- ~$129.7B FY25 revenue (~$137.2B TTM); operating cash flow only ~$0.9B FY25 / ~$1.8B TTM (weakest of the group) 1 src →
- Capital · deployed high
- ~$0.5B capex + ~$0.15B buybacks FY25 — capital deployment frozen; CenterWell care-delivery build is the main reinvestment 1 src →
- Capital · in high
- inflows — ~$129.7B FY25, ~85% CMS-set government premiums (Medicare Advantage + Medicaid) 2 src →
- Capital · out high
- outflows — MA medical costs (elevated utilization) dominate; then ~$0.43B dividends + ~$0.15B buybacks FY25 1 src →
- Optionality high
- constrained (the MOST) — ~85% government book means CMS sets the rates and Star ratings set the bonus dollars; a Star-ratings downgrade + weak ~$0.9B OCF leaves almost no free capital. 2 src →
- Gravity med
- GROSS ~$129.7B/yr routed — #2 Medicare Advantage insurer (~5-6M MA members) + CenterWell primary-care / home-health delivery. 2 src →
Projects & threads
·
AI Denial Machine
legitimacy dispute
— open · last seen 2026-07-28
· 2 entries
Vocabulary