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Humana Faces Major Setback as Medicare Downgrades Ratings

The insurer's stock plunges amid a sharp decline in Medicare Advantage star ratings, affecting revenue and market position.

  • Humana's stock has seen its worst decline since 2009, dropping 23% this week due to downgrades in Medicare Advantage plan ratings.
  • The percentage of Humana's customers in four-star or higher plans plummeted from 94% to 25%, significantly impacting potential revenue from government bonus payments.
  • Analysts describe the situation as a 'worst-case scenario,' with potential long-term effects on Humana's earnings and market share.
  • The downgrades have sparked broader concerns within the health insurance industry, with fears of similar impacts on other companies.
  • Humana is appealing the ratings and engaging with regulators, but recovery may be delayed, especially if political changes increase pressure on Medicare Advantage plans.
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