Thread regarding Humana Inc. layoffs

Cigna?

A report from Reuters last week said Cigna is looking to sell its Medicare Advantage business, which covered 600,000 people as of September. A Cigna spokesperson said the company does “not comment on rumors or speculation.”

Cigna is a very small player in Medicare Advantage, and its MA plans have been messy and controversial since it bought HealthSpring in 2012. But Cigna’s MA business is still sizable, growing, and profitable — a highly desirable asset for an insurance company willing to spend billions. There could be a bigger move being planned, though. At least that’s what Scott Fidel, a health care stock analyst at Stephens, is thinking.

“We would see this action being one component of a potential pursuit of [Humana] as acquisition target, with the divestiture being a proactive move to reduce antitrust risk,” Fidel wrote in a note to investors last week. In other words, Cigna (which is mostly employer and commercial health insurance) and Humana (almost entirely Medicare Advantage) would have no insurance overlap that would immediately trigger antitrust review.

There’s one issue: A combined Cigna-Humana would still have a lot of overlap with their pharmacy benefit managers. Cigna owns Express Scripts (second-largest PBM, according to Adam Fein of Dr-g Channels), and Humana owns the fourth-largest PBM. Given how Lina Khan’s Federal Trade Commission already is scrutinizing PBM market power, it seems like that kind of deal would be an insta-block.

by
| 2771 views | | 5 replies (last November 22, 2023) | Reply
Post ID: @OP+1pA1EJN1

5 replies (most recent on top)

Cigna got into trouble and had to pay 172M fine due to automatically denying/ processing claims. I think they were using AI to review claims and stamping MD's name on them. If you go Cigna's sections on this website, you will also see that they been laying off employees recently. Cigna is looking to make their Medicare line of business as lean as possible for a possible sale. This potential sale could also lead to even more layoffs for both Cigna Medicare and Humana as there will be a lot of overlap of employees on both sides doing the same roles.

by
| | Reply
Post ID: @8uzb+1pA1EJN1

Buckle up folks. The wheels have been in motion for awhile now. The big “H” didn’t divest itself of Commercial, and Cigna isn’t divesting itself of MA, by pure coincidence. Neither had their heart in it (not really). Humana has a history of purchasing, splitting things into pieces (ie: Kindred), and then selling things the same way (by piece). Look for changes to coincide with the departure of BB and closely read the bio of the incoming CEO (where his experience has been). The board picked the new guy for a reason. Cigna is the likely suitor of the insurance business (no overlap = easier to pass anti-trust). Don’t be surprised if a smaller player causes some ripples along the way..Cigna has the bigger boat. CW continues on with the new CEO until swallowed by the player who already has MA and is looking for the services that CW has. The time is quickly approaching for everyone to change the carpet from “lime green” to a different color.

by
| | Reply
Post ID: @8rqn+1pA1EJN1

It’s saying that Cigna wants to divest their MA business so that when they purchase Humana’s insurance business there will not be any antitrust concerns.

by
| | Reply
Post ID: @2hxb+1pA1EJN1

Says Cigna wants to sell there MA members not buy more.

by
| | Reply
Post ID: @1qil+1pA1EJN1

Selling the MA business to Cigna and keeping Centerwell as a separate business. If you’ve been paying attention, there has been a large shift toward being a care delivery company instead of an insurance company due to higher margins on the care delivery side of the house. It explains why the line between insurance and Centerwell has become much more well defined over the past 18-24 months.

by
| | Reply
Post ID: @1zhy+1pA1EJN1

Post a reply

: