Humana

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Humana
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Basic facts
Location:Louisville, Ky.
Top official:Bruce D. Broussard, President and CEO
Website:Official website

Humana is a health insurance company headquartered in Louisville, Kentucky. Originally founded in 1961 as a nursing home operator, the company transitioned into owning and managing hospitals, then to health insurance plans in the 1980s. As of May 2015, Forbes estimated the company to be worth $26.7 billion.[1]

As of March 2016, Humana's proposed merger with Aetna, a U.S.-based healthcare benefits company, is pending approval from federal antitrust regulators.[2]

History

Humana was founded in 1961 by H. Wendell Cherry and David A. Jones, Sr., who served as the company's chairman until 2005.[3] Originally a nursing home company called Extendicare, the company moved into hospitals in 1974 and changed its name to Humana.[4] According to Louisville Business First, Cherry and Jones "saw an opportunity to create a hospital company with a large-scale management structure to operate the facilities. They believed it could operate more efficiently than competitors because statistics showed most hospitals were run by local owners."[5]

In 1983, after one of the company's hospitals lost a contract with a local health-maintenance organization, Humana created its own health insurance plan. The company eventually spun off the hospital arm of the company—as Galen Health Care—and focused on health insurance exclusively.[5] Since then, the company has focused on provided group health insurance and Medicare plans as well as health and supplemental insurance plans to individuals.[6]

Work


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Humana works exclusively in the health insurance industry, offering group insurance plans for employers and individual and supplemental insurance plans. In addition, the company offers a variety of plans for seniors with Medicare coverage. The Humana plans generally supplement Medicare insurance and provide benefits and services, along with prescription drugs.[7]

Lobbying

Humana lobbies the federal government on issues related to healthcare and health insurance. According to The Wall Street Journal, in 2013 the company focused on lobbying "to reverse course on previously announced cuts in funding for the special health-insurance plans known as Medicare Advantage."[8]

The following table details Humana's federal lobbying expenditures:[9]

Political contributions

Humana also has a political action committee, Humana PAC. According to the company's website, the PAC aims "to identify and support candidates for legislative office who, like us, believe that private sector health coverage provides the best opportunity for affordable, accessible, and quality healthcare for all. Candidates supported by Humana know that our endorsement represents a shared commitment to these goals."[10]

The following table details Humana PAC's political contributions as of March 2016:

Humana PAC political contributions, 2002-March 2016[11]
Election cycle Federal candidates Political committees State/local candidates National political parties Joint fundraising committees State/local political parties Total contributions
2016 $341,500 $171,500 $46,750 $60,000 $2,500 $5,000 $627,300
2014 $492,000 $226,500 $114,050 $95,000 -- $7,500 $935,100
2012 $625,500 $201,000 $85,416 $60,000 -- -- $971,900
2010 $636,700 $98,500 $25,500 $75,000 -- $14,000 $854,700
2008 $354,250 $69,500 $37,450 $55,000 -- $7,000 $523,500
2006 $237,700 $21,000 $6,500 $6,000 -- -- $271,200
2004 $184,088 $5,000 $7,550 -- -- -- $197,100
2002 $151,650 -- $35,450 -- -- -- $188,500

Opposition

2016 presidential campaign

See also: Hillary Clinton presidential campaign, 2016/Healthcare

On October 21, 2015, Hillary Clinton said she had “serious concerns” about Aetna’s planned acquisition of Humana and other mergers between health insurers. "As we see more consolidation in health care, among both providers and insurers, I'm worried that the balance of power is moving too far away from consumers," Clinton said.[12]

Humana and Aetna, a U.S.-based healthcare benefits company, announced their proposed $34 billion merger on July 3, 2015. As of March 2016, the merger is pending approval from federal antitrust regulators while investigators determine the scope of potential negative impacts on consumer pricing, access to care, and market competition.[2]

U.S. Department of Justice lawsuits

The U.S. Department of Justice filed lawsuits on July 21, 2016, to halt the proposed mergers between Humana and Aetna as well as Cigna and Anthem. The lawsuits arose from concerns that the proposed mergers would limit competition in the health insurance market, raise health insurance premiums, and create challenges for the Affordable Care Act.[13]

“If allowed to proceed, these mergers would fundamentally reshape the health insurance industry,” said Attorney General Loretta Lynch. “They would leave much of the multi-trillion dollar health insurance industry in the hands of three mammoth insurance companies, drastically constricting competition in a number of key markets that tens of millions of Americans rely on to receive health care.”[13]

All four health insurers fought the lawsuits. According to Reuters, Humana and Aetna stated that they would "vigorously defend the companies’ pending merger."[14]

U.S. District Court Judge John Bates issued a ruling to block the merger between Aetna and Humana on January 23, 2017.[15]

Leadership

The following individuals are members of Humana's board of directors, according to the company's website as of April 2016:[16]

  • Kurt J. Hilzinger
  • Bruce D. Broussard
  • Frank A. D'Amelio
  • W. Roy Dunbar
  • David A. Jones, Jr.
  • William J. McDonald
  • William E. Mitchell
  • David B. Nash, M.D.
  • James J. O'Brien
  • Marissa T. Peterson

The following individuals are Humana's executive officers, according to the company's website as of April 2016:[17]

  • Bruce D. Broussard, President and chief executive officer
  • James E. Murray, Executive vice president and chief operating officer
  • Roy A. Beveridge, M.D., Senior vice president and chief medical officer
  • Jody L. Bilney, Senior vice president and chief consumer officer
  • Christopher H. Hunter, Senior vice president and chief strategy officer
  • Tim Huval, Senior vice president, chief human resources officer
  • Brian Kane, Senior vice president and chief financial officer
  • Christopher Kay, Senior vice president and chief innovation officer
  • Brian LeClaire, Senior vice president and chief information officer
  • Heidi S. Margulis, Senior vice president – corporate affairs
  • Christopher M. Todoroff, Senior vice president and general counsel
  • Cynthia H. Zipperle, Vice president, chief accounting officer and controller

Recent news

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See also

External links

Footnotes