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Humana Inc (HUM)
NYSE:HUM

Humana (HUM) AI Stock Analysis

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HUM

Humana

(NYSE:HUM)

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Neutral 46 (OpenAI - 5.2)
Rating:46Neutral
Price Target:
$180.00
▼(-5.53% Downside)
Action:ReiteratedDate:02/17/26
The score is weighed down primarily by weakening profitability and a sharp deterioration in 2025 operating/free cash flow, reinforced by conservative 2026 guidance driven by the ~$3.5B STARS headwind and margin pressure. Technicals also remain strongly negative with the stock well below key moving averages. Valuation and the dividend offer some support but are not sufficient to offset near-term fundamentals and outlook risks.
Positive Factors
Durable Revenue Growth
Humana’s top line showed multi-year growth through 2025, driven by Medicare Advantage, Medicaid and pharmacy streams. Sustained premium inflows and scale in government programs create structural revenue durability and support long-term capacity to invest in care models and productivity gains.
Membership Growth & Retention
Large, repeatable MA membership gains and materially improved retention raise lifetime value and enable operating leverage. A higher share of switchers and sales from higher‑LTV channels structurally improves customer mix and supports margin recovery as onboarding and care programs mature.
Moderate Leverage & Capital Actions
Balance sheet metrics show moderate industry‑typical leverage and active capital management that offset capital requirements. This financial flexibility supports strategic investments, targeted M&A and operational transformation without forcing abrupt deleveraging that could impair care expansion.
Negative Factors
Weakened Cash Generation
A sharp decline in operating and free cash flow reduces Humana’s internal funding for transformation, provider support and working capital. Persistently lower cash conversion constrains ability to absorb rating/funding shocks, sustain capital returns, or accelerate investments without external financing.
Margin Compression & STARS Headwind
Material margin deterioration and a multi‑billion STARS funding headwind compress underwriting economics. Even with membership growth, star‑driven bonus variability and lower effective funding limit Humana’s ability to convert volume into sustained profits without multi‑year improvement in quality metrics or funding resets.
Advance Rate & Guidance Uncertainty
Uncertainty in MA advance rates and deliberately conservative guidance highlight funding and execution risk. Potential for benefit/pricing adjustments and delayed margin recovery raises the likelihood that operational improvements will take multiple years to fully offset regulatory and funding volatility.

Humana (HUM) vs. SPDR S&P 500 ETF (SPY)

Humana Business Overview & Revenue Model

Company DescriptionHumana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. It operates through three segments: Retail, Group and Specialty, and Healthcare Services. The company offers medical and supplemental benefit plans to individuals. It also has a contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits. In addition, the company provides commercial fully insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health benefits; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE T2017 East Region contract. Further, it offers pharmacy solutions, provider services, and home solutions services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2021, the company had approximately 17 million members in medical benefit plans, as well as approximately 5 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.
How the Company Makes MoneyHumana generates revenue primarily through its health insurance premiums, which are collected from members enrolled in its various health plans, including Medicare Advantage, Medicare Prescription Drug Plans, and employer-sponsored commercial plans. The company's revenue model is based on risk adjustment payments from the Centers for Medicare & Medicaid Services (CMS) for its Medicare Advantage plans, which compensates Humana for providing services to members with varying health risk profiles. Additional revenue streams include fees for administering Medicaid plans and revenues from its pharmacy services division, where it manages pharmacy benefits for members. Significant partnerships with healthcare providers and the integration of technology to enhance patient care and streamline operations also contribute to Humana's earnings by improving efficiency and member satisfaction.

Humana Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Breaks down sales figures for each business unit, indicating which areas are contributing most to growth and where there might be potential for expansion or risk.
Chart InsightsA 2023 reporting reset moved revenue out of Retail/Group/Healthcare Services into two clear growth engines: Insurance (now the dominant, steadily rising stream) and CenterWell (high-percentage growth from a low base). That reclassification masks underlying membership- and AEP-driven premium growth, while expanding CenterWell — backed by pharmacy strategy and M&A — is becoming a strategic revenue lever. Reduced negative Corporate & Eliminations suggests fewer intersegment adjustments post-reorg. Key risks: Stars performance and duals/Medicaid integration could pressure margins despite management’s margin targets and efficiency initiatives.
Data provided by:The Fly

Humana Earnings Call Summary

Earnings Call Date:Feb 11, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 29, 2026
Earnings Call Sentiment Neutral
The call balances meaningful operational and strategic progress (notably strong membership growth, improved retention, CenterWell tailwinds, EPS outperformance in 2025, and capital efficiency gains) with significant near-term headwinds. The dominant risks are a large ~$3.5 billion STARS headwind, 2026 MA margins slightly below breakeven, and uncertainty from the advance rate notice. Management emphasizes confidence in long-term targets (2028) and has plans to adapt to funding changes, but near-term performance will be constrained by STARS and rate uncertainty.
Q4-2025 Updates
Positive Updates
Strong Membership Growth
Grew ~1,000,000 members (≈20%) in AEP; management expects individual Medicare Advantage (MA) membership to grow ≈25% for full-year 2026. New sales composition: >70% switchers (typically better economics), ~30% bounce-back members, and >75% of new sales from higher lifetime value channels (≈10 percentage point improvement YoY).
Improved Retention and Onboarding Metrics
Retention rate improved by over 500 basis points year-over-year. Early onboarding indicators showed reduced complaints to Medicare YoY, improved transactional Net Promoter Score, and higher completion rates for health risk assessments (HRAs) — all positive for STARS and member experience.
Solid 2025 Financial Results and EPS Beat
Reported adjusted EPS of $17.14 for 2025, in line with expectations and above initial guidance (~$16.25). Insurance segment full-year benefit ratio 90.4%, slightly better than guidance.
Capital Efficiency and Funding Position
Premium growth expected ~40% from 2024–2026, while statutory capital requirements projected to rise by <20% due to capital optimization. Management noted capital improvements that offset over $3 billion of capital requirements from '24–'26; debt-to-cap expected to remain largely flat.
Operating Efficiency & Transformation Momentum
Expect significant improvement in consolidated operating cost ratio for 2026 driven by operating leverage from membership/revenue growth, tactical cost-cutting (supplier consolidation, early retirement program), outsourcing and automation. Management expects these transformation benefits to accelerate in 2027–2028.
CenterWell & Medicaid Growth
CenterWell contributions turning positive (CenterWell Pharmacy tailwind vs prior decline). Medicaid footprint expanded to 13 states (including Georgia and Texas planned launches), and management expects continued J-curve progress in Medicaid and CenterWell clinics.
Clear Path to Long-Term Margin Targets
Management reiterates goal to 'unlock earnings potential by 2028' and expects a doubling of individual MA pretax margin in 2026 when normalized for STARS outcomes; anchored planning to 75th percentile STARS for long‑term targets.
Key Leadership and Strategic Moves
Aaron Martin joined as President of Medicare Advantage in January; company pursuing a strategic primary care acquisition and intends to fund select small/mid M&A via noncore asset sales.
Negative Updates
Large STARS Headwind for 2026
Net STARS headwind for 2026 (individual + group MA) estimated at ~ $3.5 billion, net of contract diversification and provider offsets. Only ~45% of members expected in four-plus star plans for 2026, and ~30% of new sales are on contracts rated below four stars, increasing near-term revenue/headwind risk.
Near-Term MA Margin Pressure
After accounting for the STARS headwind, management expects individual MA margins to be slightly below breakeven in 2026 (despite expecting new members to be 'enterprise accretive' on average). This drives a more conservative 2026 EPS guide (adjusted EPS of at least $9, a year-over-year decline).
Advance Rate Notice Uncertainty
Advance rate notice came in below medical cost trend, creating uncertainty around final MA funding levels. Management acknowledged the funding environment may force benefit/pricing adjustments once final rates are published, posing execution and margin risk.
Significant 2025 Incremental Investments
Management disclosed incremental investment spend in 2025 (estimated > $550 million), ~90% of which was in medical costs—these investments support transformation but reduce near-term earnings flexibility.
Operational Absorption Risk
Absorbing a very large incoming cohort (management referenced multi-million membership increases) presents operational risk for STARS and care delivery despite positive early indicators; capacity constraints remain a focus area and a potential source of execution risk.
STARS & Provider Support Reduced Offsets
Contract diversification and provider offsets are lower than typical because Humana provided star support to providers; this amplified the net STARS headwind and reduced natural mitigation versus peers.
Conservative 2026 Guidance and Headwinds Impacting Seasonality
Management noted higher-than-normal conservatism in the 2026 guide to account for dynamic environment and STARS-related headwinds; EPS seasonality is expected to be more back‑end weighted due to STARS and IRA impacts.
Company Guidance
Humana guided to full‑year 2026 adjusted EPS of at least $9 (versus $17.14 in 2025), expects individual MA membership to grow ~25% in 2026 after roughly 1,000,000 AEP net adds (~20%), with retention up >500 basis points YoY; management said new members will be enterprise‑accretive in 2026, noting >70% of new sales were switchers, >70% of new sales were on 4+‑star contracts (45% of total members in 4+ stars for ’26) while ~30% of new sales are on <4‑star contracts, ~30% are bounce‑backs, and >75% came from higher‑LTV channels (≈+10 ppt YoY). They flagged a net STARS headwind of ~ $3.5B for 2026 (individual + group), expect individual MA margins to be slightly below breakeven in 2026 but to double year‑over‑year when normalized for STARS (e.g., at a 95% 4+‑star mix), and forecast significant improvement in consolidated operating and admin expense ratios from operating leverage and transformation. Other metrics called out: 2025 insurance benefit ratio 90.4%; premium growth ~40% from 2024–2026 with statutory capital requirements rising <20% (capital actions offset >$3B of capital need); CenterWell/Medicaid in 13 states (DSNP +140k, +18%); debt‑to‑cap largely flat; and the company remains focused on unlocking earnings potential by 2028 and returning to top‑quartile STARS by 2028.

Humana Financial Statement Overview

Summary
Revenue growth has been durable, and leverage appears moderate for the industry, but recent profitability and cash generation have weakened meaningfully. Net margin compression and a sharp drop in operating/free cash flow in 2025 are the key negatives and reduce earnings quality.
Income Statement
52
Neutral
Revenue has grown steadily from 2020 to 2025 (annual growth mostly high-single to mid-teens before slowing in 2025), showing durable top-line momentum. However, profitability has weakened meaningfully: net margin fell from ~4.4% (2020) to ~0.9% (2025), and operating profit levels are far below prior years (EBIT down sharply versus 2022–2023). Overall, the business is still profitable, but the earnings trajectory and margin compression are the key negatives.
Balance Sheet
60
Neutral
Leverage is moderate: total debt of ~$12.4B against ~$17.7B equity in 2025, and the 2024 debt-to-equity level (~0.68) is reasonable for the industry. Assets and equity have grown over time, supporting balance-sheet stability. The main weakness is reduced profitability translating into weaker returns on shareholder capital (return on equity was solid in 2021–2024, but is not provided for 2025 and earnings have clearly compressed).
Cash Flow
35
Negative
Cash generation weakened materially in the most recent year: operating cash flow fell to ~$0.9B in 2025 from ~$3.0B in 2024, and free cash flow dropped to ~$0.4B (down ~76% year over year). Free cash flow also covered less than half of net income in 2025 (~41%), indicating weaker cash conversion versus prior years. While the company has produced strong cash flows historically, the sharp recent deterioration is a notable risk signal.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue129.66B117.81B106.44B92.92B83.65B
Gross Profit18.85B17.15B18.05B17.23B14.45B
EBITDA2.91B3.25B4.73B4.81B4.46B
Net Income1.19B1.21B2.49B2.81B2.93B
Balance Sheet
Total Assets48.91B46.48B47.06B43.05B44.36B
Cash, Cash Equivalents and Short-Term Investments19.90B2.22B4.69B5.06B3.39B
Total Debt12.37B11.14B10.21B9.03B10.54B
Total Liabilities31.17B30.03B30.75B27.68B28.25B
Stockholders Equity17.66B16.38B16.26B15.31B16.08B
Cash Flow
Free Cash Flow375.00M2.39B2.98B3.45B920.00M
Operating Cash Flow921.00M2.97B3.98B4.59B2.26B
Investing Cash Flow2.27B-2.95B-3.49B-1.01B-6.56B
Financing Cash Flow-1.22B-2.49B-856.00M-1.91B3.02B

Humana Technical Analysis

Technical Analysis Sentiment
Negative
Last Price190.54
Price Trends
50DMA
230.59
Negative
100DMA
246.31
Negative
200DMA
249.07
Negative
Market Momentum
MACD
-13.20
Negative
RSI
42.41
Neutral
STOCH
63.42
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For HUM, the sentiment is Negative. The current price of 190.54 is above the 20-day moving average (MA) of 186.29, below the 50-day MA of 230.59, and below the 200-day MA of 249.07, indicating a neutral trend. The MACD of -13.20 indicates Negative momentum. The RSI at 42.41 is Neutral, neither overbought nor oversold. The STOCH value of 63.42 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for HUM.

Humana Risk Analysis

Humana disclosed 16 risk factors in its most recent earnings report. Humana reported the most risks in the "Production" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Humana Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$76.38B13.0714.40%2.21%16.75%113.48%
64
Neutral
$70.63B12.6913.29%1.99%11.96%-11.11%
63
Neutral
$265.66B22.162.69%10.48%24.25%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$22.07B-3.29-28.79%14.92%-286.72%
49
Neutral
$7.93B18.0111.02%13.71%-18.02%
46
Neutral
$22.98B19.386.98%1.38%9.87%-5.58%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
HUM
Humana
190.54
-67.40
-26.13%
CNC
Centene
44.88
-13.71
-23.40%
CI
Cigna
289.82
-15.42
-5.05%
MOH
Molina Healthcare
154.05
-148.79
-49.13%
UNH
UnitedHealth
293.27
-162.55
-35.66%
ELV
Elevance Health
320.00
-67.99
-17.52%

Humana Corporate Events

Business Operations and StrategyFinancial Disclosures
Humana Issues 2026 Guidance Amid Medicare Advantage Headwinds
Negative
Feb 11, 2026

Humana reported that for the fourth quarter of 2025 it posted a GAAP net loss per share of $6.61 and an adjusted net loss per share of $3.96, while full-year 2025 GAAP EPS came in at $9.84 and adjusted EPS at $17.14, broadly in line with management expectations. The insurer’s 2025 Insurance segment GAAP benefit ratio was 90.4%, slightly better than its guided top-end range, and the company highlighted strong growth in its CenterWell Senior Primary Care business, adding more than 100,000 patients during 2025 including those from The Villages Health acquisition, as well as an expanded Medicaid footprint now spanning 13 states with Georgia and Texas expected to launch in 2027.

On February 11, 2026, Humana issued full-year 2026 guidance of at least $8.89 in GAAP EPS and at least $9.00 on an adjusted basis, signaling a year-over-year earnings decline driven by Star Ratings headwinds for the 2026 bonus year despite mitigation efforts. Management also projected approximately 25% growth in individual Medicare Advantage membership in 2026, driven by new sales and improved retention linked to its consumer-led benefit and service strategy, underscoring a continued strategic shift toward government programs and senior-focused care platforms that could reinforce the company’s long-term positioning despite near-term pressure on profitability.

The most recent analyst rating on (HUM) stock is a Hold with a $260.00 price target. To see the full list of analyst forecasts on Humana stock, see the HUM Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
Humana Announces Leadership Changes Effective January 2026
Neutral
Dec 16, 2025

On December 16, 2025, Humana announced the retirement of George Renaudin, Insurance Segment President, by Q3 2026 after a 29-year career. Aaron Martin will join as President of Medicare Advantage in January 2026 and succeed Renaudin as Insurance Segment President. John Barger will become President of Medicare Advantage. These leadership changes aim to strengthen Humana’s operations and continue its focus on value-based care and shareholder value creation.

The most recent analyst rating on (HUM) stock is a Hold with a $282.00 price target. To see the full list of analyst forecasts on Humana stock, see the HUM Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Humana Reaffirms Earnings Guidance for December 2025
Positive
Dec 1, 2025

Humana Inc. announced that its senior management will meet with investors and analysts throughout December 2025 to reaffirm its earnings guidance for the year. The company projects approximately $12.26 in diluted earnings per share and $17.00 in adjusted earnings per share for FY 2025. This guidance aligns with previous announcements and highlights the company’s focus on providing a comprehensive view of its core operating performance through both GAAP and non-GAAP measures. The reaffirmation of earnings guidance suggests stability in Humana’s financial outlook and operational strategies, potentially impacting stakeholder confidence and market positioning.

The most recent analyst rating on (HUM) stock is a Hold with a $234.00 price target. To see the full list of analyst forecasts on Humana stock, see the HUM Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 17, 2026