Humana Insurance Anaylsis

The mission of UnitedHealthcare Group is to “help people live healthier lives” with access, quality and affordability. They are committed to continual improvement and the delivery of quality care by investing approximately $3 billion in business process improvements, research development, and technology within the past five years. In addition to reinvesting the revenues in innovative technologies, research and other improvements to better serves its consumers, UnitedHealthcare Group is also committed to social responsibility through employee involvement,

Humana Inc. is an insurance company that has been around for more than 50 years. Well-being is the core objective of Humana. Well-being remains the primary focus, but Humana is going beyond health insurance to partner with people to assist with healthier lives. Humana’s organizational behavior stands on management’s principles, visions, and values to sustain those well-being goals.

In 1974, a company called Charter Med Incorporated was founded by a group of physicians and health care professionals who was focused on expanding health care coverage options for consumers. Several years later in 1977, United HealthCare Corporation was created to reorganize the company and it became the parent company of Charter Med Incorporated. Its background traces back to a Doctor named Paul Ellwood, and he was known as the health-policy expert who coined the term “health maintenance organization” in the 1960’s and he helped entrepreneur Richard Burke found the company in 1977. During

Kaiser Permanente is a managed care facility that provides services across the health care continuum. Over the years the organization has continually made efforts toward improvements since it was first founded in 1945. These improvements generate a series of successes that set Kaiser apart from similar organizations. But, just as any health care delivery system, Kaiser has faced challenges in the past, present and may continue to do so in the future. In this paper I will explain what attributes to the success of Kaiser Permanente and some of the challenges they face.

I have chosen the topic “Examine the financial characteristics of health care delivery along with managing costs, revenues, and human

At last, the law gave new alternatives and motivating forces to help states rebalance their Medicaid long haul mind programs for group based administrations and backings as opposed to institutional care. All in all, these arrangements have quickened Medicaid advancement effectively in progress in numerous states. Also improved with the ACA besides Medicaid, is Medicare. The Affordable Care Act incorporates a progression of Medicare changes that will create billions of dollars in reserve funds for Medicare and fortify the care Medicare recipients get. The new law secures ensured benefits for all Medicare recipients, and gives new advantages and administrations to seniors on Medicare that will help keep seniors solid. The law likewise incorporates arrangements that will enhance the nature of care, create and advance new models of care conveyance, suitably value administrations, modernize our wellbeing framework, and battle waste, extortion, and mishandle. A big topic that is affected from ACA is businesses. The Patient Protection and Affordable Care Act -- otherwise known as Obamacare -- is putting such a small dent in the profits of U.S. companies that many refer to its impact as 'not material' or 'not significant. Even after a provision went into effect this year requiring companies with 50 or more full-time workers to provide coverage, and after more workers are choosing to enroll in existing company coverage because of another requirement that all Americans get

The short term decision to start in a limited area and then only grow by one state in 2015 may have served the purpose of limiting risk during a time of uncertainty, however, in the long term, penetrating into new markets may be difficult because individuals currently enrolled are automatically re-enrolled at the end of the period. For Aetna, it may be harder to pull a member from a plan that they currently have. The largest healthcare insurance company UnitedHealth was more conservative than Aetna in the first two years, with participating starting in five states in year one then increasing to 24 in year two. With the addition of UnitedHealth in the same markets as Aetna and the unknown risks associated with new enrollees for the 2015 plan year, the short term could be crucial for Aetna. If Aetna is able to add to 2014’s positive results, and increase membership in markets that UnitedHealth entered, it will go a long way toward their long term goals of increasing membership in the individual and small group sector (Demko, 2014).

In October 2013, the Affordable Care Act took flight and millions of Americans attempted to insert themselves into the health care system through the website Healthcare.gov. The website, however was not easy to navigate through and made it hard and complicated resulting in many Americans no longer pursuing it. Humana helps the The Affordable Care Act by providing health insurance and it is also going out of its way to make sure other people in different areas that do not know too much about it start to understand it better and decided to get insurance. In Mississippi, there is minimal education within the population concerning enrollment options which caused challenges. In Mississippi there is a lack of health insurers offering coverage in the marketplace.

The mission of Hawaii Health Systems Corporation is to provide accessible, comprehensive healthcare services that are quality-driven, customer-focused, and cost-effective. The vision of the organization is to be the provider of choice for the communities it serves, the employer of choice for its staff, and the system of choice for its physicians (www.hhsc.org, 2014). The organization works with the physician base along with other service providers to plan and implement business ventures that will enhance the services offered to its patients. Employees and community leaders are included in the decision making processes to ensure adequate representation. Each facility has its own separate mission and vision statement that integrates into the overarching statement of Hawaii Health Systems Corporation.

As a leading insurance company, Aetna’s primary market broadens to reach those who work full time or part time based on hourly wages through its subsidiary company, Strategic Resource Company (SRC) which was bought by Aetna, Inc in 2005 (SRC: Our Mission, 2012). Aetna’s fourth subdivision target market, which is considered the biggest subdivision, is providing insurance to “employers, third-party administrators, commercial insurance companies and other health plans (Aetna Subsidiaries, 2012)”. These latter targets are aimed at through Aetna’s fourth subsidiary Cofinity which includes over 2.5 million members as of 2009 (About Cofinity, 2009). Besides targeting health insurance consumers, Aetna aimed at a target market that excludes health insurance seekers yet includes health care providers. Through a fifth subsidiary, Medicity, Aetna created another target market subdivision where it can provide health information technology in health care facilities such as hospitals and practices (About Medicity, 2012). Finally, Aetna aims at acquiring shareholders and therefore targeted a market of

United Health care promotes itself as a progressive, forward-looking company stating that it has made- and continues making tremendous investment in research and development as well as in technology and business process infrastructure investing approximately $3 billion in the past five years. (http://www.uhc.com/about_us.htm).

UnitedHealth Group is a diversified health care company, and a worldwide leader in helping people live healthier lives and taking the necessary steps in making the health system work better for everyone. The UnitedHealth group serves more than 85 million individuals worldwide with health benefits and services. In 2012, they produced revenues of $110.6 billion and were ranked number 17 in the Fortune 500. The economic and political segments would rank the highest in influencing the UnitedHealth Group.

In all of the U.S, United Healthcare is the only health carrier that has been working towards improving the effectiveness as well as quality of healthcare for people belonging to all the various nations. This organization has been trying to make the medicines more accessible to the people who need them; they have been trying to implement the services that could be used by the masses not only in terms of cheaper costs but better accessibility as well.

UnitedHealth Group continues to enjoy steady progress across its major business units. Over the past two years United has worked to strengthen and accelerate its investments in its core health insurance and health services (Optum) units. This disciplined approach has resulted in both top-line and bottom-line growth growth for the organization on a year-over-year basis, with primary growth coming from the senior and public sectors, as well as from strong results in Optum. Membership for the third quarter was unchanged sequentially from 2Q14 with medical membership holding steady at 44.9 million members.

Its product related diversification strategy, through series of successful acquisitions, has made the company the biggest player in the US Health care industry. Diversifying the company into industries with high growth rates and potential profitability enabled the company to outperform its competitors who depends mostly only one product division.