Healthcare
Healthcare Plans
$28.88B
67.6K
Key insights and themes extracted from this filing
Consolidated premiums revenue increased by 8.0% YoY, primarily due to higher per member Medicare premiums and state-based contracts premiums. This was partially offset by a membership decline within the individual Medicare Advantage business, inclusive of exiting certain unprofitable plans.
The consolidated benefit ratio decreased 190 basis points YoY, primarily due to individual Medicare Advantage pricing, benefit design changes and favorable workday impacts. These were partially offset by a shift in line of business mix and a delayed flu season.
The consolidated operating cost ratio increased 20 basis points YoY, primarily due to business mix changes within the CenterWell segment, combined with the operating leverage impact of the loss of individual Medicare Advantage membership.