pproving the HUM acquisition, lower- than-expected membership growth and higher than expected cost trend. CMS will issue the rate update for 2018 for Medicare Advantage in late February, a reg which we expect to be benign, but which could be worse than expected. Company Description: Aetna is one of the nation's larg

hat States may levy on Medicaid providers $49 Expand ACOs, payment bundling, and other payment reform $38 Accelerate phase-in of DSH payment cuts*, Medicare Advantage cuts $37 and home health cuts in PPACA Other* $73 Total Deficit Reduction F2012-F2020E $395 billion ore: OS! reducuons are Fiscal COMMISSION Staff

due to the pandemic. Humana also raised its 2020 Medicare Advantage membership growth outlook. </td> </tr> <tr>