Humana 2012 Annual Report Download - page 57
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ability to expand into new markets, increasing our medical and operating costs, lowering our Medicare payment
rates and increasing our expenses associated with the non-deductible federal premium tax and other assessments;
our financial position, including our ability to maintain the value of our goodwill; and our cash flows. If the new
non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee,
were imposed as enacted, and if we are unable to adjust our business model to address these new taxes and
assessments, such as through the reduction of our operating costs or adjustments to premium pricing or benefit
design, there can be no assurance that the non-deductible federal premium tax and other assessments would not
have a material adverse effect on our results of operations, financial position, and cash flows.
We intend for the discussion of our financial condition and results of operations that follows to assist in the
understanding of our financial statements and related changes in certain key items in those financial statements
from year to year, including the primary factors that accounted for those changes. Transactions between
reportable segments consist of sales of services rendered by our Health and Well-Being Services segment,
primarily pharmacy, behavioral health, and provider services, to our Retail and Employer Group customers and
are described in Note 16 to the consolidated financial statements included in Item 8. – Financial Statements and
Supplementary Data.
47