CVS Health Makes Headway in Stabilizing Aetna: What's Driving It?

Group 1 - CVS Health's insurance arm, Aetna, faced challenges in 2023 due to increased post-pandemic utilization, higher acuity from Medicaid redeterminations, and unfavorable Medicare Advantage star ratings for 2024 [1][8] - To stabilize Aetna, CVS is implementing leadership changes, realigning risk management processes, and enhancing operations through staffing, training, and technology [1] - Aetna introduced a bundling approach for prior authorizations of cancer-related scans and tests, which simplifies the approval process and is set to expand to other conditions by the end of the year [2] Group 2 - Medicare is expected to have strong star ratings for the payment year 2025, supported by a diverse set of capabilities [3] - CVS is executing rate advocacy in Medicaid, aligning with full-year expectations [3] - Aetna will exit states where it independently operates ACA plans effective 2026, with a premium deficiency of $431 million identified in its individual exchange product line for the remainder of 2025 [4] Group 3 - CVS Health shares have increased by 64.8% year to date, contrasting with a 2.1% decline in the industry [7] - The company is trading at a forward five-year earnings multiple of 10.72, which is lower than the industry average of 15.03, and holds a Value Score of A [9] - Consensus estimates for CVS's 2025 earnings show a bullish trend, with current estimates for the current quarter at 1.36 and for the current year at 6.34 [10][11]