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Battle of Benefits: Will UNH Deliver the Bigger Dose or CVS? (Revised)
ZACKSยท 2025-11-26 20:05
Core Insights - UnitedHealth Group Incorporated (UNH) and CVS Health Corporation (CVS) are prominent players in the healthcare industry, integrating health insurance, pharmacy services, and care delivery resources to enhance their market reach [1][2] UnitedHealth Group (UNH) - UNH operates through two segments: UnitedHealthcare (insurance benefits) and Optum (virtual care, behavioral health, pharmacy solutions) [2] - As of September 30, 2025, UNH has a market cap of $296.2 billion and serves 50.1 million people, reflecting a 1.6% year-over-year growth [4] - Total revenue for UNH increased by 12% year-over-year in Q3 2025, with UnitedHealthcare growing by 16% and Optum by 8% [5] - UNH ended Q3 2025 with $30.6 billion in cash and short-term investments, with total debt-to-capital at 41.6% [6] - The medical care ratio rose to 89.9% in Q3 2025, up from 85.2% the previous year, indicating rising medical costs [7] - UNH expects revenues between $445.5 billion and $448 billion for 2025, with adjusted net EPS projected at least $16.25 [13] CVS Health Corporation (CVS) - CVS operates through Aetna (insurance), Caremark (pharmacy benefit management), and retail pharmacy segments [2] - CVS has a market cap of $99.6 billion and serves 26.7 million medical members as of September 30, 2025 [9] - Total revenues for CVS rose by 7.8% year-over-year to $102.9 billion in Q3 2025, with adjusted operating income increasing by 35.8% [10] - CVS ended Q3 2025 with $9.1 billion in cash and cash equivalents, with a medical benefit ratio of 92.8% [11] - CVS expects revenues of at least $397.3 billion for 2025, with adjusted EPS projected between $6.55 and $6.65 [14] Comparative Analysis - CVS is currently favored in earnings estimates, with a projected 22.1% increase in earnings for 2025, while UNH's EPS is expected to decline by 41.1% [15] - Valuation metrics show CVS trading at a forward P/E of 11.07X compared to UNH's 18.68X, indicating a more attractive risk-reward profile for CVS [16] - Year-to-date, UNH shares have dropped by 35.5% due to medical cost concerns, while CVS shares have increased by 74.8% [19] Conclusion - UNH remains a significant player in the healthcare sector but faces challenges from rising medical costs and regulatory scrutiny [20] - CVS is showing positive momentum with improved profit margins and consistent earnings beats, presenting a more favorable investment opportunity [21][22]