Core Insights - The Cigna Group reported strong third quarter 2025 results, with a net income of $1.9 billion, or $6.98 per share, reflecting a significant increase from $0.7 billion, or $2.63 per share, in the same quarter of 2024 [2][7] - Total revenues for the third quarter 2025 increased by 10% to $69.7 billion compared to the third quarter 2024, driven primarily by growth in Evernorth Health Services and specialty pharmacy [4][7] - The company introduced a new rebate-free pharmacy benefit model aimed at reducing costs and enhancing transparency for customers [2][7] Financial Performance - Adjusted income from operations for the third quarter 2025 was $2.1 billion, or $7.83 per share, slightly up from $2.1 billion, or $7.51 per share, in the third quarter 2024 [3][7] - The adjusted revenues for the third quarter 2025 were $69.57 billion, compared to $63.69 billion in the third quarter 2024, marking a 9% increase [4][7] - The SG&A expense ratio improved to 4.8% in the third quarter 2025 from 5.6% in the same quarter of 2024, indicating better cost management [5][32] Customer Relationships - Total customer relationships as of September 30, 2025, were 182.5 million, reflecting a 2% increase from December 31, 2024, excluding the impact of the HCSC transaction [12] - Total pharmacy customers increased by 4% to 122.5 million, while total medical customers decreased by 6% to 18.1 million, primarily due to the HCSC transaction [12][8] Segment Results - Evernorth Health Services reported a 15% increase in adjusted revenues and a 1% increase in adjusted income from operations, pre-tax, compared to the third quarter 2024 [21] - Pharmacy Benefit Services saw an 18% increase in adjusted revenues, while adjusted income from operations decreased by 6% due to strategic investments [21] - Specialty and Care Services experienced a 10% increase in adjusted revenues and an 11% increase in adjusted income from operations, pre-tax, driven by strong specialty volume growth [21] Outlook - The Cigna Group reaffirmed its outlook for 2025, projecting adjusted income from operations of at least $29.60 per share [18][19] - The company anticipates continued growth in its Evernorth segment, with a projected adjusted income from operations of at least $7.2 billion [19]