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Argus Trims CVS Health (CVS) PT to $90 Amid Medicare Advantage Rate Uncertainty
Yahoo Finance· 2026-01-31 12:47
Core Viewpoint - CVS Health Corporation is considered one of the most undervalued large-cap stocks currently, with analysts maintaining a Buy rating despite recent stock declines due to Medicare Advantage reimbursement rate proposals [1][2]. Group 1: Price Target Adjustments - Argus reduced its price target for CVS Health to $90 from $91 while maintaining a Buy rating, anticipating an upward revision in Medicare Advantage reimbursement rates before the final rate is set in April 2026 [1]. - Bank of America lowered its price target for CVS Health to $95 from $100, also maintaining a Buy rating, citing projected net all-in rates of 2.54% that fall short of market expectations of 4% to 6% [2]. Group 2: Revenue and Margin Impact - If the proposed Medicare Advantage rates are finalized without adjustments, CVS Health could face a headwind exceeding $1 billion in revenue and margin from Medicare Advantage [3]. - Despite the potential challenges, Bank of America remains optimistic, noting that final rates have historically improved upon initial proposals in 64% of cases over the last 14 years [3]. Group 3: Business Segments - CVS Health operates through three main segments: Health Care Benefits, Health Services, and Pharmacy & Consumer Wellness, providing a diversified business model that may help mitigate risks compared to pure-play health insurance competitors [4].
UnitedHealth flashes major bullish signal after catastrophic crash
Finbold· 2026-01-31 12:11
Core Viewpoint - UnitedHealth Group (NYSE: UNH) has shown a significant bullish technical signal with the formation of its first golden cross since July 2024, indicating potential recovery after a substantial earnings-driven decline [1][3]. Stock Performance - UNH stock has experienced a peak-to-trough decline of approximately 48%, trading around $287, down from highs above $550 in 2024 [2]. - The stock saw a sharp drop of about 20% in January 2026 following disappointing Q4 2025 earnings and a weaker outlook for 2026 [3]. Technical Indicators - The 50-day moving average recently crossed above the 200-day moving average, suggesting improving short-term momentum after a prolonged bearish trend [1][3]. - The $330–$350 price zone remains a critical resistance level that needs to be reclaimed for a sustainable trend reversal [4]. Financial Performance - UnitedHealth reported Q4 2025 revenue of $113.2 billion, which fell short of expectations by approximately $530 million [4]. - Although adjusted EPS of $2.11 met forecasts, the focus was on underlying weaknesses, particularly the 2026 revenue guidance projected at over $439 billion, significantly below the consensus of around $454 billion [5]. - This guidance indicates a rare year-over-year revenue decline from 2025's revenue of about $447.6 billion, challenging previous growth assumptions [6].
This retired Georgia couple’s ACA premium doubled to $39,000 a year after subsidies ended. How to plan for higher costs
Yahoo Finance· 2026-01-31 11:45
Core Insights - The expiration of enhanced Affordable Care Act subsidies in 2026 is leading to significant increases in health insurance premiums for retirees, exemplified by a Georgia couple facing a jump from $1,600 to $3,200 monthly, totaling nearly $39,000 more annually [1][2] - Many households, particularly those with middle incomes, may no longer qualify for financial assistance, as eligibility is limited to those earning no more than 400% of the federal poverty level [3] - Early enrollment data indicates a decline in Marketplace coverage, with approximately 22.8 million enrollees in January 2026, down from 24.16 million in January 2025, reflecting a loss of about 1.4 million enrollees year over year [4] Industry Impact - A KFF survey reveals that around 50% of Americans struggle with healthcare costs, leading one in three to defer coverage, while 40% of insured individuals express concerns about affording premiums [5] - The Urban Institute reports that 21 states have fewer insurers participating in the Marketplace, with major insurers like Aetna opting out, likely due to uncertainties surrounding the loss of subsidies and the potential for covering higher-risk customers [6]
This Medicare Mistake Could Leave You With an Unexpected Bill
Investopedia· 2026-01-31 01:01
Core Insights - Understanding the distinction between wellness visits and routine physical exams under Medicare can lead to significant cost savings for patients [1][5] Group 1: Medicare Coverage - Medicare Part B provides yearly wellness visits at no cost to patients, covering preventative and medically necessary services [1] - Routine physical exams are not covered by Medicare Part B, requiring patients to pay 100% of the cost [1][5] Group 2: Appointment Types - Wellness visits involve reviewing medical history, lifestyle information, and providing guidance on screenings, while routine physical exams are more comprehensive, including blood tests and physical examinations [2] - To ensure coverage, patients should focus on typical wellness visit components and avoid discussing unrelated medical issues that could incur additional charges [3] Group 3: Scheduling and Frequency - Wellness visits are covered only once every 12 months, and patients must wait at least 12 months after enrolling in Medicare Part B or after their initial preventive visit before scheduling a wellness visit [4]
Jim Cramer on what is driving Eli Lilly's stock right now
Youtube· 2026-01-31 00:46
Group 1 - Eli Lilly's stock performance is influenced more by new reports on GOP-1 clinical trials than by its earnings [1] - Alphabet is highlighted as a strong performer, with significant contributions from its products like Gemini, YouTube, and self-driving cars [2] - The healthcare sector is facing scrutiny from the president, particularly targeting companies in the healthcare chain [3] Group 2 - The drug distribution sector is criticized for high profits with minimal contributions to healthcare, with McKesson being implied as a key player [4] - Amazon's stock has become volatile, with earnings reports leading to significant fluctuations in its stock price [5] - The travel sector is mentioned as a focus for investment, despite recent underperformance [6]
Obamacare enrollment fell by more than 1M enrollees for 2026
Fox Business· 2026-01-31 00:39
Core Insights - Enrollment in Obamacare plans is projected to decline by over 1 million Americans in 2026 due to rising monthly premiums and the expiration of enhanced federal subsidies that were in place during the COVID-19 pandemic [1] Enrollment Data - The Centers for Medicare and Medicaid Services (CMS) reported that 23 million consumers signed up for individual health insurance coverage through the Marketplaces during the 2026 open enrollment period, with 15.8 million using HealthCare.gov and 7.2 million using state-based exchanges [2] - Enrollment as of mid-January 2026 was down approximately 1.2 million compared to the 24.2 million enrolled at the same time last year [4] Premium Costs - Average premium costs for subsidized Obamacare enrollees are expected to rise to $1,904 in 2026 from $888, according to KFF data [3] - KFF's analysis indicated that premium payments are anticipated to more than double on average in 2026, with about 25% of enrollees stating they would forgo health insurance if premiums doubled as expected [10] Effectuation and Disenrollment - The enrollment data includes automatic renewals and plan selections, which may not reflect actual enrollments as some consumers may choose not to pay for their plans [6] - Analysts predict that total enrollment in Obamacare plans will decrease as consumers react to higher premiums, potentially leading to significant disenrollment activity during the 90-day grace period [13]
RBC Capital Sees Long-Term Growth Intact at UnitedHealth (UNH) Despite CMS Uncertainty
Yahoo Finance· 2026-01-30 21:53
Group 1 - UnitedHealth Group Incorporated (NYSE:UNH) is recognized as one of the 14 High Yield Dividend Stocks with Sustainable Payouts [1] - RBC Capital has reduced its price target for UnitedHealth from $408 to $361 while maintaining an Outperform rating, citing a long-term adjusted EPS growth target of 13%–16% [2] - The stock experienced a significant decline of nearly 17% from January 26 to January 29, primarily due to a proposal from the Centers for Medicare & Medicaid Services (CMS) to increase 2027 Medicare Advantage rates by only 0.09%, which was much lower than the anticipated 4% to 6% [3][4] Group 2 - UnitedHealth's 2026 revenue guidance fell short of Wall Street expectations, contributing to the stock's decline [3] - The CMS announcement has negatively impacted the health insurance sector, with UnitedHealth being particularly vulnerable due to its status as the largest Medicare insurer in the US by membership [4] - UnitedHealth operates multiple business lines, including Optum Health, Optum Insight, Optum Rx, and UnitedHealthcare, which encompasses Employer & Individual, Medicare & Retirement, and Community & State coverage [5]
Why Piper Sandler Thinks UnitedHealth Stock Is the Top Insurer to Buy Now
Yahoo Finance· 2026-01-30 21:23
Group 1 - Piper Sandler analyst Jessica Tassan remains bullish on UnitedHealth (UNH) stock but has lowered her price target from $417 to $396 while maintaining an "Overweight" rating [1][6] - The Centers for Medicare and Medicaid Services (CMS) announced a minimal increase of 0.09% in Medicare Advantage reimbursement rates for 2027, which is insufficient to cover rising health costs [5][6] - UnitedHealth's Medicare and Retirement unit is projected to generate 25% of its revenue in fiscal 2025, indicating significant reliance on Medicare Advantage plans [2][4] Group 2 - UnitedHealth has a market capitalization of $264 billion and a forward price-to-earnings (P/E) ratio of 16.5 times, with third-quarter sales rising 12% year-over-year to $113.2 billion [4] - Despite sales growth, net income decreased to $2.35 billion, and operating cash flow was reported at $5.9 billion, with $27.2 billion in cash and cash equivalents and $72.4 billion in long-term debt as of the end of Q3 [4] - The Medicare Advantage sector faces significant competition, with beneficiaries having access to plans from an average of 8 firms, which may limit UnitedHealth's ability to cut benefits without losing market share [7]
You might qualify for this Kaiser settlement without ever filing a complaint
Yahoo Finance· 2026-01-30 21:00
Core Points - Kaiser Permanente has agreed to pay $10.5 million to settle a class action lawsuit regarding unsolicited marketing texts sent to individuals who opted out [1][2] - The lawsuit claims violations of the Telephone Consumer Protection Act (TCPA) and the Florida Telephone Solicitation Act [2] - Eligible individuals can receive $75 for each marketing text received after opting out, with a claim filing deadline of February 12 [3] Settlement Details - The final approval hearing for the settlement was held on January 28 [3] - Kaiser Permanente has faced multiple settlements recently, including a $46 million payout for sharing patient data through its website and app [4] - Additionally, Kaiser agreed to a $556 million settlement with the Department of Justice over fraudulent billing practices related to Medicare Advantage patients [5] Financial Implications - The Department of Justice accused Kaiser of generating approximately $1 billion from 2009 to 2018 by improperly adding diagnoses to patient records [7] - Kaiser emphasizes that the settlements do not imply admission of wrongdoing, aiming to avoid prolonged litigation [7]
Should You Buy the Dip in These 2 Dividend Stocks?
Yahoo Finance· 2026-01-30 19:23
Group 1 - The proposal for near-flat Medicare Advantage reimbursements combined with a rising medical care ratio has created uncertainty for U.S. health insurers, which previously relied on this segment for profits [1] - Independent studies indicate that Medicare Advantage offers greater value than traditional Medicare, with lower costs for the federal government and reduced out-of-pocket expenses for enrollees, influencing market perceptions of companies involved in this sector [2] - Humana (HUM) and CVS Health (CVS) have seen stock declines following revised expectations for Medicare Advantage profitability, raising questions about whether this represents a buying opportunity or a sign of capped returns [3] Group 2 - Humana, based in Louisville, Kentucky, focuses on Medicare Advantage and related coverage, offering an annualized dividend of $3.54 per share, yielding 1.34% at current stock levels [4] - Humana's stock is trading at $195.14, down 24% year-to-date and 34% over the past 52 weeks, reflecting a market value of approximately $25 billion and trailing earnings of 13.93 times, compared to a sector median of 17.98 times [5] - A leadership change at Humana includes the retirement of long-time insurance chief George Renaudin and the appointment of Amazon veteran Aaron Martin as president of Medicare Advantage, with a transition planned through 2026 [6] Group 3 - Humana's third-quarter 2025 results showed GAAP net income of $195 million, or $1.62 per share, with adjusted EPS of $3.24, exceeding the consensus estimate of $2.91 by $0.33, indicating strong underlying operations despite cost pressures [7]