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Will Declining Medical Customers Affect Cigna's Q1 Earnings?
ZACKS· 2025-04-30 15:20
Core Viewpoint - The Cigna Group is expected to report first-quarter 2025 results on May 2, 2025, with earnings estimated at $6.39 per share and revenues of $60.8 billion, indicating a year-over-year revenue growth of 6.2% despite a slight decline in earnings [1][2]. Financial Performance - The first-quarter earnings estimate has decreased by 2 cents over the past 60 days, reflecting a year-over-year decline of 1.2% [1]. - For the full year 2025, the revenue estimate is $252.36 billion, representing a 2.1% increase year over year, while the EPS estimate is $29.61, indicating an 8.3% growth [2]. Earnings Prediction - The current model does not predict a definitive earnings beat for Cigna, with an Earnings ESP of -0.34% and a Zacks Rank of 3 (Hold) [3]. Revenue Drivers - Cigna's revenues are anticipated to benefit from strong pharmacy revenues, particularly from the specialty pharmacy business within the Evernorth segment, with an expected 8.4% improvement in pharmacy revenues year over year [5]. - The Evernorth Health Services segment is projected to generate revenues of $50.5 billion, indicating a 9.3% growth from the prior year [6]. Challenges - The consensus estimate for premiums indicates an 8.6% decrease year over year, and Cigna Healthcare revenues are expected to decline by 8.5% [7]. - The total medical customers are projected to decrease to 18.3 million from 19.2 million a year ago [7]. - A decline in net investment income is expected, with an 11.9% year-over-year decrease anticipated [7]. - Elevated medical costs due to higher utilization trends and unit cost inflation are likely to impact margins, with the medical care ratio (MCR) expected to rise to 82.39% from 79.9% a year ago [8].
UnitedHealth Group: It's Time To Be Greedy While The Market Panics
Seeking Alpha· 2025-04-30 15:11
Group 1 - The article emphasizes the risk of investing in stocks that have their 'best-case scenario' already priced in, which are often popular and heavily discussed in financial media [1] - It advocates for value dividend investing as an effective strategy, allowing investors to acquire quality companies at attractive prices while generating cash flow without needing to sell their positions [1] - The author is building a portfolio of dividend growth stocks with the goal of achieving financial independence through dividend income [1] Group 2 - The article does not provide any specific company or industry analysis, focusing instead on general investment strategies and personal investment philosophy [2]
Humana (HUM) Reports Q1 Earnings: What Key Metrics Have to Say
ZACKS· 2025-04-30 14:35
Humana (HUM) reported $32.11 billion in revenue for the quarter ended March 2025, representing a year-over-year increase of 9.5%. EPS of $11.58 for the same period compares to $7.23 a year ago.The reported revenue compares to the Zacks Consensus Estimate of $32.22 billion, representing a surprise of -0.33%. The company delivered an EPS surprise of +16.03%, with the consensus EPS estimate being $9.98.While investors closely watch year-over-year changes in headline numbers -- revenue and earnings -- and how t ...
Humana(HUM) - 2025 Q1 - Earnings Call Transcript
2025-04-30 12:00
Financial Data and Key Metrics Changes - The company reaffirmed its full-year guidance, indicating a strong start to 2025 with Q1 results ahead of expectations [7][14] - Adjusted EPS guidance for the year is approximately $16.25, with an expected insurance segment benefit ratio of 90.1% to 90.5% [15][14] - G&A costs for the quarter were slightly better than expectations, attributed to the timing of costs expected to be incurred in the second and third quarters [11][14] Business Line Data and Key Metrics Changes - No changes to membership guidance for 2025, with strong performance in the Open Enrollment Period (OEP) and a positive outlook for the rest of the year [9] - Significant progress in closing care gaps, with expectations to reduce gaps in care by 25% year over year and medication adherence campaigns showing a 30% to 50% reduction in members with weight refills [10][11] - CenterWell and Medicaid businesses are experiencing robust patient and membership growth, with 30 new centers added through acquisition and partnership [12][14] Market Data and Key Metrics Changes - The company is seeing strong year-to-date performance in markets with high concentrations of members, particularly in Florida, Illinois, and Texas [41] - Medicaid is performing in line with expectations, with approximately 100,000 growth year-to-date, aligning with the anticipated growth of 175,000 to 250,000 for the year [74][75] Company Strategy and Development Direction - The company is focused on operational efficiencies, increasing flexibility, and improving member outcomes while positioning for long-term success [14] - Emphasis on capital allocation and growth in CenterWell and Medicaid, with a focus on unlocking substantial value over the mid to long term [16][12] - The integration between the insurance segment and CenterWell is aimed at delivering better health outcomes and improving STARS performance [59][60] Management's Comments on Operating Environment and Future Outlook - Management noted that while challenges remain, there are no surprises in the external environment, and they are executing against controllable factors [7][8] - The company is optimistic about the underlying progress of the business, despite external regulatory headwinds [49][51] - Management expressed confidence in the ability to manage medical costs and G&A effectively while focusing on STARS outcomes [51][92] Other Important Information - The company is actively monitoring changes in consumer behavior due to the Inflation Reduction Act (IRA) [7] - Management highlighted the importance of the upcoming investor conference to provide clarity on earnings power and progress tracking [8][16] Q&A Session Summary Question: How much of your investments moved out of Q1? - Management indicated that most of the impact of incremental investments flowed through the MLR in Q1, with expectations for higher levels in the second through fourth quarters [19][20] Question: Update on the path to the 3% MA margin target? - Management reiterated focus on achieving a 3% margin, with timing tied to STARS outcomes, but no significant changes from previous communications [22][23] Question: Update on STARS initiatives and bids? - Management expressed confidence in progress made on STARS initiatives and ongoing bid processes, emphasizing a balanced approach to membership and margins [25][30] Question: Experience in Part D relative to expectations? - Trends in Part D are consistent with expectations, with mid-single-digit growth on the medical side and low double-digit growth on the pharmacy side [34][35] Question: Visibility on risk adjustment and Group MA? - Management reported strong membership changes and performance in Group MA, with no significant changes in behavior due to recent repricing activity [40][42] Question: Comments on Medicaid visibility and utilization? - Medicaid is performing in line with expectations, with strong growth and modest margin improvements anticipated [72][75] Question: Clarification on GAAP EPS and valuation adjustments? - Management clarified that the adjustment in GAAP EPS guidance is unrelated to structural impairment and is a complex calculation [88][94]
UnitedHealth Group: Mr. Market Has Got It All Wrong
Seeking Alpha· 2025-04-29 17:41
Core Insights - UnitedHealth Group Incorporated's stock declined significantly after the release of its first-quarter 2025 earnings report on April 17, resulting in a nearly 30% loss in market value due to disappointing earnings growth guidance for the year [1] Company Performance - The company reported lackluster earnings growth guidance for 2025, which has led to a negative reaction from investors [1] Market Reaction - Investors have reacted strongly to the earnings report, causing a substantial drop in the company's market value [1]
All You Need to Know About Alignment Healthcare (ALHC) Rating Upgrade to Buy
ZACKS· 2025-04-29 17:06
Alignment Healthcare (ALHC) could be a solid addition to your portfolio given its recent upgrade to a Zacks Rank #2 (Buy). This rating change essentially reflects an upward trend in earnings estimates -- one of the most powerful forces impacting stock prices.A company's changing earnings picture is at the core of the Zacks rating. The system tracks the Zacks Consensus Estimate -- the consensus measure of EPS estimates from the sell-side analysts covering the stock -- for the current and following years.The ...
Curious about Cigna (CI) Q1 Performance? Explore Wall Street Estimates for Key Metrics
ZACKS· 2025-04-29 14:21
Core Viewpoint - Analysts forecast that Cigna (CI) will report quarterly earnings of $6.39 per share, reflecting a year-over-year decline of 1.2%, with revenues expected to reach $60.8 billion, an increase of 6.2% compared to the previous year [1] Earnings Estimates - Over the past 30 days, the consensus EPS estimate has been adjusted upward by 0.5%, indicating a reassessment of initial projections by covering analysts [2] - Changes in earnings estimates are crucial for predicting investor reactions, as empirical studies show a strong relationship between earnings estimate revisions and short-term stock price performance [3] Revenue Forecasts - Analysts estimate 'Revenues- Net investment income' at $255.45 million, down 11.9% year-over-year [5] - 'Revenues- Premiums' are projected to be $10.60 billion, reflecting an 8.6% decline from the prior year [5] - 'Revenues- Evernorth Health Services' are expected to reach $50.54 billion, showing a 9.3% increase year-over-year [5] - 'Revenues- Pharmacy' are forecasted at $45.58 billion, indicating an 8.4% increase from the previous year [6] - 'Revenues- Cigna Healthcare' are expected to be $12.16 billion, down 8.5% year-over-year [6] - 'Revenues- Fees and Other' are projected to reach $3.84 billion, reflecting a 15.6% increase year-over-year [6] - 'Revenues- Evernorth Health Services- Pharmacy' are estimated at $47.34 billion, indicating a 9.7% increase year-over-year [7] Medical Care and Customer Metrics - The 'Medical Care Ratio - Cigna Healthcare' is expected to be 82.4%, up from 79.9% in the same quarter last year [7] - 'Medical Customers - Total' is estimated at 18.33 million, down from 19.18 million in the previous year [8] - 'Medical Customers - International Health administrative services' are projected at 441.84 thousand, compared to 433 thousand last year [8] - 'Covered Lives By Funding Type - Medical Customers - International Health insured' is expected to be 1.23 million, up from 1.19 million year-over-year [9] - The estimate for 'Medical Customers - U.S. Healthcare administrative services' stands at 13.67 million, slightly up from 13.62 million last year [9] Stock Performance - Over the past month, Cigna shares have returned +1.8%, while the Zacks S&P 500 composite has returned -0.8% [9]
UNH Announcement: If You Have Suffered Losses in UnitedHealth Group Incorporated (NYSE: UNH) You Are Encouraged to Contact The Rosen Law Firm About Your Rights
GlobeNewswire News Room· 2025-04-27 02:37
Core Viewpoint - Rosen Law Firm is investigating potential securities claims on behalf of shareholders of UnitedHealth Group due to allegations of materially misleading business information [1] Group 1: Investigation and Legal Action - Shareholders who purchased UnitedHealth securities may be entitled to compensation through a class action without any out-of-pocket fees [2] - The Rosen Law Firm is preparing a class action to seek recovery of investor losses [2] Group 2: Stock Performance and Earnings Report - UnitedHealth's stock fell 22.3% on April 17, 2025, after earnings fell short of Wall Street's expectations, primarily due to issues in its Medicare business [3] - The company substantially downgraded its projected results for 2025, which contributed to the stock decline [3] Group 3: Rosen Law Firm's Credentials - Rosen Law Firm has a strong track record in securities class actions, having achieved the largest securities class action settlement against a Chinese company at the time [3] - The firm was ranked No. 1 by ISS Securities Class Action Services for the number of settlements in 2017 and has consistently ranked in the top 4 since 2013, recovering hundreds of millions for investors [3] - In 2019, the firm secured over $438 million for investors, and its founding partner was recognized as a Titan of Plaintiffs' Bar by Law360 in 2020 [3]
Centene(CNC) - 2025 Q1 - Earnings Call Transcript
2025-04-25 19:39
Financial Data and Key Metrics Changes - The company reported first quarter adjusted diluted EPS of $2.90, consistent with previous expectations, and maintained full-year 2025 adjusted EPS expectations of greater than $7.25 [5][24][37] - Premium and service revenue for Q1 reached $42.5 billion, with an increase in full-year revenue guidance to a midpoint of $165 billion, up from $159 billion [26][38] - The adjusted SG&A expense ratio improved to 7.9% from 8.7% year-over-year, reflecting better expense management [35] Business Line Data and Key Metrics Changes - Medicaid membership remained stable at approximately 12.9 to 13 million members, with a Medicaid HBR of approximately 93%, showing slight improvement from 93.4% in Q4 2024 [27][28] - The Medicare segment's HBR was 86.3%, with expectations of an inverted slope due to changes from the Inflation Reduction Act [32] - The commercial segment saw strong growth, with a Q1 HBR of 75.0%, up from 73.3% the previous year, driven by new marketplace members [34] Market Data and Key Metrics Changes - The company noted an increase in flu-related medical expenses of $130 million in Q1, which impacted overall performance but was expected to be a transitory issue [12][28] - The company anticipates a full-year composite Medicaid rating increase of over 4% [30] - The Medicare Advantage membership is projected to contribute an additional $1 billion to revenue guidance for 2025 due to better-than-expected retention [16] Company Strategy and Development Direction - The company is focused on margin recovery and aligning rates with member acuity across various geographies [11] - Strategic initiatives include advocating for sound health care policy and executing on contract wins in Medicaid, such as in Illinois and Nevada [14][15] - The company aims to achieve breakeven in Medicare Advantage by 2027, leveraging STARZ results and operational efficiencies [17][19] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in navigating the dynamic policy landscape, noting bipartisan support for extending health care premium tax credits [8][9] - The company remains optimistic about long-term growth, citing the attractiveness of end markets and the potential for market share capture [24][25] - Management acknowledged the challenges posed by high-cost drugs and the need for continued focus on operational efficiency [78][120] Other Important Information - The company is preparing for potential changes in the marketplace due to proposed rules from CMS, which could impact market dynamics starting in 2026 [22][42] - The risk corridor mechanism is expected to provide some protection against high specialty drug costs, which are anticipated to increase in 2026 [109][126] Q&A Session Summary Question: Details on flu-related costs and their impact - Management confirmed that the $130 million in flu-related costs was tracked closely and isolated to Medicaid, with no significant impact on Medicare [49][51] Question: Long-term earnings potential - Management reiterated optimism about expanding Medicaid margins and achieving breakeven in Medicare Advantage, with potential for revenue growth [54][56] Question: Impact of public exchange subsidies - Management indicated that the estimate of a $1 impact per share from the loss of enhanced APTCs remains valid, with ongoing discussions about potential extensions [57][61] Question: Risk adjustment and membership growth - Management noted that risk adjustment numbers remained consistent with expectations, and the majority of new membership is subsidized, aligning with the company's focus on low-income populations [96][99] Question: Specialty drug trends - Management highlighted the increasing trend in specialty drug utilization, particularly in non-low-income PDP members, and the need for states to adapt their programs accordingly [118][120]
Centene(CNC) - 2025 Q1 - Earnings Call Transcript
2025-04-25 15:41
Financial Data and Key Metrics Changes - The company reported first quarter adjusted diluted EPS of $2.90, consistent with previous expectations, with full-year 2025 adjusted EPS expectations remaining unchanged at greater than $7.25 [5][24][37] - Premium and service revenue for Q1 was $42.5 billion, with an increase in full-year revenue guidance to a midpoint of $165 billion, up from $159 billion [26][38] - The adjusted SG&A expense ratio decreased to 7.9% from 8.7% year-over-year, driven by revenue growth and expense discipline [35] Business Line Data and Key Metrics Changes - Medicaid membership was stable at approximately 12.9 to 13 million members, with a Medicaid HBR of approximately 93%, showing slight improvement from 93.4% in Q4 2024 [27][28] - The Medicare segment performed in line with expectations, with Medicare Advantage membership contributing an additional $1 billion to the 2025 revenue outlook due to better-than-expected retention [16][31] - The commercial segment saw strong growth, with a Q1 HBR of 75.0%, up from 73.3% the previous year, driven by new marketplace members [34] Market Data and Key Metrics Changes - The company noted an increase in bipartisan support for extending health care premium tax credits, with 78% of swing voters supporting the extension [9] - The expiration of enhanced premium tax credits is anticipated to be addressed by Congress, with significant implications for the marketplace [10][23] - The company is preparing for potential impacts from proposed marketplace integrity and affordability rules, which could influence market dynamics starting in 2026 [22][42] Company Strategy and Development Direction - The company is focused on margin recovery and aligning rates with member acuity, with expectations that Medicaid will return to pre-pandemic margin levels [11][13] - Strategic initiatives include expanding Medicaid managed care into rural areas and enhancing the Medicare Advantage value proposition [14][16] - The company is committed to navigating the evolving policy landscape while advocating for sound health care policy [7][11] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ability to manage through a dynamic policy landscape, noting that broad support for Medicaid benefit cuts is lacking [7][8] - The company anticipates continued momentum in discussions with state partners regarding rate negotiations and acuity data [75] - Management remains optimistic about long-term growth prospects, emphasizing the attractiveness of end markets and the potential for market share capture [24][25] Other Important Information - The company experienced $130 million in incremental medical expenses due to an active flu season, which offset underlying improvements in medical loss ratio [12][28] - The company is actively engaging with CMS on proposed rules that could impact the marketplace and is preparing for various potential outcomes [22][23] Q&A Session Summary Question: Details on flu-related costs - Management clarified that the $130 million in flu-related costs was tracked using a consistent definition and was isolated to Medicaid, with some flu impact seen in Medicare but not at the same level [49][51] Question: Long-term earnings outlook - Management confirmed that the long-term earnings potential remains optimistic, with opportunities for margin expansion in Medicaid and Medicare segments [54][56] Question: Impact of public exchange subsidies - Management indicated that the estimate of a $1 impact per share from the potential loss of enhanced APTCs remains valid, with ongoing discussions about the implications of work requirements [57][61] Question: Risk adjustment and membership growth - Management noted that risk adjustment numbers are consistent with expectations, and the majority of new membership remains subsidized, aligning with the company's focus on low-income populations [99][96] Question: Specialty drug trends - Management highlighted that specialty drug utilization trends are being closely monitored, particularly in Medicaid, with high-cost drugs impacting overall costs [118][120]