Core Insights - UnitedHealth Group Incorporated (UNH) is facing significant challenges due to the passage of the "One Big Beautiful Bill Act," which is expected to reduce federal Medicaid spending and lead to approximately 11.8 million Americans losing Medicaid coverage by 2034 [1][2] - The bill limits the use of "provider taxes" to curb state-level Medicaid expenditures but allocates $50 billion to support rural hospitals affected by these cuts [2] - UnitedHealth's Medicaid membership has declined by 4% in 2023, 5.2% in 2024, and 1.4% in Q1 2025, while its Medicare Advantage enrollment has increased by 8.3% in 2023, 1.9% in 2024, and 6.3% in Q1 2025 [3][8] Medicaid and Medicare Trends - The proposed elimination of ACA marketplace tax credits may push more individuals into employer-sponsored plans, while Medicare Advantage could see increased enrollment as seniors face higher out-of-pocket expenses [3] - Centene Corporation (CNC), a major player in Medicaid, withdrew its 2025 earnings guidance due to unexpected enrollment shifts and rising medical costs, causing significant declines in its shares and impacting peers like UnitedHealth and Humana [4][5] Market Performance - Following Centene's announcement, its shares dropped by 41.2%, while UnitedHealth and Humana experienced declines of 5.4% and 5.1%, respectively, despite overall market gains [5][8] - UnitedHealth's forward price-to-earnings ratio is currently at 12.99, above the industry average of 11.49, and it holds a Value Score of A [9] - The Zacks Consensus Estimate for UnitedHealth's 2025 earnings is projected at $22.07 per share, indicating a 20.2% decrease from the previous year [10]