Pharmacy Benefit Services
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Cigna Forecasts Two-Year Margin Strain In Pharmacy Benefit Unit, Stock Tanks
Benzinga· 2025-10-30 18:33
Core Viewpoint - Cigna Group's stock experienced a significant decline following the announcement of expected margin pressure in its pharmacy benefit services segment over the next two years [1][9]. Financial Performance - Cigna reported third-quarter 2025 revenue of $69.74 billion, surpassing analyst expectations of $67.11 billion, with a year-over-year increase of 10% driven by Evernorth Health Services [3][4]. - Adjusted earnings per share were $7.83, exceeding analysts' estimates of $7.65, while adjusted income from operations decreased by 1% to $2.09 billion [4]. - Evernorth Health Services generated third-quarter sales of $60.39 billion, a 15% increase, while pharmacy benefit services sales reached $34.09 billion [5]. Customer Metrics - Cigna ended the quarter with 18.06 million medical customers, a decrease from 19.05 million, while total customer relationships stood at 182.49 million, reflecting a 2% increase when excluding the impact of the HCSC transaction [7]. Future Outlook - Cigna reaffirmed its fiscal 2025 adjusted income per share guidance of over $29.60, slightly below the consensus of $29.63, and expects Evernorth's adjusted income from operations to be at least $7.2 billion [8]. - The company anticipates a decline in operating income for Evernorth in 2026, while the specialty and care services business is expected to grow towards the higher end of its long-term growth target [9].
The Cigna Group Reports Strong Third Quarter 2025 Results, Reaffirms 2025 Adjusted EPS Outlook
Prnewswire· 2025-10-30 10:00
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]
Cigna Q2 Earnings Beat Estimates on Higher Specialty Volumes
ZACKS· 2025-07-31 18:20
Core Viewpoint - Cigna Group reported strong second-quarter 2025 results with adjusted EPS of $7.20, exceeding estimates and showing a year-over-year increase of 7.1% alongside adjusted revenues of $67.1 billion, which rose 11% year over year [1][10]. Financial Performance - Adjusted revenues of $67.1 billion surpassed the consensus estimate by 7.1% [1] - Total benefits and expenses increased 12% year over year to $64.9 billion, driven by higher pharmacy and service costs [4] - Adjusted income from operations was $1.9 billion, a 1% increase year over year [4] Segment Performance - Evernorth Health Services segment achieved adjusted revenues of $57.8 billion, up 17% year over year, benefiting from new business and improved specialty volumes [5] - Cigna Healthcare segment's adjusted revenues fell 18% year over year to $10.8 billion, impacted by divestitures, but still slightly beat estimates [7] - Medical customer base decreased by 5.2% year over year to 18 million, although it exceeded the consensus estimate [3][10] Expense and Margin Analysis - Adjusted SG&A expense ratio improved by 110 basis points year over year to 4.9% due to a favorable business mix [4] - Adjusted pre-tax operating income for Evernorth rose 5% year over year to $1.7 billion, while the adjusted pre-tax margin declined by 40 basis points to 2.9% [6] Financial Position - Cash and cash equivalents decreased by 42.7% from the end of 2024 to $4.3 billion [11] - Total assets fell 2.7% to $151.7 billion, while long-term debt decreased by 8.5% to $26.5 billion [11] Capital Deployment - Cigna repurchased shares worth approximately $2.6 billion in the first half of 2025 [13] 2025 Outlook - Adjusted EPS is projected to be a minimum of $29.60, indicating at least 8.3% growth from 2024 [14] - Adjusted revenues are expected to reach a minimum of $252 billion, reflecting at least a 2% increase from 2024 [15]
The Cigna Group Reports Strong Second Quarter 2025 Results, Reaffirms 2025 Adjusted EPS Outlook
Prnewswire· 2025-07-31 10:00
Core Insights - The Cigna Group reported strong second quarter 2025 results, with total revenues increasing by 11% to $67.2 billion compared to the same period in 2024, driven by growth in Evernorth Health Services and specialty pharmacy [4][7][19] - Shareholders' net income for the second quarter 2025 was $1.5 billion, or $5.71 per share, reflecting a slight increase from $1.5 billion, or $5.45 per share, in the second quarter of 2024 [2][4][7] - Adjusted income from operations for the second quarter 2025 was $1.9 billion, or $7.20 per share, compared to $1.9 billion, or $6.72 per share, in the same quarter of 2024 [3][4][7] Financial Performance - Total revenues for the second quarter 2025 were $67.2 billion, an increase of 11% from $60.5 billion in the second quarter 2024 [4][7] - Adjusted revenues for the second quarter 2025 were $67.1 billion, up from $60.5 billion in the second quarter 2024 [4][7] - Shareholders' net income for the first half of 2025 totaled $2.9 billion, with a per-share value of $10.55 [4][7] Customer Relationships - Total customer relationships as of June 30, 2025, were 182.2 million, reflecting a 2% increase from December 31, 2024, excluding the impact of the HCSC transaction [9][5] - Total pharmacy customers increased by 3% to 121.9 million as of June 30, 2025, due to new sales and expanded relationships [9][5] - Total medical customers decreased by 6% to 18.0 million, primarily due to the HCSC transaction, but remained consistent when excluding this impact [9][5] Segment Performance - Evernorth Health Services reported adjusted revenues of $57.8 billion for the second quarter 2025, a 17% increase from the same quarter in 2024 [13][19] - Cigna Healthcare's adjusted revenues decreased by 18% to $10.8 billion, primarily due to the HCSC transaction; however, excluding this impact, revenues would have increased by 7% [15][19] - The adjusted income from operations for Evernorth Health Services increased by 5% to $1.7 billion, while Cigna Healthcare's adjusted income from operations decreased by 9% to $1.1 billion [19][15] Outlook - The Cigna Group reaffirms its 2025 outlook for adjusted income from operations of at least $29.60 per share [20][21] - The company anticipates continued growth driven by its diverse portfolio and strategic initiatives [20][21]
Cigna CEO Says Strong Q1 Earnings, Increased Outlook Reflect Strength In Growth Platforms
Benzinga· 2025-05-02 13:28
Core Insights - Cigna Group reported first-quarter 2025 revenue of $65.45 billion, exceeding analyst estimates of $60.39 billion, with a year-over-year sales increase of 14% driven by existing client relationships and strong growth in specialty pharmacy services [1] - Adjusted earnings per share were $6.74, surpassing analysts' expectations of $6.35 [1] Revenue Breakdown - Evernorth Health Services, which includes Pharmacy Benefit and Specialty and Care Services, achieved first-quarter sales of $53.68 billion, reflecting a 16% increase [2] - Cigna Healthcare segment sales rose 9% to $14.48 billion, primarily due to premium rate increases to cover expected medical cost increases [3] Customer Metrics - Total medical customers decreased by 6% from December 31, 2024, to 18.04 million, largely due to the impact of the HCSC transaction; however, excluding this impact, customer numbers remained stable [4] - Total customer relationships reached 182.2 million as of March 31, 2025, with a 1% increase when excluding the HCSC transaction [4] - Total pharmacy customers increased by 3% to 122.3 million, attributed to new sales and expanded relationships [4] Future Outlook - Cigna anticipates fiscal 2025 adjusted income per share of $29.60, slightly up from the previous estimate of $29.50, aligning with consensus expectations [5] - Evernorth's adjusted income from operations is projected to be at least $7.2 billion, with Cigna Healthcare expected to contribute at least $4.125 billion [5] Financial Ratios - The Cigna Healthcare Medical Care Ratio (MCR) is expected to range between 83.2% to 84.2% [6] - The MCR for the first quarter of 2025 was reported at 82.2%, an increase from 79.9% a year ago, primarily due to higher stop-loss medical costs [7]
The Cigna Group Reports Strong First Quarter 2025 Results, Raises 2025 Outlook
Prnewswire· 2025-05-02 10:00
Core Insights - The Cigna Group reported strong first quarter 2025 results, with significant growth across its diversified business portfolio, leading to an increased outlook for full-year earnings [1][2][20] Financial Performance - Shareholders' net income for Q1 2025 was $1.3 billion, or $4.85 per share, compared to a net loss of $0.3 billion, or $0.97 per share, in Q1 2024 [2][7] - Adjusted income from operations for Q1 2025 was $1.8 billion, or $6.74 per share, slightly down from $1.9 billion, or $6.47 per share, in Q1 2024 [3][7] - Total revenues for Q1 2025 increased by 14% to $65.5 billion compared to Q1 2024, driven by growth in existing client relationships and specialty pharmacy services [4][7] Customer Relationships - Total customer relationships as of March 31, 2025, were 182.2 million, reflecting a 1% increase excluding the impact of the HCSC transaction [15] - Total pharmacy customers increased by 3% to 122.3 million, while total medical customers decreased by 6% to 18.0 million, primarily due to the HCSC transaction [15][6] Segment Performance - Evernorth Health Services reported adjusted revenues of $53.7 billion for Q1 2025, with a 16% increase in adjusted income from operations, pre-tax [16] - Cigna Healthcare's adjusted income from operations, pre-tax, was $1.3 billion for Q1 2025, reflecting a slight decrease from the previous year [37] Outlook - The Cigna Group's outlook for full-year 2025 adjusted income from operations is projected to be at least $29.60 per share, an increase of $0.10 from prior projections [20][21]