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UnitedHealth Group Reports 2025 Results and Issues 2026 Outlook

UnitedHealth expects 2026 revenue to decline 2% to $439 billion due to elevated medical costs and plans to reduce membership by over 3 million to restore margins, CFO said.

  • On Tuesday, UnitedHealth Group Inc. reported fourth-quarter results with adjusted earnings of $2.11 per share versus $2.10 expected and revenue of $113.2 billion versus $113.82 billion expected, then issued 2026 guidance forecasting revenue over $439 billion and adjusted earnings above $17.75 per share.
  • Amid rising medical costs from Medicare Advantage patients returning for delayed procedures, UnitedHealth projects trends above 11% while PwC forecasts a lower 8.5%.
  • Management said the turnaround will rely on right‑sizing by divesting U.K. and South America operations, shrinking membership, repricing plans, and expects a U.S. membership decline of more than 3 million in 2026.
  • UNH shares plunged, with UNH stock down 15.79% at $296.11 in premarket trading as the company's sales guidance falls far below the $454.6 billion analysts expected and proposed CMS changes could cut $6 billion in revenue.
  • Management argues recent moves position the firm for margin gains, with the company projecting a medical benefit ratio of 88.8% ± 50 basis points and an operating cost ratio of 12.8% ± 50 basis points, said Wayne DeVeydt.
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watchlistnews.com broke the news in on Monday, January 26, 2026.
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