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Cigna Corp (CI)
NYSE:CI
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Cigna (CI) AI Stock Analysis

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CI

Cigna

(NYSE:CI)

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Outperform 73 (OpenAI - 4o)
Rating:73Outperform
Price Target:
$331.00
▲(13.58% Upside)
Cigna's overall stock score is driven by strong financial performance and positive earnings call sentiment, highlighting strategic growth initiatives and robust guidance. While technical analysis and valuation present a more neutral outlook, the company's focus on innovation and partnerships supports a positive long-term trajectory.
Positive Factors
Revenue Growth
Cigna's strong revenue growth underscores its expanding market presence and effective service offerings, supporting long-term financial health.
Strategic Investments
The investment in Shields Health Solutions enhances Evernorth's capabilities in specialty pharmacy management, strengthening Cigna's competitive position.
Earnings Guidance
Cigna's reaffirmed earnings guidance reflects management's confidence in sustaining growth and navigating industry challenges effectively.
Negative Factors
Cash Flow Challenges
Significant decline in free cash flow growth indicates potential liquidity constraints, which could impact Cigna's ability to invest in growth initiatives.
Elevated Medical Costs
Rising medical costs could pressure margins and profitability, challenging Cigna's ability to maintain competitive pricing and service quality.
Stop-Loss Margin Challenges
Current margin challenges in the stop-loss business may affect profitability, requiring strategic adjustments to enhance long-term financial performance.

Cigna (CI) vs. SPDR S&P 500 ETF (SPY)

Cigna Business Overview & Revenue Model

Company DescriptionCigna Corporation provides insurance and related products and services in the United States. Its Evernorth segment provides a range of coordinated and point solution health services, including pharmacy, benefits management, care delivery and management, and intelligence solutions to health plans, employers, government organizations, and health care providers. The company's Cigna Healthcare segment offers medical, pharmacy, behavioral health, dental, vision, health advocacy programs, and other products and services for insured and self-insured customers; Medicare Advantage, Medicare Supplement, and Medicare Part D plans for seniors, as well as individual health insurance plans to on and off the public exchanges; and health care coverage in its international markets, as well as health care benefits for mobile individuals and employees of multinational organizations. The company also offers permanent insurance contracts sold to corporations to provide coverage on the lives of certain employees for financing employer-paid future benefit obligations. It distributes its products and services through insurance brokers and consultants; directly to employers, unions and other groups, or individuals; and private and public exchanges. The company was founded in 1792 and is headquartered in Bloomfield, Connecticut.
How the Company Makes MoneyCigna generates revenue primarily through premiums collected from its health insurance policies, which cover a variety of services including medical, dental, and pharmacy care. The company also earns revenue from providing managed care services to employers and government programs. Key revenue streams include individual and group health insurance premiums, administrative services for self-funded employer plans, and sales of ancillary products like dental and vision insurance. Additionally, Cigna has strategic partnerships and collaborations with healthcare providers, which enable them to optimize costs and improve care delivery. The company also benefits from the increasing demand for healthcare services and the expansion of health insurance coverage, particularly in the context of regulatory changes and market dynamics.

Cigna Key Performance Indicators (KPIs)

Any
Any
External Customers Revenue by Type
External Customers Revenue by Type
Shows revenue generated from different types of external customers, highlighting which customer segments are most lucrative and where there may be opportunities for growth or diversification.
Chart InsightsCigna's pharmacy revenue has surged significantly, with a notable increase from 2023 to 2025, driven by Evernorth's strong performance and strategic initiatives like new AI solutions and multiyear contracts. Despite pressures from elevated medical costs, the company's focus on innovation and partnerships, such as with Prime Therapeutics, supports this growth trajectory. Meanwhile, total premiums and fees show variability, reflecting challenges in the individual exchange business. Overall, Cigna's strategic focus on Evernorth and innovation appears to be paying off, despite some headwinds in healthcare costs.
Data provided by:Main Street Data

Cigna Earnings Call Summary

Earnings Call Date:Jul 31, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Oct 30, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted strong financial performance and strategic growth initiatives, particularly within Evernorth. However, challenges such as elevated medical costs and pressures in specific business segments like the individual exchanges and stop-loss margins were noted.
Q2-2025 Updates
Positive Updates
Strong Financial Performance
The Cigna Group delivered $67.2 billion in total revenue and grew adjusted earnings per share to $7.20, continuing their track record of sustained attractive results.
Evernorth's Growth
Evernorth achieved strong earnings slightly ahead of expectations with momentum in Specialty and Care Services and good execution in Pharmacy Benefit Services. Specialty prescription volume increased, leading to 12% growth in normalized earnings.
Strategic Partnership with Prime Therapeutics
Evernorth finalized a multiyear contract extension with Prime Therapeutics, highlighting strong client retention and demand across diverse buyer groups.
Innovative GLP-1 Benefit Program
Evernorth launched a new benefit option that limits the patient's out-of-pocket cost for GLP-1 weight loss prescriptions to no more than $200 per month, enhancing affordability and choice.
Negative Updates
Elevated Medical Costs
Cigna Healthcare experienced persistently elevated medical costs, particularly in specialty injectables and behavioral health services, which affected the individual exchange business.
Pressure in Individual Exchange Business
Higher-than-expected medical costs in the ACA marketplace led to challenges, though these were manageable due to the smaller scale of the exchange business within Cigna's portfolio.
Stop-Loss Margin Recovery
Cigna is working to improve the margin profile of the stop-loss business over the next two renewal cycles, indicating current margin challenges.
Company Guidance
During the Cigna Group's second quarter 2025 results review, the company provided comprehensive guidance reaffirming their full year 2025 adjusted earnings per share outlook of at least $29.60. For the second quarter, Cigna reported total revenue of $67.2 billion and increased adjusted earnings per share to $7.20. The company highlighted sustained momentum across its key platforms, Evernorth and Cigna Healthcare, with Evernorth contributing over 60% of enterprise earnings. In Evernorth, Specialty and Care Services revenue grew 13% to $25.9 billion, and Pharmacy Benefit Services continued to exhibit strong client retention. Cigna Healthcare reported a medical care ratio of 83.2%, emphasizing disciplined execution amid elevated medical costs. For 2025, Cigna anticipates continued elevated cost trends, projecting a full year medical care ratio between 83.2% and 84.2%, while maintaining robust capital management with strong cash flow expectations in the second half.

Cigna Financial Statement Overview

Summary
Cigna demonstrates strong revenue growth and profitability improvements, particularly in net profit margin. The balance sheet is stable with moderate leverage, but cash flow challenges, particularly in free cash flow growth, present potential risks. Continued focus on operational efficiency and cash flow management will be crucial for sustaining financial health.
Income Statement
78
Positive
Cigna's income statement shows a solid performance with a consistent revenue growth rate of 2.63% in the TTM period. The gross profit margin is strong at 10.62% annually, and the net profit margin has improved to 1.92% in the TTM. However, the EBIT and EBITDA margins are relatively modest, indicating room for operational efficiency improvements.
Balance Sheet
72
Positive
The balance sheet reflects a stable financial position with a manageable debt-to-equity ratio of 0.77 in the TTM, indicating moderate leverage. The return on equity is healthy at 12.27%, showcasing effective use of equity capital. However, the equity ratio is not explicitly provided, which limits a full assessment of asset financing.
Cash Flow
65
Positive
Cigna's cash flow statement indicates challenges with a significant decline in free cash flow growth by 34.38% in the TTM. The operating cash flow to net income ratio is low at 0.09, suggesting potential liquidity constraints. However, the free cash flow to net income ratio remains robust at 0.75, indicating efficient cash generation relative to net income.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue262.07B247.12B195.26B180.52B174.07B160.40B
Gross Profit27.56B25.96B25.18B23.50B22.95B24.21B
EBITDA12.33B11.45B10.85B10.44B9.96B10.37B
Net Income5.02B3.43B5.16B6.70B5.37B8.46B
Balance Sheet
Total Assets151.65B155.88B152.76B143.88B154.89B155.45B
Cash, Cash Equivalents and Short-Term Investments5.14B8.21B8.75B6.83B6.00B11.51B
Total Debt30.77B31.97B30.93B31.55B34.27B33.56B
Total Liabilities111.22B114.64B106.41B98.98B107.70B105.06B
Stockholders Equity40.21B41.03B46.22B44.87B47.11B50.32B
Cash Flow
Free Cash Flow3.94B8.96B10.24B7.36B6.04B9.26B
Operating Cash Flow5.29B10.36B11.81B8.66B7.19B10.35B
Investing Cash Flow-567.00M-2.10B-5.17B3.10B-3.61B2.98B
Financing Cash Flow-7.82B-7.65B-4.29B-11.24B-8.21B-8.53B

Cigna Technical Analysis

Technical Analysis Sentiment
Negative
Last Price291.43
Price Trends
50DMA
292.26
Negative
100DMA
303.50
Negative
200DMA
302.42
Negative
Market Momentum
MACD
-1.14
Positive
RSI
44.01
Neutral
STOCH
14.16
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CI, the sentiment is Negative. The current price of 291.43 is below the 20-day moving average (MA) of 297.95, below the 50-day MA of 292.26, and below the 200-day MA of 302.42, indicating a bearish trend. The MACD of -1.14 indicates Positive momentum. The RSI at 44.01 is Neutral, neither overbought nor oversold. The STOCH value of 14.16 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CI.

Cigna Risk Analysis

Cigna disclosed 28 risk factors in its most recent earnings report. Cigna reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Cigna Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
77
Outperform
96.87B21.345.86%3.48%6.27%-36.28%
73
Outperform
$77.04B15.7612.31%2.03%20.93%43.98%
72
Outperform
318.63B15.0622.48%2.45%9.98%52.31%
71
Outperform
73.49B13.7812.26%2.07%10.21%-17.79%
70
Outperform
17.02B8.577.49%12.96%-23.25%
70
Outperform
31.51B19.838.64%1.35%9.88%-7.25%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CI
Cigna
291.43
-47.09
-13.91%
CNC
Centene
34.65
-39.05
-52.99%
CVS
CVS Health
76.38
19.96
35.38%
HUM
Humana
261.97
-46.95
-15.20%
UNH
UnitedHealth
351.81
-210.80
-37.47%
ELV
Elevance Health
326.38
-184.56
-36.12%

Cigna Corporate Events

Business Operations and StrategyPrivate Placements and Financing
Cigna Issues $4.5 Billion in Senior Notes
Neutral
Sep 4, 2025

On September 4, 2025, Cigna completed a significant financial maneuver by issuing $4.5 billion in senior notes with varying maturity dates and interest rates. The proceeds from this issuance are intended to repay $2 billion in loans used for a strategic investment and support general corporate purposes, potentially impacting the company’s financial flexibility and strategic positioning.

The most recent analyst rating on (CI) stock is a Buy with a $383.00 price target. To see the full list of analyst forecasts on Cigna stock, see the CI Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Cigna Reaffirms 2025 Earnings Projection Amid Industry Challenges
Positive
Sep 2, 2025

The Cigna Group, a prominent player in the healthcare industry, has reaffirmed its projected full-year 2025 consolidated adjusted income from operations, expecting at least $29.60 per share. This announcement, initially discussed in July 2025, underscores Cigna’s confidence in its financial performance and strategic positioning despite the inherent uncertainties and risks in the evolving healthcare sector.

The most recent analyst rating on (CI) stock is a Buy with a $335.00 price target. To see the full list of analyst forecasts on Cigna stock, see the CI Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Sep 16, 2025