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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)

Rating:73Outperform
Price Target:
$320.00
▲(11.46% Upside)
Cigna's overall stock score is driven by strong earnings performance and strategic initiatives, particularly in the Evernorth segment. While financial performance is solid, challenges in cash flow and elevated medical costs present risks. The valuation is fair, and recent corporate events support a positive outlook.
Positive Factors
Business Growth
Curascript, its specialty distribution business to 12,000 providers, is delivering significant growth with double-digit top-line growth to now be a $25 billion business.
Earnings
Evernorth had a solid quarter, with revenues up nearly 17% year over year and earnings up nearly 5% year over year.
Strategic Outlook
Management indicated that the first half performance reinforced the view in the 2025 outlook, reaffirming 10-14% long-term adjusted EPS growth.
Negative Factors
Financial Concerns
Concerns arose on containment of stop-loss headwinds and the extent to which cost trends in the stop-loss business will remain in line with company expectations.
Market Risks
There is a risk of HIX trends accelerating further, which could impact the company's performance.
Stock Performance
The negative price reaction to the company's earnings report is viewed as exaggerated.

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

Cigna Business Overview & Revenue Model

Company DescriptionCigna Corporation (CI) is a global health service company focused on improving the health, well-being, and peace of mind of those it serves. Operating in the health insurance sector, Cigna provides a wide range of products and services, including medical, dental, behavioral health, pharmacy, vision, and supplemental health insurance. The company serves individuals, families, and businesses, offering both individual and group health plans, and operates in various international markets, enhancing its footprint in the global health insurance landscape.
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: -3.61%|
Next Earnings Date:Oct 30, 2025
Earnings Call Sentiment Positive
The earnings call showcased Cigna's strong financial results and strategic initiatives, particularly in the Evernorth segment and innovative healthcare solutions. However, the company faces challenges with elevated medical costs and pressures in the individual exchange business. Overall, the positive highlights outweigh the lowlights.
Q2-2025 Updates
Positive Updates
Strong Financial Performance
Cigna reported a total revenue of $67.2 billion and adjusted earnings per share of $7.20 for Q2 2025. The company reaffirmed its outlook for full-year 2025 with expected adjusted earnings per share of at least $29.60.
Evernorth Segment Growth
Evernorth's Specialty and Care Services saw a 13% revenue increase to $25.9 billion, with normalized pretax adjusted earnings growth of 12% year-over-year. Pharmacy Benefit Services also demonstrated solid growth with pretax adjusted earnings of $833 million.
Cigna Healthcare Performance
Cigna Healthcare reported a medical care ratio of 83.2%, in line with expectations, and continued to grow in the U.S. employer segment, particularly in the Select segment.
AI-Powered Virtual Assistant Launch
Cigna Healthcare introduced a new AI-powered virtual assistant to enhance customer experience in areas such as checking benefits and finding care.
New GLP-1 Benefit Option
Evernorth launched a benefit option to save patients money on GLP-1 weight loss prescriptions, with out-of-pocket costs limited to $200 per month.
Negative Updates
Elevated Medical Costs
Cigna Healthcare experienced persistently elevated medical costs throughout the year, affecting the overall cost trend environment.
Pressure on Individual Exchange Business
There was pressure in the individual exchange business due to higher utilization, reflecting increased medical costs across the ACA marketplace.
Special Item Charges
The company recorded net after-tax special item charges of $171 million or $0.64 per share in Q2 2025.
Company Guidance
During the second quarter of 2025, The Cigna Group reported total revenue of $67.2 billion and adjusted earnings per share (EPS) of $7.20. The company reaffirmed its full-year guidance, anticipating at least $29.60 in adjusted EPS. This achievement reflects a strong performance across its platforms, with Evernorth contributing significantly with $57.8 billion in revenue, showing growth particularly in its Specialty and Care Services division. Meanwhile, Cigna Healthcare delivered $10.8 billion in revenue with a medical care ratio of 83.2%. The company managed after-tax special item charges of $171 million, or $0.64 per share. Cigna also highlighted its strategic focus on innovation and partnerships, introducing new AI-powered solutions and negotiating multiyear contracts, such as with Prime Therapeutics. The overall guidance included potential impacts from share repurchases and anticipated dividends, while maintaining a dynamic approach in response to the evolving regulatory and technological landscape.

Cigna Financial Statement Overview

Summary
Cigna exhibits strong revenue growth with a TTM revenue of $254.47 billion and consistent operational efficiency. However, the decline in free cash flow growth rate and modest profitability margins, such as the net profit margin of 1.49%, indicate areas for improvement. The company's leverage and equity position suggest stability.
Income Statement
75
Positive
Cigna's revenue has shown a consistent upward trend, with a notable TTM revenue of $254.47 billion, representing a 4.12% growth from the previous year. Despite this growth, the gross profit margin stands at 76.74%, and the net profit margin at 1.49%, indicating operational efficiency but modest profitability. The EBIT margin of 2.88% and EBITDA margin of 4.02% suggest moderate earnings capabilities.
Balance Sheet
70
Positive
The debt-to-equity ratio is approximately 0.76, indicating a balanced financial leverage. Return on equity stands at 9.44%, reflecting a reasonable return on shareholder investment, though slightly declining over the years. The equity ratio of 26.71% suggests a solid equity base, supporting financial stability.
Cash Flow
68
Positive
Operating cash flow to net income ratio is 1.96, denoting strong cash generation relative to net income. However, the free cash flow decreased by 32.89% from the previous year. Despite this, the free cash flow to net income ratio remains robust at 1.58, indicating good cash management practices.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue262.07B244.38B195.19B180.03B174.27B160.55B
Gross Profit27.43B25.96B195.19B148.31B140.52B127.69B
EBITDA12.33B9.48B9.99B12.56B10.92B15.11B
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
Neutral
Last Price287.10
Price Trends
50DMA
302.64
Negative
100DMA
312.89
Negative
200DMA
306.96
Negative
Market Momentum
MACD
-7.98
Negative
RSI
48.69
Neutral
STOCH
68.43
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CI, the sentiment is Neutral. The current price of 287.1 is above the 20-day moving average (MA) of 284.67, below the 50-day MA of 302.64, and below the 200-day MA of 306.96, indicating a neutral trend. The MACD of -7.98 indicates Negative momentum. The RSI at 48.69 is Neutral, neither overbought nor oversold. The STOCH value of 68.43 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral 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
75
Outperform
$33.07B21.109.03%1.26%9.88%-7.25%
73
Outperform
$83.09B18.285.95%4.04%6.27%-36.28%
73
Outperform
$74.87B15.3212.31%2.03%20.93%43.98%
71
Outperform
$65.86B12.4512.48%2.27%10.21%-17.79%
68
Neutral
$236.90B11.3323.14%3.13%9.98%52.31%
58
Neutral
$12.85B6.477.50%12.96%-23.25%
51
Neutral
$7.43B-0.36-45.45%2.27%22.98%-2.34%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CI
Cigna
287.10
-43.68
-13.21%
CNC
Centene
27.07
-51.44
-65.52%
CVS
CVS Health
65.90
10.86
19.73%
HUM
Humana
281.99
-70.54
-20.01%
UNH
UnitedHealth
271.81
-297.06
-52.22%
ELV
Elevance Health
294.43
-238.87
-44.79%

Cigna Corporate Events

Executive/Board Changes
Cigna Appoints Michael J. Hennigan to Board
Positive
Jun 2, 2025

On June 2, 2025, The Cigna Group announced the appointment of Michael J. Hennigan to its Board of Directors. Hennigan, who has a robust background in the energy sector, is expected to bring valuable strategic insights and leadership to Cigna, aiding in its mission to improve healthcare experiences and drive growth.

The most recent analyst rating on (CI) stock is a Buy with a $376.00 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 Investor Meetings
Positive
May 20, 2025

The Cigna Group has announced its intention to reaffirm its projected consolidated adjusted income from operations for the full year 2025, expecting at least $29.60 per share. This announcement, made during meetings with investors and analysts, highlights the company’s confidence in its financial performance and strategic direction despite the inherent uncertainties and risks in the healthcare sector.

The most recent analyst rating on (CI) stock is a Buy with a $376.00 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: Aug 14, 2025