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Cigna Corp (CI)
NYSE:CI

Cigna (CI) AI Stock Analysis

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CI

Cigna

(NYSE:CI)

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Outperform 72 (OpenAI - 4o)
Rating:72Outperform
Price Target:
$300.00
▲(10.41% Upside)
Cigna's overall stock score reflects its solid financial performance and attractive valuation, which are offset by technical indicators suggesting a neutral to slightly bearish trend. The earnings call provided a positive outlook with strong revenue and earnings performance, though challenges remain in certain segments. The company's strategic focus on innovation and client retention supports its growth trajectory.
Positive Factors
Revenue Growth
Steady revenue growth indicates a positive trajectory, suggesting Cigna's ability to expand its market presence and enhance service offerings over time.
Cash Flow Generation
Strong cash flow generation supports Cigna's capacity to fund operations, invest in growth opportunities, and maintain financial stability.
Leadership Change
The appointment of Dr. Amy Flaster as Chief Medical Officer may drive innovation and enhance clinical excellence, strengthening Cigna's competitive position.
Negative Factors
Margin Pressure
Margin pressure in the Pharmacy Benefit Services segment could impact profitability, challenging Cigna's ability to maintain operational efficiency.
Medical Care Ratio Increase
An increased medical care ratio suggests rising costs, which may affect Cigna's profitability and require strategic adjustments to manage expenses.
Challenges in Individual Exchange Business
Challenges in the individual exchange business could hinder growth and necessitate operational adjustments to improve performance and cost management.

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

Cigna Business Overview & Revenue Model

Company DescriptionThe Cigna Group 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 include individual, employer-sponsored, and government health plans. The company also earns revenue from its pharmacy benefit management (PBM) services, where it manages prescription drug benefits for clients and receives fees for its services. Additional revenue streams include administrative fees from self-insured clients, provider payments, and specialty services such as dental and disability insurance. Strategic partnerships with healthcare providers, technology companies, and pharmaceutical manufacturers further support Cigna's revenue growth by enhancing their service offerings and expanding their market reach.

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:The Fly

Cigna Earnings Call Summary

Earnings Call Date:Feb 05, 2026
(Q4-2025)
|
Next Earnings Date:May 01, 2026
Earnings Call Sentiment Positive
Overall the call emphasized strong top-line and EPS growth in 2025, robust specialty and EverNorth performance, strategic clarity from the FTC settlement and PBM reform, and continued capital returns. Management acknowledged near-term charges, planned investments for the new rebate-free PBM model that will pressure cash flow and require execution, and elevated medical cost trends that influence MCR guidance. On balance, the positives (sustained revenue and earnings growth, specialty momentum, capital returns, regulatory clarity and a customer-oriented PBM model) outweigh the transitional and cost-related headwinds.
Q4-2025 Updates
Positive Updates
Full-Year Revenue and EPS Growth
Consolidated full-year adjusted revenues of $275 billion, an 11% increase year-over-year, and full-year adjusted earnings per share of $29.84, a 9% increase versus prior year.
Strong EverNorth Performance
EverNorth Q4 revenues of $63.1 billion with pretax adjusted earnings of $2.2 billion; specialty and care services revenue of $26.7 billion, up 14% year-over-year, contributing $1.0 billion in adjusted earnings; pharmacy benefit services revenue of $36.3 billion and $1.2 billion in adjusted earnings.
Specialty Script and Platform Growth
Specialty pharmacy scripts grew ~13% year-over-year in 2025; specialty and care platforms now represent ~35% of company income (up from ~25% three years ago), with long-term expected AOI growth of 8%–12%.
PBM Transformation and Regulatory Resolution
Announced and advancing a rebate-free, fee-based pharmacy benefit model aligned with recent PBM reform and the FTC settlement; Cigna highlighted that its new model positions it to deliver the settlement commitments and expects the Cigna Healthcare fully insured book to adopt the model on 1/1/2027 and at least 50% of EverNorth to adopt by year-end 2028.
FTC Settlement Benefits for Customers
Global FTC settlement resolves pharmacy benefits matters and is expected to deliver approximately $7 billion in out-of-pocket cost relief over the next ten years for the ~100 million customers and patients served by the company.
Customer Experience and Retention
Customer net promoter scores improved year-over-year across largest businesses; prior authorization volume reduced by 15%; pharmacy benefit services retention rate over 97% for 2026 renewals; select segment customers grew ~7%.
Capital Deployment and Balance Sheet Progress
Returned over $5 billion to shareholders in 2025 (repurchased 11.9 million shares for ~$3.6 billion and $1.6 billion in dividends); generated $9.6 billion of operating cash flow in 2025; improved debt-to-capitalization to 43% (190 bps improvement in Q4).
2026 Financial Outlook
Guidance for 2026: consolidated adjusted revenues of ~ $280 billion and adjusted EPS of at least $30.25 (implying modest year-over-year EPS growth); segment guidance includes EverNorth adjusted earnings of at least $6.9 billion and Cigna Healthcare adjusted earnings of at least $4.5 billion.
Negative Updates
Quarterly Special Item Charges
Recorded after-tax special item charges in Q4 of $483 million, or $1.82 per share, which reduced reported results for the quarter.
Elevated Medical Costs and MCR Pressure
Cigna Healthcare experienced modestly higher medical costs in Q4 (~60 basis points of MCR, ≈ $50 million). 2026 medical care ratio (MCR) outlook is elevated at 83.7%–84.7% (first quarter expected below 81%), reflecting an elevated cost-trend environment and prudence in pricing assumptions.
Near-Term Investment and Cash Flow Impact from PBM Transition
Investment spending to build the infrastructure for the rebate-free model will be back-half weighted in 2026; company expects 2026 operating cash flow of approximately $9.0 billion (down ~$600 million vs. 2025) driven by lower PBS contribution, large client renewals, and investment spending.
Potential Tax Impact from GPO Relocation
FTC-related requirement to move certain GPO capabilities from Switzerland to the U.S. could increase the enterprise effective tax rate by up to ~1% over time if unmitigated, per management commentary.
Membership Shifts and Prioritization of Margin
Total medical costs customers are expected to be ~18.1 million at year-end 2026 with growth in middle, select, and international markets offset by lower membership in national accounts and individual exchange; individual exchange membership expected to decline to fewer than 300,000 as the company prioritizes margin over growth.
Transitional Uncertainty and Adoption Risk for New PBM Model
While management expects comparable long-term margin profile, revenue/earnings mix will shift (toward admin fees and clinical program compensation) and adoption timing is uncertain—targeting broad adoption by 2028 but with potential execution and client-choice risks during the transition period.
Stop-Loss and Exchange One-Time Effects
Full-year MCR in 2025 benefited from several one-time items in the individual business; stop-loss products saw slightly higher MCR in 2025 vs. 2024, consistent with prior communications, which complicates year-over-year comparability.
Company Guidance
Cigna guided 2026 consolidated adjusted revenues of approximately $280 billion and consolidated adjusted earnings per share of at least $30.25 (Q1 slightly above 25% of the full year), with EverNorth adjusted earnings of at least $6.9 billion (Q1 >20% of EverNorth’s annual earnings) and Cigna Healthcare adjusted earnings of at least $4.5 billion (Q1 >30% of its annual earnings); Cigna expects Cigna Healthcare’s 2026 medical care ratio to be 83.7%–84.7% (Q1 <81%), roughly 18.1 million total medical cost customers at year‑end, an enterprise adjusted SG&A ratio of ~5%, a consolidated adjusted tax rate of ~19%, operating cash flow of about $9 billion, capital expenditures of ~$1.3 billion, shareholder dividends of ~$1.6 billion (quarterly dividend $1.56/share), weighted average shares of 261–265 million, and continued progress toward a ~40% debt‑to‑capital target (exiting 2025 at 43%, +190 bps improvement in Q4); the company also noted 2025 cash flow from operations of $9.6 billion, $3.6 billion of share repurchases (11.9M shares) and $1.6 billion of dividends.

Cigna Financial Statement Overview

Summary
Cigna demonstrates solid financial performance with consistent revenue growth and strong cash flow generation. While profitability margins and leverage ratios present areas for improvement, the company's financial health remains stable. The balance between growth, profitability, and cash flow positions Cigna well in the competitive healthcare plans industry.
Income Statement
75
Positive
Cigna's income statement shows a steady revenue growth rate of 2.31% in the TTM period, indicating a positive growth trajectory. The gross profit margin is relatively low at 7.81%, but the net profit margin has improved to 1.64% from the previous year. The EBIT and EBITDA margins have slightly decreased, suggesting some pressure on operational efficiency. Overall, the company demonstrates stable revenue growth with room for improvement in profitability margins.
Balance Sheet
70
Positive
The balance sheet reflects a moderate debt-to-equity ratio of 0.81, indicating a balanced approach to leverage. The return on equity (ROE) is at 10.74%, showing a decent return on shareholders' investments. The equity ratio stands at 26.47%, suggesting a stable capital structure. While the company maintains a healthy balance sheet, the leverage could be optimized further to enhance financial stability.
Cash Flow
80
Positive
Cigna's cash flow statement highlights a significant free cash flow growth rate of 88.57% in the TTM period, showcasing strong cash generation capabilities. The operating cash flow to net income ratio is 0.15, and the free cash flow to net income ratio is 0.86, indicating efficient cash conversion. The robust cash flow performance supports the company's ability to fund operations and investments.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue268.13B247.12B195.26B180.52B174.07B160.40B
Gross Profit26.89B25.96B25.18B23.50B22.95B24.21B
EBITDA12.38B11.45B10.85B10.44B9.96B10.37B
Net Income6.15B3.43B5.16B6.70B5.37B8.46B
Balance Sheet
Total Assets157.92B155.88B152.76B143.88B154.89B155.45B
Cash, Cash Equivalents and Short-Term Investments6.91B8.21B8.75B6.83B6.00B11.51B
Total Debt34.04B31.97B30.93B31.55B34.27B33.56B
Total Liabilities115.91B114.64B106.41B98.98B107.70B105.06B
Stockholders Equity41.80B41.03B46.22B44.87B47.11B50.32B
Cash Flow
Free Cash Flow7.44B8.96B10.24B7.36B6.04B9.26B
Operating Cash Flow8.66B10.36B11.81B8.66B7.19B10.35B
Investing Cash Flow-4.18B-2.10B-5.17B3.10B-3.61B2.98B
Financing Cash Flow-5.60B-7.65B-4.29B-11.24B-8.21B-8.53B

Cigna Technical Analysis

Technical Analysis Sentiment
Positive
Last Price271.71
Price Trends
50DMA
274.39
Positive
100DMA
279.75
Positive
200DMA
292.38
Negative
Market Momentum
MACD
0.18
Negative
RSI
58.71
Neutral
STOCH
65.26
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CI, the sentiment is Positive. The current price of 271.71 is below the 20-day moving average (MA) of 275.45, below the 50-day MA of 274.39, and below the 200-day MA of 292.38, indicating a neutral trend. The MACD of 0.18 indicates Negative momentum. The RSI at 58.71 is Neutral, neither overbought nor oversold. The STOCH value of 65.26 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive 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
72
Outperform
$72.58B12.2514.65%2.21%16.75%113.48%
69
Neutral
$23.10B18.007.15%1.38%9.87%-5.58%
65
Neutral
$249.94B20.852.69%10.48%24.25%
65
Neutral
$75.69B13.5113.29%1.99%11.96%-11.11%
62
Neutral
$95.51B196.600.63%3.41%6.71%-90.11%
58
Neutral
$20.13B-3.69-21.93%14.92%-286.72%
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
284.53
3.08
1.10%
CNC
Centene
39.92
-18.71
-31.91%
CVS
CVS Health
76.33
24.08
46.10%
HUM
Humana
193.55
-82.18
-29.80%
UNH
UnitedHealth
268.55
-248.75
-48.09%
ELV
Elevance Health
332.25
-50.81
-13.26%

Cigna Corporate Events

Business Operations and StrategyExecutive/Board Changes
Cigna Restructures Board Committees for 2026
Neutral
Nov 18, 2025

On October 22, 2025, Cigna‘s Board of Directors approved changes to its committee structure, effective January 1, 2026, to enhance corporate governance. The Compliance Committee’s responsibilities will be redistributed following the sale of certain business units in March 2025, leading to its dissolution. The Audit Committee will be renamed the Audit and Compliance Committee, and the Corporate Governance Committee will oversee ethics and clinical reporting. The Finance Committee will be renamed the Finance and Technology Committee, consolidating oversight of technology-related matters.

The most recent analyst rating on (CI) stock is a Buy with a $300.00 price target. To see the full list of analyst forecasts on Cigna stock, see the CI Stock Forecast page.

Executive/Board Changes
Cigna Board Member Announces Retirement
Neutral
Oct 20, 2025

On October 15, 2025, Retired Major General Elder Granger, M.D. announced his retirement from Cigna‘s Board of Directors, effective December 31, 2025, in line with the Board’s retirement age policy. His retirement is not due to any disagreement with the company, indicating a smooth transition and stability in Cigna’s governance.

The most recent analyst rating on (CI) stock is a Buy with a $333.00 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: Nov 13, 2025