Quarterly EPS Beat and Raised Full-Year Outlook
Reported adjusted diluted EPS of $3.37 for Q1 2026, roughly $0.50 above expectations. Increased full-year adjusted EPS guidance to greater than $3.40 (up from greater than $3.00).
Strong Revenue Base and Cash Generation
First quarter premium and service revenue totaled $44.7 billion. Cash flow provided by operations was $4.4 billion for Q1, and cash available for general corporate use was $437 million.
Medicaid Margin Improvement
Medicaid HBR improved to 93.1% in Q1 2026, a 50 basis-point improvement versus Q1 2025. Medicaid membership ended Q1 at 12.4 million and management expects a Medicaid composite rate yield of roughly 4.5% with net trend guidance in the mid-4% range.
Medicare Outperformance
Medicare segment HBR was 84.9%, better than forecast, with both Medicare Advantage and PDP contributing. PDP membership ended Q1 at just over 8.7 million, and management cited progress toward a path to breakeven for Medicare Advantage in 2027.
Marketplace Membership and Data Visibility
Marketplace (Ambetter) ended Q1 with ~3.58 million members. Collaboration with peers and Wakely produced earlier market demographics and risk insights that support management's view of a higher-acuity Silver cohort and an expected meaningful risk adjustment offset.
SG&A Discipline and Expense Improvement
Consolidated adjusted SG&A ratio improved to 7.6% in Q1 from 7.9% a year ago (down 30 basis points). Management lowered full-year consolidated SG&A guidance by 10 basis points and added $50 million to expected investment income.
Balance Sheet and Liability Actions
Sold $1.0 billion of 2025 Part D receivables and used proceeds to repurchase $1.0 billion of senior notes. Debt-to-capital ratio improved to 43.2% from 46.5% at year-end. Medical claims liability totaled $20.6 billion (48 days in claims payable).
Operational & Organizational Progress
Management highlighted scaled trend-management programs (utilization management, network optimization, clinical programs, payment integrity) showing early results. Leadership evolution: Dan Finke and Michael Carson elevated to Group President roles. Company ranked in the top 50 of Forbes Best Employers for company culture.