Adjusted EPS Beat and Upgraded Full-Year Guidance
Reported Q1 adjusted diluted EPS of $12.58, which exceeded expectations. Raised full-year 2026 adjusted diluted EPS guidance to at least $26.75. Management notes the revised 2026 baseline excluding a nonrecurring ~$1.00 investment valuation item is $25.75, which underpins their plan to return to at least 12% adjusted EPS growth in 2027.
Membership and Revenue Growth
Ended March with 45.4 million members, up nearly 200,000 from year-end. Operating revenue totaled $49.5 billion, up 1.5% year-over-year.
Improved Expense Metrics and Operating Cash Flow
Consolidated benefit expense ratio was 86.8%. Adjusted operating expense ratio improved 20 basis points year-over-year to 10.5%. Operating cash flow was $4.3 billion in Q1 with a full-year target of at least $5.5 billion.
Capital Deployment and Share Repurchases
Repurchased 3.7 million shares for $1.1 billion in the quarter at an average price just over $300 per share. Company remains on track for at least $2.3 billion of share repurchases in 2026.
Carelon and CareBridge Clinical Impact
Carelon's integrated programs (CareBridge + Care at Home) reported a 20% reduction in hospital readmissions and more than 10% savings on post-acute care, supporting demand for risk-based solutions and whole-person care offerings.
Medicare and Commercial Momentum
Medicare Advantage performance improved and company remains on track to achieve an operating margin of at least 2% in 2026. Commercial selling momentum strong with record-level pipeline for 2027 sales and demonstrated employer wins for integrated medical-pharmacy solutions.
AI and Digital Investments Showing Early Traction
Investing more than $1 billion in digital and AI-enabled capabilities. Early proof points: AI-enabled virtual assistant used by ~22 million commercial members; personalized provider-matching tool connected with >20% of members; prior-authorization workflow reductions cited (denials reduced by ~70% in use cases). Over 60,000 associates have access to AI productivity tools.
Positive Operating Cash and Prior Year Development
Q1 prior-year development was approximately $250 million (non-material P&L impact in context). Management reiterated full-year operating cash flow target inclusive of potential cash payments related to CMS matter.