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Elevance Health (ELV)
NYSE:ELV

Elevance Health (ELV) AI Stock Analysis

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ELV

Elevance Health

(NYSE:ELV)

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Outperform 76 (OpenAI - 4o)
Rating:76Outperform
Price Target:
$385.00
▲(11.28% Upside)
Elevance Health's overall stock score is driven by strong financial performance and attractive valuation metrics. The company's strategic initiatives in technology and Carelon are promising, but challenges in Medicaid margins and ACA market pressures present risks. The technical indicators suggest positive momentum, while the recent board appointment supports future strategic direction.
Positive Factors
Revenue Growth
The 12% revenue growth indicates strong market demand and effective business strategies, supporting long-term financial health and expansion.
Technology Investments
Strategic investments in AI and technology enhance operational efficiency and customer experience, positioning Elevance Health for sustainable growth.
Board Expertise
Adding experienced leadership strengthens governance and strategic oversight, aligning with long-term goals and improving health outcomes.
Negative Factors
Medicaid Margin Decline
Declining Medicaid margins due to elevated acuity and utilization trends could pressure profitability and financial stability.
ACA Market Challenges
Challenges in the ACA market, including cost trends and morbidity, may impact operating margins and market competitiveness.
Subsidies Expiration Risk
Potential expiration of enhanced subsidies could reduce ACA membership and increase risk pool morbidity, affecting revenue and market position.

Elevance Health (ELV) vs. SPDR S&P 500 ETF (SPY)

Elevance Health Business Overview & Revenue Model

Company DescriptionElevance Health Inc. operates as a health benefits company. It supports consumers, families, and communities across the entire care journey connecting to the care, support, and resources to lead healthier lives. It serves approximately 118 million people through a portfolio of medical, digital, pharmacy, behavioral, clinical, and care solutions. The company was formerly known as Anthem, Inc. and changed its name to Elevance Health Inc. in June 2022. Elevance Health Inc. was founded in 1944 and is headquartered in Indianapolis, Indiana.
How the Company Makes MoneyElevance Health generates revenue primarily through its health insurance premiums, which are collected from members and employers in exchange for coverage. The company offers various plans, including individual and group health plans, government programs like Medicare and Medicaid, and specialty services. Significant revenue streams include enrollment fees from members, reimbursements from government programs, and payments from employers for employee health insurance plans. Additionally, Elevance Health engages in value-based care initiatives and collaborates with healthcare providers to improve patient outcomes, which can lead to cost savings and enhanced profitability. Partnerships with pharmacy benefit managers and other healthcare organizations further contribute to the company's revenue by optimizing drug costs and improving service delivery.

Elevance Health Key Performance Indicators (KPIs)

Any
Any
Medical Memberships
Medical Memberships
Tracks the number of individuals enrolled in the company's health plans, indicating market reach, customer base size, and potential revenue from premiums.
Chart InsightsElevance Health's medical memberships have declined since 2023, with a notable drop in 2024, primarily due to reduced Medicaid memberships and lower ACA effectuation rates. The recent earnings call highlighted challenges in the ACA and Medicaid markets, including elevated medical costs and slower Medicaid rate alignment, prompting a downward revision in EPS guidance. Despite strong revenue growth in other areas like Carelon, these membership declines and cost pressures underscore significant headwinds in stabilizing core health insurance operations.
Data provided by:The Fly

Elevance Health Earnings Call Summary

Earnings Call Date:Oct 21, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Jan 28, 2026
Earnings Call Sentiment Neutral
The earnings call reflected a mixed outlook with strong revenue growth and strategic advancements in AI and Carelon, but faced challenges in Medicaid margins and potential impacts from subsidy expirations in the ACA market.
Q3-2025 Updates
Positive Updates
Revenue Growth and Medicare Advantage Performance
Elevance Health reported total operating revenue of $50.1 billion, up 12% year-over-year, driven by higher premium yields, recently closed acquisitions, and Medicare Advantage membership growth.
Carelon's Strong Momentum
Carelon exhibited strong performance with Carelon Rx revenue growing 20% year-over-year and Carelon Services growing by more than 50%, reflecting robust organic growth and integration efforts.
AI and Technology Investments
Investments in AI and technology are expected to drive efficiency, improve affordability, and enhance member and provider experiences across the Elevance Health platform.
Stable Medicare Advantage Margins
Medicare Advantage costs were marginally better than expected, with a potential for slight improvement in operating margin for 2025, supported by disciplined plan design and member composition.
Improved Star Ratings
For the 2027 payment year, approximately 55% of MA members will be in 4-star or higher contracts, including three 5-star contracts, up from about 40% for payment year 2026.
Negative Updates
Medicaid Margin Decline
Elevance Health expects a decline of at least 125 basis points in Medicaid margins for 2026 due to elevated acuity and utilization trends not being fully offset by rate updates.
Challenges in ACA Market
The ACA market faced higher cost trends and elevated population morbidity. Operating margin is expected to decline in the high single-digit percent range year-over-year.
Potential Impact of Subsidies Expiration
The anticipated expiration of enhanced subsidies could significantly impact ACA membership in 2026, with potential for a materially contracted marketplace and higher morbidity risk pool.
Negative Medicaid Operating Margin
The full-year 2025 Medicaid operating margin is expected to be modestly negative, establishing a baseline for further decline in 2026 as rates continue to lag acuity.
Company Guidance
During the Elevance Health Third Quarter Earnings Conference Call, the company reaffirmed its 2025 adjusted earnings per share (EPS) guidance of approximately $30, with a baseline EPS of $27 excluding $3 of discrete nonrecurring items. The call highlighted a 12% year-over-year increase in total operating revenue to $50.1 billion, driven by higher premium yields, recent acquisitions, and growth in Medicare Advantage membership. The benefit expense ratio was in line with expectations at 91.3%. The company anticipates a year-over-year decline of at least 125 basis points in Medicaid margins for 2026 due to elevated acuity and utilization trends. Elevance Health also noted strong external revenue growth in its Carelon segment and emphasized strategic investments in technology and value-based care to enhance long-term performance. The company plans to provide a more detailed 2026 outlook in January, considering factors such as Medicaid rate updates, Medicare AEP outcomes, and the status of enhanced ACA subsidies.

Elevance Health Financial Statement Overview

Summary
Elevance Health demonstrates strong revenue growth and a stable balance sheet with low leverage. However, the decline in net profit margin and free cash flow growth indicates potential areas for improvement. The company maintains a solid capital structure, but operational efficiency and cash flow management could be enhanced to sustain long-term growth.
Income Statement
75
Positive
Elevance Health shows a consistent revenue growth trend with a TTM growth rate of 2.94%. The gross profit margin remains strong at 77.66% for TTM, indicating efficient cost management. However, the net profit margin has slightly decreased to 2.84% in TTM, reflecting potential cost pressures or competitive pricing. EBIT and EBITDA margins have also seen a slight decline in TTM, suggesting some operational challenges.
Balance Sheet
80
Positive
The company's balance sheet is robust with a low debt-to-equity ratio of 0.02 in TTM, indicating strong financial stability and low leverage. Return on equity is healthy at 12.91%, showcasing effective use of equity to generate profits. The equity ratio is solid, reflecting a strong capital structure.
Cash Flow
65
Positive
Elevance Health's cash flow statement shows a decline in free cash flow growth by 29.42% in TTM, which could be a concern for liquidity. The operating cash flow to net income ratio is 0.12, indicating moderate cash generation from operations. The free cash flow to net income ratio remains strong at 76.69%, suggesting efficient cash conversion.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue194.82B176.81B171.34B156.59B138.64B121.87B
Gross Profit151.30B176.81B171.34B156.59B138.64B121.87B
EBITDA10.02B10.48B10.49B10.13B10.10B8.18B
Net Income5.53B5.98B5.99B5.89B6.16B4.57B
Balance Sheet
Total Assets122.75B116.89B108.93B102.75B97.46B86.61B
Cash, Cash Equivalents and Short-Term Investments35.00B33.49B36.14B33.34B31.15B29.17B
Total Debt32.10B31.23B25.12B24.11B23.03B20.04B
Total Liabilities78.67B75.46B69.52B66.42B61.33B53.42B
Stockholders Equity43.95B41.31B39.31B36.24B36.06B33.20B
Cash Flow
Free Cash Flow3.77B4.55B6.76B7.25B7.28B9.67B
Operating Cash Flow4.91B5.81B8.06B8.40B8.36B10.69B
Investing Cash Flow-3.45B-5.17B-5.57B-4.56B-9.64B-7.32B
Financing Cash Flow-566.00M1.19B-3.35B-1.32B423.00M-2.57B

Elevance Health Technical Analysis

Technical Analysis Sentiment
Positive
Last Price345.96
Price Trends
50DMA
334.26
Positive
100DMA
320.87
Positive
200DMA
353.26
Negative
Market Momentum
MACD
6.95
Negative
RSI
56.74
Neutral
STOCH
73.66
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ELV, the sentiment is Positive. The current price of 345.96 is above the 20-day moving average (MA) of 335.55, above the 50-day MA of 334.26, and below the 200-day MA of 353.26, indicating a neutral trend. The MACD of 6.95 indicates Negative momentum. The RSI at 56.74 is Neutral, neither overbought nor oversold. The STOCH value of 73.66 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for ELV.

Elevance Health Risk Analysis

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

Elevance Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$78.21B14.3912.61%1.98%11.96%-11.11%
72
Outperform
$302.73B17.4418.48%2.63%10.48%24.25%
71
Outperform
$8.27B10.0619.71%13.71%-18.02%
69
Neutral
$31.05B24.207.15%1.36%9.87%-5.58%
64
Neutral
$99.38B204.570.63%3.42%6.71%-90.11%
58
Neutral
$19.15B-3.59-21.93%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
ELV
Elevance Health
345.96
-13.56
-3.77%
CNC
Centene
38.87
-20.84
-34.90%
CVS
CVS Health
77.88
35.90
85.52%
HUM
Humana
260.28
27.77
11.94%
MOH
Molina Healthcare
162.30
-131.22
-44.71%
UNH
UnitedHealth
331.63
-145.86
-30.55%

Elevance Health Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Elevance Health Appoints Amy Schulman as Independent Director
Positive
Dec 10, 2025

On December 10, 2025, Elevance Health announced the appointment of Amy W. Schulman as an independent director, effective January 12, 2026, with a term expiring at the 2028 annual meeting of shareholders. Schulman, a recognized healthcare executive and governance leader, will serve on the Audit and Finance Committees, bringing her expertise in healthcare innovation and regulatory strategy to the board. This appointment is part of Elevance Health’s strategy to ensure diverse and future-focused leadership, aligning with its long-term goals and stakeholder priorities. Schulman’s addition is expected to enhance the board’s ability to deliver long-term value for shareholders and improve health outcomes.

Financial Disclosures
Elevance Health Reaffirms 2025 Earnings Guidance
Neutral
Nov 10, 2025

Elevance Health, Inc. has announced that its officers will engage with investors to reaffirm the company’s earnings guidance for the full year 2025. The company expects earnings to be approximately $24.70 per diluted share, including $5.30 per share of net unfavorable items, and adjusted earnings to be around $30.00 per diluted share. Additionally, the benefit expense ratio is anticipated to be approximately 90.0%. These projections are based on current market conditions and operational performance, but actual results may vary if business factors or assumptions change.

Private Placements and Financing
Elevance Health Issues New Series of Notes
Neutral
Sep 15, 2025

Elevance Health has announced the issuance of several series of notes maturing between 2028 and 2055, with specific redemption terms and conditions. This strategic financial move allows the company flexibility in managing its debt obligations and may impact its financial positioning and stakeholder relations.

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: Dec 11, 2025