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Elevance Health (ELV)
NYSE:ELV
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Elevance Health (ELV) AI Stock Analysis

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ELV

Elevance Health

(NYSE:ELV)

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Neutral 68 (OpenAI - 4o)
Rating:68Neutral
Price Target:
$351.00
▲(4.38% Upside)
Elevance Health's overall stock score is driven by strong financial performance and strategic growth initiatives, particularly in the Carelon segment. However, technical indicators suggest potential bearish momentum, and challenges in Medicaid margins and ACA market pressures pose risks. The valuation remains reasonable, providing some investor appeal.
Positive Factors
Revenue Growth
The consistent revenue growth indicates strong market demand and effective business strategies, supporting long-term financial health.
Technology Investments
Strategic investments in technology enhance operational efficiency and customer experience, providing a competitive edge in the healthcare sector.
Carelon Segment Growth
Strong growth in the Carelon segment reflects successful integration and expansion efforts, contributing to diversified revenue streams.
Negative Factors
Medicaid Margin Decline
Declining Medicaid margins could pressure profitability, affecting long-term financial performance and necessitating strategic adjustments.
Challenges in ACA Market
Challenges in the ACA market could lead to reduced profitability and increased risk, impacting the company's financial stability.
Potential Impact of Subsidies Expiration
The potential expiration of subsidies could lead to a contracted marketplace, affecting revenue and increasing the risk of adverse selection.

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

Elevance Health Business Overview & Revenue Model

Company DescriptionElevance Health, formerly known as Anthem, Inc., is a leading health benefits company headquartered in Indianapolis, Indiana. The company operates within the health insurance sector, offering a wide range of health insurance products and services, including medical, dental, vision, and pharmacy coverage. Elevance Health serves individuals, families, and businesses, providing managed care solutions and wellness programs to promote healthier lifestyles. The company also focuses on technology-driven health solutions and partnerships to enhance healthcare delivery and accessibility.
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 shows consistent revenue growth and a strong balance sheet with low leverage. However, the decline in net profit margin and free cash flow growth indicates potential areas for improvement in operational efficiency and cash flow management.
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 Investments8.71B33.49B36.14B33.34B31.15B29.17B
Total Debt929.00M31.23B25.12B24.11B23.03B20.04B
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 Price336.27
Price Trends
50DMA
331.73
Positive
100DMA
317.92
Positive
200DMA
358.35
Negative
Market Momentum
MACD
-1.47
Negative
RSI
56.59
Neutral
STOCH
72.37
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 336.27 is above the 20-day moving average (MA) of 321.49, above the 50-day MA of 331.73, and below the 200-day MA of 358.35, indicating a neutral trend. The MACD of -1.47 indicates Negative momentum. The RSI at 56.59 is Neutral, neither overbought nor oversold. The STOCH value of 72.37 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
74
Outperform
$98.89B203.550.63%3.39%6.71%-90.11%
68
Neutral
$73.25B13.4812.61%1.93%11.96%-11.11%
67
Neutral
$289.01B16.6518.48%2.66%10.48%24.25%
63
Neutral
$27.57B21.487.15%1.21%9.87%-5.58%
61
Neutral
$7.47B9.0119.71%13.71%-18.02%
58
Neutral
$19.49B-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
336.27
-63.39
-15.86%
CNC
Centene
39.66
-20.34
-33.90%
CVS
CVS Health
78.47
21.07
36.71%
HUM
Humana
237.88
-54.40
-18.61%
MOH
Molina Healthcare
146.77
-151.13
-50.73%
UNH
UnitedHealth
326.28
-270.97
-45.37%

Elevance Health Corporate Events

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.

The most recent analyst rating on (ELV) stock is a Buy with a $400.00 price target. To see the full list of analyst forecasts on Elevance Health stock, see the ELV Stock Forecast page.

Elevance Health Reports Strong Q3 2025 Revenue Growth
Oct 22, 2025

Elevance Health, Inc. is a healthcare company that provides a diverse range of medical, pharmacy, behavioral, clinical, home health, and complex care solutions, serving over 109 million consumers. The company operates primarily in the health insurance sector, focusing on improving health outcomes through value-based care partnerships and digital solutions.

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.

The most recent analyst rating on (ELV) stock is a Buy with a $350.00 price target. To see the full list of analyst forecasts on Elevance Health stock, see the ELV Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Elevance Health Reaffirms 2025 Earnings Guidance
Neutral
Sep 4, 2025

Elevance Health, Inc. announced that its officers will engage with investors to reaffirm the company’s earnings guidance for the full year 2025, projecting approximately $24.10 per diluted share, including net unfavorable items, and $30.00 per diluted share when adjusted. The company also maintains its guidance for a benefit expense ratio of about 90.0% for 2025, reflecting its current market and operational assessments. These projections highlight Elevance Health’s strategic positioning and operational expectations, although actual results may vary due to changing business factors.

The most recent analyst rating on (ELV) stock is a Buy with a $355.00 price target. To see the full list of analyst forecasts on Elevance Health stock, see the ELV 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 24, 2025