Popular health insurance provider UnitedHealth Group (UNH) is down nearly 50% over the past year amid multiple issues, including a U.S. Department of Justice (DOJ) investigation and rising Medicare costs. The Centers for Medicare & Medicaid Services (CMS) proposed that Medicare Advantage payment rates would increase by 0.09% in 2027, significantly lower than the 4%-6% increase Wall Street had expected, leading to a selloff in UNH\u2019s stock. Moreover, a subdued 2026 top line guidance has spooked investors.<\/p>\n
However, in this situation, Raymond James analysts upgraded UnitedHealth from \u201cMarket Perform\u201d to \u201cOutperform\u201d and set a $330 price target, implying a 20.4% upside from current levels. Analyst John Ransom believes that artificial intelligence (AI) can reduce the company\u2019s general and administrative costs and improve margin visibility in the Optum Health segment.<\/p>\n
Additionally, the analyst noted that UnitedHealth management\u2019s recent comments suggest there is a \u201cmaterial opportunity\u201d to right-size the company\u2019s cost structure, and given its large organizational structure, it is more likely to realize AI-led cost savings than its peers.<\/p>\n
We take a deeper look at UnitedHealth now.<\/p>\n
Based in Eden Prairie, Minnesota, UnitedHealth Group is a U.S.-based health insurance and health services company, operating in the four broad segments of Optum Health, Optum Insight, Optum Rx, and UnitedHealthcare.<\/p>\n
The Optum division provides technology-driven healthcare services, data tools, and support for providers and patients, while the UnitedHealthcare business offers a range of health benefit plans to individuals, employers, and government programs. It has a market capitalization of $248.69 billion.<\/p>\n
UnitedHealth\u2019s stock has declined 47.24% over the past 52 weeks, as the company faces pressure from rising Medical Care Ratio (MCR). This implied that Medicare Advantage members started using more medical services than anticipated, and when claim payouts rise, it puts pressure on margins if revenue growth is not skyrocketing.<\/p>\n
On top of that, in January, a U.S. Senate Committee report stated that UnitedHealth has used aggressive risk-adjustment coding tactics to increase U.S. government reimbursement \u200bfor patients enrolled in its Medicare Advantage healthcare plans, although the company has disagreed with these characterizations. This year, the stock is down 16.38%. It reached a 52-week high of $606.36 back in April 2025, but is down 54.4% from that level.<\/p>\n
Story Continues <\/p>\n
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The selloff has made UnitedHealth\u2019s stock relatively cheaper. Its forward-adjusted price-to-earnings (non-GAAP) ratio of 15.30 times is lower than the industry average of 17.16 times.<\/p>\n
For the fourth quarter of fiscal 2025, UnitedHealth reported a 12.3% year-over-year (YOY) growth in total revenues to $113.22 billion, which modestly missed the $113.26 billion that Street analysts had expected.<\/p>\n
This was, of course, based on premium revenue increasing 16.1% from the prior-year period to $88.81 billion. However, as operating costs increased, UnitedHealth\u2019s adjusted EPS dropped from $6.81 in Q4 2024 to $2.11 in Q4 2025. However, the EPS figure was higher than the $2.09 that analysts had expected.<\/p>\n
The company\u2019s annual revenue grew 11.8% YOY to $447.57 billion. Optum\u2019s total revenue increased 7% from the prior year to $270.62 billion. The segment also supported more than 123 million consumers across its businesses.<\/p>\n
UnitedHealth\u2019s medical care ratio for 2025 was 88.9%, higher than the 85.5% that it had reported in 2024. The increase was primarily due to CMS\u2019s cuts to Medicare funding, the payment changes introduced by the Inflation Reduction Act, and the ongoing acceleration of medical care cost increases. Its 2025 adjusted EPS dropped by 40.9% YOY to $16.35.<\/p>\n
Wall Street analysts are moderately optimistic about UnitedHealth\u2019s future earnings. For the current fiscal year, EPS is projected to surge 8% annually to $17.65, followed by a 12.6% growth to $19.87 in the 2027 fiscal year. However, analysts expect the company\u2019s EPS to drop by 10.3% YOY to $6.46 for the first quarter of 2026 (to be reported on Apr. 21, before the market opens).<\/p>\n
Apart from Raymond James analysts, Wall Street analysts have also expressed similar bullish sentiment toward UnitedHealth\u2019s stock. In February, analysts at Mizuho maintained the stock with a \u201cOutperform\u201d rating, despite the company being under investigation by the DoJ. Mizuho’s analysts believe the issue has already been addressed by regulatory measures initiated by the CMS.<\/p>\n
Additionally, in the same month, JP Morgan analyst Lisa Gill maintained an \u201cOverweight\u201d rating for UnitedHealth, but lowered the price target from $425 to $389. Truist Securities analyst David Macdonald also kept a \u201cBuy\u201d rating but reduced the price target from $410 to $370. In January, Wells Fargo analyst Stephen Baxter also did the same, maintaining an \u201cOverweight\u201d rating but cutting the price target from $400 to $370.<\/p>\n
UnitedHealth has long been a popular name on Wall Street, with analysts awarding it a consensus \u201cModerate Buy\u201d rating overall. Of the 26 analysts rating the stock, a majority of 16 analysts have given it a \u201cStrong Buy\u201d rating, three analysts rated it \u201cModerate Buy,\u201d six analysts are playing it safe with a \u201cHold\u201d rating, while one recommended \u201cStrong Sell.\u201d The consensus price target of $359.04 represents 29% upside from current levels.<\/p>\n
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www.barchart.com <\/p>\n
On the date of publication, Anushka Dutta did not have (either directly or indirectly) positions in any of the securities mentioned in this article. All information and data in this article is solely for informational purposes. This article was originally\u00a0published on Barchart.com<\/a> <\/p>\n","protected":false},"excerpt":{"rendered":"Popular health insurance provider UnitedHealth Group (UNH) is down nearly 50% over the past year amid multiple issues,…\n","protected":false},"author":2,"featured_media":569771,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253,1342,9448,18690,10585,28170,129539],"class_list":{"0":"post-569770","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-care","8":"tag-health","9":"tag-health-care","10":"tag-healthcare","11":"tag-medicare","12":"tag-medicare-advantage","13":"tag-price-target","14":"tag-u-s-department-of-justice","15":"tag-unitedhealth-group-inc","16":"tag-wall-street-analysts"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/569770","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=569770"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/569770\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/569771"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=569770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=569770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=569770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}