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UnitedHealth Lifts 2026 Outlook After Q1 Beat

Improved medical-cost trends signal traction in the insurer’s turnaround.

Overview

  • UnitedHealth, which reported Tuesday, beat first-quarter forecasts with $7.23 in adjusted EPS on $111.7 billion in revenue and raised its 2026 outlook to above $18.25 per share.
  • Shares jumped roughly 6% to 10% after the release as management also committed to at least $2 billion in buybacks by the end of the second quarter.
  • The medical benefit ratio improved to 83.9%, meaning the company kept more premium dollars after paying claims through tighter cost controls and reserve releases.
  • The company shrank membership to about 49.1 million by exiting weaker contracts, including a drop of about 965,000 Medicare Advantage members in the quarter.
  • Optum’s earnings stayed under pressure, with operating income down about 15% to $3.3 billion, while a 2.48% Medicare Advantage rate boost and a $1.5 billion AI push are intended to shore up margins.