| Metric | Q4'25 | Q1'26 | Change |
|---|---|---|---|
| Total Revenues | $275B full year 2025 (11% growth) | $68.5B Q1 (implied ~$274B run rate) | Growth flattening to ~0% |
| Adjusted EPS | $29.84 full year 2025 | $7.79 Q1 (guidance raised to $30.35+) | +$0.51 guidance raise mid-quarter |
| Specialty & Care Services Earnings | Strong growth in 2025 | $1.1B pretax (+20% YoY) | Accelerating to 20% growth |
| PBS Pretax Earnings | $1.2B Q4 2025 | $394M Q1 (-28% YoY) | $150M decline as expected |
| Cigna Healthcare MCR | 83.7%-84.7% guidance for 2026 | 79.8% Q1 (below 81% guide) | 400+ bps better than guide |
| Operating Cash Flow | $9.6B full year 2025 | $1.1B Q1 | On track but back-half weighted |
| Noncontrolling Interest | ~$100M Q1 2025 | $226M Q1 2026 | >100% increase YoY |
| Individual Exchange Members | Small business, shrinking | Exiting end of 2026 | Complete strategic exit |
| eviCore Business | Part of portfolio | Strategic review initiated | Potential divestiture |
| Specialty Scripts Growth | 13% growth full year 2025 | Strong volumes Q1 | Momentum continuing |
Get free previews of our earnings-call research: the key changes, management scores, and questions worth investigating. Subscribe for full call sheets and deeper analysis.
Subscriptions are managed by Substack. If the form does not load, subscribe directly. Or follow the RSS feed.