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Cigna (CI)

Earnings summaries and quarterly performance for Cigna.

Research analysts who have asked questions during Cigna earnings calls.

Andrew Mok

Barclays

5 questions for CI

Also covers: ACHC, ADUS, AGL +21 more

Erin Wright

Morgan Stanley

5 questions for CI

Also covers: ALGN, BTSG, CAH +18 more

Justin Lake

Wolfe Research, LLC

5 questions for CI

Also covers: AGL, CNC, CVS +8 more

Lisa Gill

JPMorgan Chase & Co.

5 questions for CI

Also covers: AGL, CAH, COR +13 more

Charles Rhyee

TD Cowen

4 questions for CI

Also covers: AMWL, BTSG, CAH +18 more

Joshua Raskin

Nephron Research

4 questions for CI

Also covers: AIRS, BKD, CNC +13 more

Albert Rice

UBS

3 questions for CI

Also covers: ACHC, AMED, AMN +20 more

George Hill

Deutsche Bank

3 questions for CI

Also covers: AGL, CAH, CNC +16 more

Scott Fidel

Stephens Inc.

3 questions for CI

Also covers: ACHC, ADUS, ALHC +17 more

Adam Ron

Bank of America Corporation

2 questions for CI

Also covers: AGL, ALHC, CNC +3 more

Ann Hynes

Mizuho Financial Group

2 questions for CI

Also covers: ARDT, BTSG, CNC +17 more

Jason Cassorla

Guggenheim Partners

2 questions for CI

Also covers: ACHC, ARDT, CYH +8 more

Kevin Fischbeck

Bank of America

2 questions for CI

Also covers: AMN, ARDT, CCRN +9 more

A.J. Rice

UBS Group AG

1 question for CI

Also covers: ACHC, AMED, AMN +20 more

Andrew Rice

UBS

1 question for CI

Benjamin Hendrix

RBC Capital Markets

1 question for CI

Also covers: ACHC, ADUS, AHCO +25 more

Lance Wilkes

Sanford C. Bernstein & Co., LLC

1 question for CI

Also covers: AGL, CNC, ELV +4 more

Michael Hop

Baird

1 question for CI

Ryan Langston

TD Cowen

1 question for CI

Also covers: ACHC, ADUS, AGL +15 more

Sarah James

Cantor Fitzgerald

1 question for CI

Also covers: ACHC, AMED, CNC +15 more

Stephen Baxter

Wells Fargo & Company

1 question for CI

Also covers: AGL, BTSG, CAH +15 more

Recent press releases and 8-K filings for CI.

Cigna details transition to rebate-free PBM model
CI
Guidance Update
New Projects/Investments
  • Reaffirmed full-year EPS guidance of at least $29.60, underscoring strong operational execution amid market challenges
  • Launched a transformative rebate-free PBM model delivering upfront drug discounts, a flat administrative fee delinked from drug prices, and pharmacy reimbursements at acquisition cost plus dispense fee
  • Rollout schedule set for fully insured Cigna Healthcare clients in 2027 and the broader Express Scripts book in 2028, with manufacturer recontracting ongoing
  • Investing equally in 2026–2027 across technology, process/operations optimization, client and manufacturer recontracting, and data analytics to support the dual-track model; investment spend to dissipate in 2028
  • Proactively extended contracts with Centene, Prime Therapeutics, and the DOD—totaling $90 billion in revenues—through the end of the decade to ensure volume stability
Nov 12, 2025, 4:00 PM
Cigna reports Q3 2025 results
CI
Earnings
Guidance Update
New Projects/Investments
  • Cigna posted $69.7 billion in revenues and $1.9 billion net income; adjusted EPS of $7.83, and reaffirmed 2025 guidance of at least $29.60 per share.
  • Transitioning to a rebate-free pharmacy benefits model, aiming for 50% adoption by 2028.
  • Completed strategic investment in Shields Health Solutions to bolster specialty services.
  • Healthcare insurance revenue fell 18% due to the sale of Medicare Advantage plans; Evernorth segment revenue rose 15% year over year.
  • Served 18.1 million members in Q3, with the Department of Defense as its largest PBM contract through 2029.
Oct 30, 2025, 4:25 PM
Cigna reports Q3 2025 results and outlines PBM transformation
CI
Earnings
Guidance Update
New Projects/Investments
  • The Cigna Group posted Q3 revenues of $69.7 billion and adjusted EPS of $7.83, and reaffirmed its full-year 2025 EPS outlook of at least $29.60.
  • Evernorth delivered Q3 revenues of $60.4 billion and pre-tax adjusted earnings of $1.9 billion; within that, specialty and care services grew revenues 10% to $26.3 billion with earnings up 11% to $928 million, while pharmacy benefit services reported $34.1 billion in revenues and $1 billion in earnings, all in line with expectations.
  • Cigna Healthcare generated Q3 revenues of $10.9 billion and pre-tax adjusted earnings of $1 billion; its medical care ratio was 84.8%, with higher risk-adjustment revenue offset by operating cost efficiencies.
  • Looking to 2026, the company expects EPS growth, with Cigna Healthcare and specialty/care services growing at the high end of their long-term targets, while pharmacy benefit services operating income will decline due to strategic client renewals and investments in a new model.
  • Cigna is rolling out a rebate-free, delinked fee-based pharmacy benefits model, to be adopted 100% for fully insured lives in 2027, broadly offered in January 2028, and transitioning ≥50% of its book by end-2028, backed by investments in recontracting, technology, and analytics.
Oct 30, 2025, 12:30 PM
Cigna reports Q3 2025 results
CI
Earnings
Guidance Update
Product Launch
  • The Cigna Group posted Q3 revenue of $69.7 billion and adjusted EPS of $7.83, reaffirming its full-year 2025 adjusted EPS outlook of at least $29.60.
  • Evernorth delivered $60.4 billion in revenues and $1.9 billion of pre-tax adjusted earnings, driven by 10% revenue growth in specialty and care services (to $26.3 billion) and stable pharmacy benefit services (revenues $34.1 billion, earnings $1.0 billion).
  • Cigna Healthcare reported $10.9 billion in revenues and $1.0 billion of pre-tax adjusted earnings, with a medical care ratio of 84.8%, as higher individual exchange costs were offset by operating efficiencies.
  • The company unveiled a rebate-free, delinked fee-based pharmacy benefits model—mandatory for fully insured lives in 2027 and covering 50% of its book by end-2028—expecting short-term margin pressure in pharmacy benefit services but EPS growth in 2026.
  • Through Q3, operating cash flow was $3.4 billion and debt-to-capitalization stood at 44.9%, underpinning ongoing cash returns and strategic investments.
Oct 30, 2025, 12:30 PM
Cigna Group reports Q3 2025 results
CI
Earnings
Guidance Update
  • Total revenues rose 10% year-over-year to $69.7 billion in Q3 2025.
  • Shareholders’ net income was $1.9 billion, or $6.98 per share, up from $0.7 billion, or $2.63 per share in Q3 2024.
  • Adjusted income from operations amounted to $2.1 billion, or $7.83 per share in Q3 2025, broadly in line with prior year.
  • The company reaffirmed its 2025 adjusted EPS outlook of at least $29.60 per share.
Oct 30, 2025, 10:15 AM
Cigna reports strong third quarter 2025 results
CI
Earnings
Guidance Update
Product Launch
  • Cigna Group’s total revenues for Q3 2025 rose 10% year-over-year to $69.7 billion.
  • Shareholders’ net income was $1.9 billion, or $6.98 per share; adjusted income from operations was $2.1 billion, or $7.83 per share.
  • The company reaffirms its full-year 2025 outlook for consolidated adjusted income from operations of at least $29.60 per share.
  • Launched a new rebate-free pharmacy benefit model to lower costs, improve transparency, and support local pharmacies.
Oct 30, 2025, 10:00 AM
Cigna to roll out rebate-free pharmacy model nationwide by 2028
CI
New Projects/Investments
Product Launch
  • The new Evernorth model eliminates post-purchase rebates, offering upfront discounts negotiated with drug manufacturers at the point of sale to improve pricing transparency.
  • It is expected to reduce average monthly prescription costs by about 30% for consumers, especially those with high-deductible health plans.
  • Cigna Healthcare plans to adopt the model for fully insured members in 2027, with full implementation across all Evernorth clients by 2028.
  • Starting in 2026, a new reimbursement structure will compensate community pharmacies based on medication costs plus dispensing fees and payments for clinical services.
  • The model features technology that automatically compares pricing options at the pharmacy counter to ensure consumers pay the lowest available price.
Oct 27, 2025, 10:32 AM
Cigna unveils rebate-free pharmacy benefit model
CI
Product Launch
  • Evernorth, Cigna’s health services arm, introduced a transparent, rebate-free pharmacy benefit model to lower out-of-pocket drug costs and simplify pricing for consumers and employers.
  • The new model will cut brand-name prescription costs by an average of 30% for Americans, particularly those in high-deductible plans, by automatically selecting the lowest of negotiated, cash discount, direct-to-consumer or copay prices.
  • Cigna Healthcare will adopt the rebate-free benefit for fully insured members in 2027, with general availability to all Evernorth pharmacy clients in 2028.
  • A revamped pharmacy reimbursement framework, effective 2026, pays community pharmacies on a cost-plus dispensing-fee basis and offers additional fees for clinical services, aiming to support local providers and improve patient care.
Oct 27, 2025, 10:15 AM
Cigna and UnitedHealthcare to Cover Cleerly LABS Plaque Analysis from October 2025
CI
  • Starting October 1, 2025, Cigna and UnitedHealthcare will provide coverage for Cleerly LABS AI-powered coronary CT plaque analysis.
  • Coverage aligns with Medicare local coverage determinations and EviCore guidelines, deeming AI-QCT/AI-CPA medically necessary for patients with acute or stable chest pain and specific CAD-RADS categories.
  • Cleerly LABS is validated against invasive modalities, achieving 0.96 AUC vs. IVUS and 0.97 AUC vs. NIRS, and benchmarked against Level III readers.
  • The policy aims to broaden access to noninvasive plaque quantification, enabling personalized treatment decisions and reducing invasive diagnostic procedures.
Sep 30, 2025, 3:02 PM
Cigna announces nationwide coverage of Heartflow’s next-gen AI plaque analysis
CI
Product Launch
  • Heartflow’s next-gen AI-powered Plaque Analysis platform received FDA 510(k) clearance, offering advanced 3D visualization and improved plaque detection for coronary artery disease diagnosis.
  • Cigna will provide nationwide coverage of Heartflow’s plaque analysis across all its plans starting in October, joining UnitedHealth in covering the technology.
  • The platform leverages data from over 273,000 patients and is the only FDA-cleared AI plaque quantification tool validated against intravascular ultrasound (IVUS).
  • Experts highlight its role in delivering detailed insights into plaque type, volume, and distribution to enhance risk prediction and personalize treatment.
Sep 22, 2025, 8:26 PM