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UnitedHealth Cuts 2025 Guidance After Q2 Miss, Plans Medicare Advantage Exits

Stephen Hemsley is reorganizing operations to control costs, strengthen compliance, position the company for profit growth in 2026.

FILE - The logo for UnitedHealth Group appears above a trading post on the floor of the New York Stock Exchange, April 17, 2025. (AP Photo/Richard Drew, file)
UnitedHealth Group has its headquarters at the Optum corporate campus, seen on Wednesday, Jan. 15, 2025, in Eden Prairie, Minnesota. (Carlos Gonzalez/The Minnesota Star Tribune/TNS)
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Overview

  • UnitedHealth reported second-quarter adjusted EPS of $4.08 versus the $4.48 analysts expected on $111.6 billion in revenue.
  • The insurer trimmed its full-year 2025 outlook to at least $16 per share in adjusted earnings and $445.5 billion–$448 billion in revenue, well below Wall Street forecasts.
  • Medical care ratio surged to a record 89.4% as higher utilization and unit costs outpaced pricing assumptions.
  • UnitedHealth confirmed cooperation with criminal and civil Department of Justice investigations into its Medicare billing practices.
  • The company will drop select Medicare Advantage plans covering more than 600,000 members as part of a broader cost and compliance reset.