UnitedHealth raises 2026 guidance to $19.50–$20.00/share, announces ACA profit rebate

Filed July 16, 2026 · Period ending July 16, 2026 · ~2 min read

Key Changes

• high

  Full-year 2026 adjusted EPS guidance raised to $19.50–$20.00, up from prior >$17.75, on strong Q2 performance (adjusted $6.38/share) and improved outlook for remainder of year.

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• high

  Medical care ratio improved to 86.7% from 89.4% year-over-year, driven by benefit design changes, pricing discipline, and medical cost management; full-year MCR guidance tightened to 88.1% ±25 bps.

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• high

  Membership declined 525,000 sequentially to 48.5M; Medicare Advantage down 965,000 since year-end 2025, Community & State down 380,000 in Q2 (Louisiana exit, Medicaid redeterminations).

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