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To own Elevance Health, you need to be comfortable with a large, mature insurer that leans on scale, disciplined underwriting and steady capital returns rather than rapid expansion. The latest results reinforce that trade-off: revenue climbed to about US$199.13 billion in 2025, but net income and EPS softened, and 2026 guidance points to at least US$22.30 in GAAP EPS on a low single digit revenue decline. At the same time, management lifted the quarterly dividend to US$1.72 and kept buying back stock, signaling an ongoing focus on shareholder payouts even as profit margins ease. In the near term, the key catalysts remain how management balances pricing, medical cost trends and regulation against this more cautious earnings outlook. The risk is that softer profitability becomes a trend rather than a pause.
However, investors should be aware of how sustained margin pressure could reshape that capital return story. Despite retreating, Elevance Health's shares might still be trading above their fair value and there could be some more downside. Discover how much.Explore 10 other fair value estimates on Elevance Health - why the stock might be worth over 3x more than the current price!
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This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.
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