Elevance Health reports first quarter 2026 results and raises full-year guidance

Gail K. Boudreaux, President and Chief Executive Officer at Anthem - Anthem
Gail K. Boudreaux, President and Chief Executive Officer at Anthem - Anthem
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Elevance Health announced on April 22 its financial results for the first quarter of 2026, reporting operating revenue of $49.5 billion, a 1.5 percent increase from the same period in the previous year. The company also raised its full-year adjusted diluted earnings per share (EPS) guidance to at least $26.75.

The updated outlook comes as Elevance Health saw stronger than expected business performance and improved claims experience during the quarter. The company said it remains focused on driving consistent results and is taking steps to enhance long-term growth.

Gail K. Boudreaux, President and Chief Executive Officer, said, “Our first quarter results exceeded expectations, reflecting underlying business strength and improving claims experience. We are raising our full-year adjusted EPS guidance, supported by greater visibility into the balance of the year. Our actions are driving more consistent performance and position Elevance Health for continued improvement over time.”

The company’s operating cash flow reached $4.3 billion in the first quarter—an increase of $3.3 billion compared to last year—reflecting favorable working capital dynamics and business strength. During this period, Elevance Health returned $1.5 billion to shareholders through share repurchases and dividends.

In segment highlights, operating revenue for Health Benefits rose by 2.6 percent to $42.5 billion due mainly to higher premium yields but was partially offset by anticipated declines in Medicare Advantage, Medicaid, and Employer Group risk membership. Medical membership stood at approximately 45.4 million as of March 31, an increase driven by commercial fee-based expansion despite reductions elsewhere.

Carelon’s operating revenue increased by nearly eight percent to $18 billion with growth attributed to Carelon Services risk-based solutions and product revenues from CarelonRx; however, its operating gain declined due partly to lower health plan membership.

According to the official website, Elevance Health promotes equity and inclusion within its operations and community efforts; it is recognized as a leading employer for veterans; reaches millions through its network of affiliated health plans; focuses on enhancing well-being by addressing physical, behavioral, and social factors while simplifying healthcare; provides comprehensive health services aimed at fostering innovation and collaboration; and operates in the health sector as a major player.

A second-quarter dividend of $1.72 per share was declared payable on June 25 for shareholders of record as of June 10.

Looking ahead, management will discuss these results further during a conference call scheduled today at 8:30 a.m., with access details available via their website.



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