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2025.07.29 10:26

UnitedHealth Group (UNH) to Report Q2 Earnings: Market’s Focus on Rebound or Continued Decline?

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The healthcare giant UnitedHealth Group ($Unitedhealth(UNH.US) ) will be the first to release its Q2 earnings. The healthcare sector has been the worst-performing this year, with stocks falling across the board. The market is now keen to see whether UNH will continue its downward trend or make a strong rebound. Below is my summary:

Why is UNH so closely watched?

Bottom of the market: The healthcare sector has been the worst-performing in the U.S. stock market this year.

Guidance anxiety: UNH and its peers have canceled or lowered their full-year guidance, leaving investors with a very uncertain valuation framework.

Policy changes: Major government programs—ACA (Obamacare), Medicaid, and Medicare—are undergoing significant changes, increasing cost and revenue pressures.

Core business breakdown: UnitedHealthcare + Optum

UnitedHealthcare (Traditional insurance): Operating profit for 2024 is expected to be $16.2 billion, making up half of the total. The Medicare Advantage business is under pressure due to increased visits and rising costs.

Optum (Health services + technology): Expected profit for 2024 is $18.2 billion, accounting for 53% of total profit. It acts like a “bulletproof vest” and is less affected by fluctuations in the insurance market.

Comparison with Centene: Can’t afford to lose vs. UNH stable at half

Centene: Heavy exposure to the ACA market, slashed its guidance from $7.25 to $1.75, leading to a sharp drop in stock price.

UNH: Only about 15% of revenue comes from Medicaid, with commercial insurance and Medicare making up the bulk. EPS decline is expected to be less drastic.

EPS Forecast and “Masterful” Valuation

My rough EPS estimate: About $18.5 for the full year 2025 (although there’s downside risk, it won’t drop below $10).

Implied P/E ratio: Stock price is about $280, implying a 15× PE, which is well below UNH’s historical average of 20–25×.

Investment takeaway: If the data doesn’t “explode,” $280 could be a good entry point—whether it returns to historical premiums depends on the earnings guidance.

Additional Risks and Surprises

Legal investigation: UNH is being investigated by the U.S. Department of Justice due to the “denial of coverage” issue, but a minor settlement is expected.

Data breach costs: The fallout from the Parker hacking incident is still ongoing, but the financial impact is controllable.

PayPal surprise: By the way, PayPal also has some exciting developments next week—new payment methods in China, India, and South America. As the user base grows, so does the revenue.

Valuation: Floor and Ceiling
For companies that no longer deserve historical premium valuations, the difference between the ceiling and the floor can be quite large.

Ceiling: The ceiling is reached by comparing its 18x historical P/E ratio with the 2027 estimated value, arriving at a target of $505 per share.

Floor: UNH’s floor is traded based on its book value multiple. Currently, UNH’s booking rate is 2.7x, implying about 25% downside potential.


Conclusion:

Short-term focus: Earnings report details, EPS, guidance for major sectors, and changes in Medicare costs.

Valuation recovery opportunity: 15× P/E compared to historical 20×, which is attractive for value investors.

Monitor policy and legal developments: New policies or settlements could bring volatility.

In short, after UNH’s earnings report, expect increased volatility in UNH stock. Keep an eye on the post-market earnings call on Tuesday evening (Eastern Time).

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