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UnitedHealth Group Inc (UNH) stock slid 12% in pre-market trading on Tuesday after the company issued a weak full-year (FY) 2026 outlook, following a soft fourth-quarter (Q4) print, which came in slightly below Wall Street estimates.
UnitedHealth expects 2026 revenue of around $439 billion, a 2% year-over-year decline, as the company undertakes planned right-sizing across the enterprise.
The insurer reported a 12% increase in Q4 revenue at $113.26 billion, marginally below street estimates of $113.73 billion, according to Fiscal.ai data. Adjusted earnings per share for Q4 came in line with estimates of $2.11.
Shares of UnitedHealth were already under pressure after the Centers for Medicare and Medicaid Services (CMS) proposed a nearly flat increase in Medicare Advantage payments for next year. The agency projected a 0.09% average increase for CY 2027, well below the 4 - 6% rise analysts had expected.
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