Cigna Group (CI -0.16%) reported first-quarter earnings and revenue that topped analyst estimates, and the health services and insurance company raised its full-year outlook.

The company said adjusted income from operations rose almost 20% to $1.88 billion, or earnings per share (EPS) of $6.47. Analysts anticipated EPS of $6.22, according to FactSet. In the year-ago quarter, the company earned $1.62 billion, or $5.41.

Revenue increased 23% to $57.3 billion from $46.5 billion a year earlier and beating the average analyst forecast of $56.6 billion.

The first-quarter performance led Cigna to raise its full-year outlook. The company now expects income from operations of $8.065 billion, $40 million more than in its past projections, and EPS of "at least" $28.40, a $0.15 increase from earlier estimates. 

Metric Q1 2024 Results Estimates Q1 2023 Results % Change
EPS $6.47 $6.22 $5.41 19.6%
Revenue ($B) $57.3 $56.6 $46.5 23.2%

Data sources: Company results from company. Analyst estimates from FactSet.

Cigna Group overview

Cigna Group operates through its Cigna Healthcare and Evernorth Health Services segments, delivering an array of health services and plans to customers globally. The company emphasizes comprehensive health service delivery, including pharmacy benefit management, health insurance, and a range of specialized care and wellness services.

Recent focuses include regulatory compliance, cybersecurity enhancements, navigating healthcare market changes, international expansion, and competitive positioning through value-based care strategies. These areas are essential for sustaining growth and adapting to the evolving healthcare landscape.

Quarter highlights

Cigna's first-quarter results were marred by a $1.8 billion write down of its minority interest in clinic operator VillageMD. This led to a net loss of $277 million, or $0.97.

Cigna's Evernorth and Cigna Healthcare segments performed well. Evernorth reported adjusted revenue of $46.2 billion, a 28% rise year over year, while the Cigna Healthcare segment posted a 4% increase to $13.3 billion. These results reflect premium rate increases, operational efficiencies, and adding more customers.

A significant focus during the quarter was on enhancing digital capabilities and advancing care solutions, supporting continued growth and efficient service delivery. Moreover, operational efficiencies led to an improved overhead expense ratio, which dropped to 6.4% from 7.6% in the first quarter of 2023.

Despite the net loss due to the investment impairment charge, the strategic advancements and segment performances provide a strong foundation for positive momentum in the rest of 2024.

Looking ahead

Cigna's management has positioned the company for sustained growth through strategic initiatives such as expanding international operations, investing in technology for better care delivery, and enhancing value-based care offerings. The increased financial outlook for 2024 reflects this confidence, driving focus toward long-term value generation for stakeholders.

Investors are encouraged to monitor Cigna's execution of its strategic initiatives, particularly in digital health, and its responses to regulatory changes and market dynamics. These areas remain pivotal as the company strives to maintain its growth trajectory and capitalize on global health service opportunities.