Elevance Health Inc. · ELV · FY2024 Q3 · Calendar Q4 2024

Elevance cuts outlook as Medicaid cost trends intensify

The quarter weakens the near-term earnings-growth case: strong ACA and Carelon expansion did not offset elevated Medicaid costs, prompting a lower full-year EPS outlook. The longer-term case depends on rate and acuity alignment, disciplined Medicare Advantage bidding and successful execution of growth initiatives.

Reported Before market openNYSEHealthcare $95.41B market cap
80quality score

Earnings scorecard

Reported versus consensus
Reported EPS — Consensus $9.70
EPS surprise — Reported versus consensus
Reported revenue — Consensus $43.33B
Revenue surprise — Reported versus consensus

Market reaction

prior-close to event-session close
Stock move -10.6% Event window
SPY move +0.0% Same window
Abnormal move -10.6% Stock minus SPY
Volume 6.6× Versus trailing sessions
Subsequent drift -8.4% Up to 20 sessions
ELVSPY benchmark

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Transcript intelligence

What changed

The central change was a shift to a more cautious near-term outlook: Medicaid cost trends accelerated materially, and full-year adjusted EPS guidance was reduced to approximately $33. At the same time, ACA membership growth, geographic expansion and Carelon growth remained positive.

Guidance delta

Management lowered full-year adjusted EPS guidance to approximately $33, citing elevated Medicaid cost trends; the prior guidance figure is not supplied.

Key takeaways

  • Management described Medicaid cost trends as running 3–5 times historical averages and said rate and acuity alignment should improve over time.
  • Commercial momentum remained strong, with ACA membership up more than 30% year to date and expansion planned in Florida, Maryland and Texas.
  • Carelon businesses continued high-double-digit growth, supported by specialty pharmacy and CareBridge.

Management priorities

  • Expand ACA individual and family plans into Florida, Maryland and Texas.
  • Integrate Kroger Specialty Pharmacy and scale CareBridge home-care services.
  • Pursue Medicaid rate adjustments while using AI initiatives to improve member, provider and cost-management operations.

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Earnings History

Estimate Beat Miss Match
ELV REVENUE earnings history estimate and actual scatter chart 9 reported fiscal quarters and 4 future estimate-only quarters. Q1 '24 estimate $42B Q1 '24 actual $43B, beat Q2 '24 estimate $43B Q2 '24 actual $44B, beat Q2 '25 estimate $48B Q2 '25 actual $49B, beat Q3 '25 estimate $49B Q3 '25 actual $50B, beat Q4 '25 estimate $50B Q4 '25 actual $49B, miss Q1 '26 estimate $48B Q1 '26 actual $49B, beat Q2 '26 estimate $49B Q2 '26 actual $50B, beat Q3 '26 estimate $49B Q3 '26 actual $50B, beat Q4 '26 estimate $49B Q1 '27 estimate $51B Q2 '27 estimate $51B Q3 '27 estimate $52B
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Analyst Consensus ?

ConsensusBuy38 ratings
Bullish2771.1%
Neutral1128.9%
Bearish00.0%

Analyst 52W Price Targets

$431.32Current
$320Low
$479.96Average
$625High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 27, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
TD Cowen Buy BuyMaintainOct 23, 2026
UBS Buy BuyMaintainOct 22, 2026
RBC Capital Sector Perform Sector PerformMaintainOct 22, 2026
Morgan Stanley Equal Weight Equal WeightMaintainOct 22, 2026
Guggenheim Buy BuyMaintainOct 22, 2026
Show 33 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $431.32. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Piper SandlerAnalyst unavailable$520$442.85 +20.6%Oct 23, 2026
Mizuho SecuritiesAnn Hynes$490$445.28 +13.6%Oct 23, 2026
Goldman SachsAnalyst unavailable$451$445.28 +4.6%Oct 23, 2026
UBSAnalyst unavailable$523$439.1 +21.3%Oct 22, 2026
RBC CapitalAnalyst unavailable$455$441.21 +5.5%Oct 22, 2026
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Company context

Snapshot as of publication

Operating as a major health benefits organization, Elevance Health Inc. commits to guiding consumers, families, and communities across their entire health and wellness path. It facilitates access to vital care, assistance, and tools designed to enable healthier living for approximately 118 million individuals. The company's comprehensive offerings span medical, digital, pharmaceutical, behavioral health, clinical, and other care solutions. Founded in 1944 and based in Indianapolis, Indiana, this entity adopted its current name, Elevance Health Inc., in June 2022, having previously operated as Anthem, Inc.

Historical context

All ELV earnings

Healthcare peers this season

Latest reports in the same sector

Latest beats and misses

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2024-10-17T05:10:49.140638+00:00
  3. Polygon adjusted daily market bars · 2026-10-26T23:00:43.771230+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-26T23:00:43.768353+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-10-26. For educational purposes only; not investment advice.