Elevance Health Inc. · ELV · FY2025 Q2 · Calendar Q3 2025

Elevance lowers EPS outlook as ACA and Medicaid costs rise

The call weakens the near-term earnings-growth case: Carelon expansion and technology investments provide offsets, but elevated ACA and Medicaid costs have led to lower guidance and leave the recovery dependent on pricing, utilization, and policy outcomes.

Reported Before market openNYSEHealthcare $89.50B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $8.84 Consensus $8.91
EPS surprise -0.8% Reported versus consensus
Reported revenue $49.42B Consensus $48.19B
Revenue surprise +2.6% Reported versus consensus

Market reaction

prior-close to event-session close
Stock move -12.2% Event window
SPY move +0.6% Same window
Abnormal move -12.8% Stock minus SPY
Volume 3.9× Versus trailing sessions
Subsequent drift -2.3% Up to 20 sessions
ELVSPY benchmark

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What changed

The tone shifted from the prior quarter's confident, maintained outlook to a cautious outlook with full-year adjusted EPS guidance lowered to approximately $30. Management still pointed to strong Carelon growth, but emphasized higher ACA costs, slower Medicaid rate alignment, and the need for AI-enabled cost controls.

Guidance delta

Management lowered full-year 2025 adjusted EPS guidance to approximately $30 from the prior-quarter range of $34.15-$34.85.

Key takeaways

  • Carelon Rx revenue grew more than 20% and Carelon Services revenue grew more than 50%.
  • Management cited AI-enabled prior authorization and payment-integrity actions as cost controls.
  • ACA and Medicaid margins remain pressured, with subsidy and policy changes adding uncertainty.

Management priorities

  • Invest in AI and Health OS workflow tools
  • Scale Carelon and CareBridge risk-based contracts
  • Use disciplined pricing in 2026 ACA and Medicaid filings
  • Expand value-based oncology and behavioral-health programs

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Earnings History

Estimate Beat Miss Match
ELV EPS earnings history estimate and actual scatter chart 8 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $5.55 Q4 '23 actual $5.62, beat Q1 '24 estimate $10.53 Q1 '24 actual $10.64, beat Q2 '24 estimate $10.01 Q2 '24 actual $10.12, beat Q2 '25 estimate $8.91 Q2 '25 actual $8.84, miss Q3 '25 estimate $4.93 Q3 '25 actual $6.03, beat Q4 '25 estimate $3.10 Q4 '25 actual $3.33, beat Q1 '26 estimate $10.82 Q1 '26 actual $12.58, beat Q2 '26 estimate $6.21 Q2 '26 actual $7.45, beat Q3 '26 estimate $4.69 Q4 '26 estimate $2.50 Q1 '27 estimate $12.25 Q2 '27 estimate $7.82

Analyst Consensus ?

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

Analyst 52W Price Targets

$412.7Current
$320Low
$468.71Average
$625High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 11, 2026. Not an FN2 forecast.

Firm-level rating actions

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

FirmRatingPrior ratingActionDate
Barclays Overweight OverweightMaintainOct 7, 2026
Leerink Partners Market Perform Market PerformMaintainJul 17, 2026
Bernstein Outperform OutperformMaintainJul 17, 2026
Wells Fargo Overweight OverweightMaintainJul 16, 2026
RBC Capital Sector Perform Sector PerformMaintainJul 16, 2026
Show 33 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $412.7. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
BarclaysAnalyst unavailable$469$400.09 +13.6%Oct 7, 2026
Leerink PartnersAnalyst unavailable$395$369.28 -4.3%Jul 17, 2026
BernsteinAnalyst unavailable$488$372.85 +18.2%Jul 16, 2026
New StreetAnalyst unavailable$482$377.63 +16.8%Jul 16, 2026
RBC CapitalAnalyst unavailable$424$390.33 +2.7%Jul 16, 2026
See 95 more

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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
CompanyQuarterEPS surpriseMarket moveHeadline
COO The Cooper Companies, Inc. FY2026 Q3 · Calendar Q3 2026 +2.7% -14.7% CooperCompanies beats expectations as inventory reduction weighs on vision revenue
MDT Medtronic plc FY2027 Q1 · Calendar Q3 2026 +4.3% +1.5% Medtronic raises FY27 outlook as growth broadens across platforms

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 · 2026-07-26T00:37:55.686058+00:00
  3. Polygon adjusted daily market bars · 2026-10-11T01:10:44.512361+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-11T01:10:44.509479+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 2026-10-11. For educational purposes only; not investment advice.