Analyst Ratings January 27, 2026

Evercore ISI Sticks With Outperform on UnitedHealth After Q4; Price Target Set at $400

Analyst maintains bullish rating despite mixed Optum results, guidance in line with consensus and regulatory scrutiny weighing on the stock

By Nina Shah UNH
Evercore ISI Sticks With Outperform on UnitedHealth After Q4; Price Target Set at $400
UNH

Evercore ISI has reaffirmed an Outperform rating on UnitedHealth Group with a $400 price target after the insurer reported fourth-quarter results. The company posted adjusted Q4 EPS in line with consensus, delivered a slightly better-than-expected medical loss ratio, but showed weaker-than-expected Optum margins driven by Optum Health. Fiscal 2026 guidance for adjusted EPS matched consensus, while membership guidance for Medicare Advantage and Medicaid came in below consensus at the midpoints. The shares have outperformed in recent months, but regulatory and payment-rate developments have introduced volatility.

Key Points

  • Evercore ISI reaffirmed an Outperform rating on UnitedHealth and set a $400 price target following Q4 results.
  • Q4 adjusted EPS of $2.11 matched consensus; adjusted medical loss ratio of 91.5% beat the 92.0% expectation, but the adjusted operating expense ratio of 13.5% exceeded the 12.7% forecast.
  • Guidance for fiscal 2026 calls for adjusted EPS of at least $17.75 in line with consensus; Medicare Advantage and Medicaid membership guidance are below consensus at the midpoints, while Optum margin guidance is mixed.

Evercore ISI has reiterated an Outperform rating on UnitedHealth Group (UNH) and set a price target of $400 following the company’s fourth-quarter financial release. UnitedHealth carries a market capitalization of $318.53 billion and was trading at $351.64 - a level that InvestingPro’s Fair Value assessment indicates is below the company’s fair value.


On an adjusted basis, UnitedHealth reported fourth-quarter earnings per share of $2.11, which met consensus estimates. The company’s adjusted medical loss ratio for the quarter was 91.5%, outperforming the consensus expectation of 92.0%. By contrast, the adjusted operating expense ratio was 13.5%, higher than the 12.7% that analysts expected.

Within the Optum segment, adjusted margins came in at 3.8%, representing a 55 basis-point shortfall versus consensus after accounting for third-party loss reserve items and other restructurings. The shortfall was concentrated in Optum Health, which reported an adjusted operating margin of -0.8% versus the 1.5% consensus figure.


For fiscal year 2026, UnitedHealth provided guidance for adjusted earnings per share of at least $17.75, which aligns with consensus estimates. The company also issued membership guidance that fell short of street expectations at the midpoints: Medicare Advantage membership is projected between 7,245,000 and 7,295,000 lives - a midpoint that is 3.2% below consensus - while Medicaid membership is guided at 6,665,000 to 6,815,000 lives, a midpoint 9.8% below consensus.

On a segment basis, UnitedHealth guided adjusted Optum margins for 2026 to 4.9%, which is 14 basis points above consensus. However, the company expects Optum Health operating margins of 1.7% for 2026, which is 150 basis points below consensus and reflects the impact of roughly $623 million in amortization of third-party loss contracts.


Market performance has been notable: the stock returned 3.9% over the past week and has gained 26.75% over the last six months. From a valuation perspective, the shares trade at a P/E ratio of 18.27 and carry a PEG ratio of 0.73, metrics that InvestingPro highlights as indicating a relatively low P/E versus near-term earnings growth.


Beyond the quarterly numbers and guidance, UnitedHealth has been in the spotlight for several other reasons. The Centers for Medicare & Medicaid Services announced a 0.09% increase in Medicare Advantage payment rates for 2027, a change that fell well short of some analysts’ expectations of increases up to 6%. That announcement contributed to a sector-wide selloff that affected UnitedHealth and its peers.

Amid the market reaction, Bernstein SocGen Group maintained its Outperform rating on UnitedHealth and put a $444 price target on the shares, projecting a 33% upside from current levels and forecasting that shares could rise roughly 80% over the next three years.

Operationally, UnitedHealthcare has launched a pilot program to accelerate Medicare Advantage payments to rural hospitals, aimed at shortening collection times and improving cash flow for those facilities. At the same time, a Senate Judiciary Committee report criticized the company’s Medicare Advantage risk adjustment practices, alleging aggressive tactics intended to increase payments beyond the original purpose of the program. Despite these regulatory headwinds, Bernstein kept a positive stance on the stock.


Investors and analysts will likely monitor several moving parts going forward: Optum margin recovery, the outcome and implications of regulatory scrutiny, membership trends in government programs, and the impact of amortization and restructuring items tied to third-party loss contracts. These factors together will influence how the market prices UnitedHealth relative to the firm’s guidance and the analyst price targets from firms that continue to rate the stock Outperform.

Risks

  • Optum Health margin weakness - Optum Health reported a -0.8% adjusted operating margin in Q4 and is guided to 1.7% for 2026, 150 basis points below consensus, which may pressure segment profitability - this impacts healthcare services and managed-care sectors.
  • Regulatory and oversight risk - A Senate Judiciary Committee report criticized UnitedHealth’s Medicare Advantage risk adjustment practices, adding potential reputational and regulatory scrutiny that could influence insurer operations and payments - this impacts insurers and managed-care providers.
  • Medicare Advantage payment-rate environment - CMS set a 0.09% increase in Medicare Advantage payment rates for 2027, significantly below some expectations, which contributed to a sector-wide selloff and could affect revenue trends across Medicare Advantage participants.

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