Can UnitedHealth (UNH) Q4 Earnings Navigate Through High Costs?

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UnitedHealth Group Incorporated UNH is set to report its fourth-quarter 2023 results on Jan 12, 2024, before the opening bell.

Where Do the Estimates Stand?

The Zacks Consensus Estimate for fourth-quarter earnings per share of $5.98 suggests a 12% increase from the prior-year figure of $5.34. The consensus mark remained stable over the past week. The consensus estimate for fourth-quarter revenues of $92 billion indicates an 11.1% increase from the year-ago reported figure.

UnitedHealth beat the consensus estimate for earnings in all the prior four quarters, with the average being 2.7%. This is depicted in the graph below:

UnitedHealth Group Incorporated Price and EPS Surprise

UnitedHealth Group Incorporated Price and EPS Surprise
UnitedHealth Group Incorporated Price and EPS Surprise

UnitedHealth Group Incorporated price-eps-surprise | UnitedHealth Group Incorporated Quote

Before we get into what to expect for the to-be-reported quarter in detail, it’s worth taking a look at UNH’s previous-quarter performance first.

Q3 Earnings Rewind

The healthcare plan provider reported adjusted earnings of $6.56 per share for the last quarter, beating the Zacks Consensus Estimate by 3.6% on the back of an expanding customer base under UnitedHealth Group’s value-based care arrangements. The solid performance of Optum’s sub-units also contributed to the quarterly results. However, the upside was partly offset by an elevated expense level.

Now, let’s see how things have shaped up before the fourth-quarter earnings announcement.

Q4 Factors to Note

UnitedHealth's fourth-quarter results are estimated to have received a boost from increased premiums, supported by robust growth in its membership base. According to our model, premium revenues for the fourth quarter are expected to have risen by nearly 9% year over year. This growth is primarily attributed to higher premiums generated from both Optum Health and its health benefits businesses.

UNH's fourth-quarter top-line performance was expected to have been enhanced by a rise in service revenues across the board. Our estimates project an impressive, almost 17% jump in service revenues, while product revenues are expected to have seen nearly 8% year-over-year growth from the year-ago level.

We expect revenues from UnitedHealthcare, UNH’s largest segment that sells insurance, to have increased on higher memberships in selected programs. The Zacks Consensus Estimate for UnitedHealthcare’s total domestic commercial customers signals 2.4% year-over-year growth. Our estimate for segmental revenues indicates more than 8% year-over-year growth. Furthermore, investments and other income are estimated to have witnessed a nearly 55% surge from the year-ago level.