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UNH: Reaffirms Guidance, Preliminary 78% in 4+ Star Medicare Plans

Filing Impact
(Neutral)
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Form Type
8-K/A

Rhea-AI Filing Summary

UnitedHealth Group reaffirmed its adjusted 2025 earnings-per-share outlook and said that the August 2025 acquisition of Amedisys is incorporated into that outlook, noting the acquisition is expected to be dilutive to adjusted EPS because of financing costs and integration investments. The company also discussed preliminary CMS Medicare Advantage star ratings for Star Year 2026/Payment Year 2027 and estimated that about 78% of its membership will be in plans rated 4 stars or higher, which the company says is consistent with expectations and historical performance. The report reiterates customary forward-looking statement cautions and lists factors that could cause actual results to differ materially.

Positive

  • Reaffirmed adjusted 2025 EPS outlook, indicating management confidence in achieving prior targets despite transaction activity
  • Preliminary CMS star ratings estimate of ~78% in 4+ star plans, consistent with expectations and historical performance

Negative

  • Amedisys acquisition expected to be dilutive to adjusted EPS in the near term due to financing costs and integration investments
  • No new quantitative details provided on acquisition financing, expected dilution magnitude, or synergy timeline

Insights

TL;DR: Reaffirmed guidance with an expected acquisition-related EPS drag; CMS star ratings appear stable at ~78% of membership in 4+ star plans.

UnitedHealth's affirmation of adjusted 2025 EPS despite acknowledging acquisition-related dilution signals management confidence in core earnings resilience and in realizing integration benefits over time. The explicit call-out that Amedisys is expected to be dilutive highlights near-term financing and integration costs that could weigh on adjusted EPS trends. The preliminary CMS star rating estimate of ~78% in 4+ plans is material because star ratings can affect Medicare Advantage payment and enrollment momentum; management describes this as in line with historical performance, implying limited downside versus prior expectations. Overall, the filing provides useful forward-looking context but contains no new quantitative revision to guidance.

TL;DR: Acquisition of Amedisys is integrated into guidance and is expected to be near-term dilutive due to financing and integration spend.

The disclosure that the Amedisys deal is expected to be dilutive to adjusted EPS is a clear, investor-relevant statement about transaction economics and near-term earnings accretion timing. This signals the company expects to invest in integration and pay financing costs before realizing synergies. No details on purchase price, financing structure, or estimated synergy timeline are provided, so the market must rely on this qualitative disclosure while awaiting more granular post-close integration metrics. The lack of an earnings revision suggests management still expects overall targets to be met net of dilution.

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
—————————————
FORM 8-K/A
(Amendment No. 1)
—————————————
Current Report
Pursuant to Section 13 or 15(d) of
The Securities Exchange Act of 1934
Date of report (Date of earliest event reported): September 8, 2025
—————————————
UNITEDHEALTH GROUP INCORPORATED
(Exact name of registrant as specified in its charter)
—————————————
Delaware1-1086441-1321939
(State or other jurisdiction of incorporation)
(Commission File Number)
(I.R.S. Employer Identification No.)
1 Health Drive,655 New York Avenue NW
Eden Prairie,Minnesota55344Washington,DC20001
(Address of principal executive offices)(Zip Code)(Address of principal executive offices)(Zip Code)

Registrant’s telephone number, including area code: (800) 328-5979
N/A
(Former name or former address, if changed since last report.)
—————————————
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $.01 par valueUNHNew York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.



Explanatory Note

The purpose of this Amendment No. 1 on Form 8-K/A (the “Amended 8-K”) is to amend and restate the Current Report on Form 8-K filed by UnitedHealth Group Incorporated (the “Company”) on September 8, 2025 as set forth below.

Item 7.01.    Regulation FD Disclosure.

Senior leaders from UnitedHealth Group Incorporated (the "Company") will be meeting with investors and analysts between September 8, 2025 and September 10, 2025, during which the Company intends to:

Reaffirm our adjusted 2025 earnings per share expectations previously disclosed by the Company on July 29, 2025. This outlook incorporates closing the acquisition of Amedisys in August 2025, which is expected to be dilutive to adjusted earnings per share due to financing costs and the integration related investments.
Discuss preliminary Centers for Medicare & Medicaid Services (CMS) Medicare Advantage star ratings for Star Year 2026 / Payment Year 2027. While the data is not final and still under evaluation, based on our preliminary review of the information, we estimate we will have approximately 78% of our membership in 4 star or higher plans, which is consistent with our expectations and in line with historical performance.

The meetings may also include discussion of the Company's strategy, market positions and recent results, as previously disclosed.

The information in this Item 7.01 shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, nor shall it be deemed incorporated by reference in any Company filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, except as shall be expressly set forth by specific reference in such filing.

Forward-Looking Statements

The statements, estimates, projections, guidance or outlook contained in this report include “forward-looking” statements which are intended to take advantage of the “safe harbor” provisions of the federal securities laws. The words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar expressions identify forward-looking statements. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. Actual results could differ materially from those that management expects, depending on the outcome of certain factors including: our ability to effectively estimate, price for and manage medical costs; new or changes in existing health care laws or regulations, or their enforcement or application; cyberattacks, other privacy/data security incidents, or our failure to comply with related regulations; reductions in revenue or delays to cash flows received under government programs; changes in Medicare, the CMS star ratings program or the application of risk adjustment data validation audits; the DOJ’s legal actions concerning our participation in the Medicare program; our ability to maintain and achieve improvement in quality scores impacting revenue; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; risks and uncertainties associated with our businesses providing pharmacy care services; competitive pressures, including our ability to maintain or increase our market share; changes in or challenges to our public sector contract awards; failure to achieve targeted operating cost productivity improvements; failure to develop and maintain satisfactory relationships with health care payers, physicians, hospitals and other service providers; the impact of potential changes in tax laws and regulations; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; failure to complete, manage or integrate strategic transactions; risk and uncertainties associated with the sale of our remaining operations in South America; risks associated with public health crises arising from large-scale medical emergencies, pandemics, natural disasters and other extreme events; failure to attract, develop, retain, and manage the succession of key employees and executives; our investment portfolio performance; impairment of our goodwill and intangible assets; failure to protect proprietary rights to our databases, software and related products; downgrades in our credit ratings; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, reinvest in our business, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle, or continue repurchasing shares of our common stock.

This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business operations, financial condition and results of operations, more fully in our filings with the SEC, including our reports on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may vary materially from expectations expressed or implied in this document or any of our prior communications. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. We do not undertake to update or revise any forward-looking statements, except as required by law.





SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: September 9, 2025                 
UNITEDHEALTH GROUP INCORPORATED
By: /s/ Kuai H. Leong
Kuai H. Leong
Senior Deputy General Counsel and Deputy Corporate Secretary

FAQ

What did UnitedHealth (UNH) say about its 2025 earnings outlook?

The company reaffirmed its adjusted 2025 earnings per share expectations previously disclosed on July 29, 2025.

How does the Amedisys acquisition affect UnitedHealth's earnings?

UnitedHealth stated the Amedisys acquisition closed in August 2025 and is expected to be dilutive to adjusted EPS because of financing costs and integration investments.

What did UnitedHealth report about Medicare Advantage star ratings for 2026/2027?

Based on preliminary data, UnitedHealth estimates approximately 78% of its membership will be in plans rated 4 stars or higher for Star Year 2026/Payment Year 2027.

Does this filing change UnitedHealth's guidance or provide new financial numbers?

No— the filing reaffirms prior guidance and provides qualitative statements about the acquisition and preliminary star ratings without revising numeric guidance.

Are the CMS star ratings final in this filing?

No— the star ratings discussion is preliminary; the company says the data is not final and is still under evaluation.
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