

Between Cigna (CI) and UnitedHealth Group (UNH), which offers better investment returns?
- Financial Performance:
- Cigna reported a total revenue of $247.1 billion for 2024, with a 27% increase1. Shareholders' net income for 2024 was $3.4 billion1. Adjusted income from operations for 2024 was $7.7 billion1.
- UnitedHealth Group's total revenues for 2024 were $111.6 billion, with a 11.8% year-over-year rise2. Net income for the first quarter of 2025 was $7.27 per share, representing a 5.2% increase3.
CI, UNH Net Income (FY)
- Market Position and Growth:
- Cigna's Evernorth Health Services segment saw a 30% year-over-year revenue increase, reaching $49.5 billion4. The Specialty and Care Services businesses contributed significantly to this growth4.
- UnitedHealth Group is expected to benefit from the Medicare Advantage payment rate hike, which could inject over $25 billion into the sector3. This positions UnitedHealth well for potential growth in the Medicare Advantage market.
- Dividend and Shareholder Returns:
- Cigna increased its quarterly dividend to $1.51 per share, reflecting an 8% increase1. The company also approved an additional $6.0 billion in share repurchase authorization, bringing the total to $10.3 billion1.
- UnitedHealth Group has a history of dividend growth and is considered a stable investment, which could appeal to income-focused investors5.
- Valuation and Analyst Sentiment:
- Cigna's P/E ratio is 26.01, which suggests that the market expects high growth from the company6. The P/S ratio of 0.37 indicates that the market is currently valuing Cigna's revenue at a relatively low level compared to its sales6.
- UnitedHealth Group's P/E ratio is not directly comparable, but its strong financial performance and market position suggest a stable and potentially growing investment opportunity2.
- Strategic Outlook:
- Cigna is focusing on building a sustainable model for healthcare, addressing transparency, support, and value for patients and clients1. The company is also pursuing long-term growth strategies7.
- UnitedHealth Group is expected to continue delivering above-consensus results, with a strong track record of earnings beats2. The company is well-positioned to capitalize on sector-wide cost concerns and regulatory scrutiny8.
Conclusion: Based on the financial performance, market position, dividend returns, valuation, and strategic outlook, both Cigna and UnitedHealth Group offer attractive investment opportunities. However, Cigna's stronger revenue growth, higher dividend yield, and innovative business segments, such as Evernorth, suggest it may be the better investment for income-focused investors seeking high growth. UnitedHealth Group, on the other hand, benefits from favorable industry trends and a strong market position, making it a solid choice for a stable investment with potential growth. Investors should consider their investment goals, risk tolerance, and the current market conditions when choosing between these two healthcare giants.
