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The Worst Trade in Healthcare

UnitedHealth beat by $1.53 a share and raised full-year guidance. The managed care selloff was the wrong call.

The Worst Trade in Healthcare

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After Elevance beat expectations and fell 8% yesterday, the consensus hardened fast: government cost pressure is a sector problem. Medicaid redeterminations are squeezing membership. Medical costs are rising faster than premiums can absorb. The entire managed care group was treated as damaged goods.

That was the wrong trade.

UnitedHealth reported this morning. Adjusted earnings came in at $6.38 a share against a Street estimate of $4.85, a $1.53 beat. Revenue hit $112 billion. Earnings from operations surged to $8 billion from $5.2 billion a year ago. Net margin expanded from 3.1% to 4.9%.

Then the guidance. Full-year adjusted EPS was raised to $19.50 to $20.00, up from at least $17.75. The medical care ratio was tightened to 88.1% with a 25-basis-point band, down from 88.8% with twice the variance. The company guided $24 billion in operating cash flow and at least $5 billion in share buybacks.

The spread is not the sector. It is the operator. Elevance ran a medical care ratio of 89.7% and lost 469,000 members. UNH printed 88.1% and had the confidence to narrow the band around it. Both faced the same Medicaid cliff, the same government reimbursement pressure, the same macro. One company absorbed the costs. The other reported them as a headwind.

This is the pattern that separates a sector scare from a stock-picking opportunity. When the entire group sells off on one company's print, the strong operators get cheaper for no reason. UNH's quarter proved the thesis: managed care is not broken. Cost discipline is distributed unevenly.

The strongest bank earnings season in years just got stronger. Morgan Stanley reported revenue of $21.3 billion, up 27% from a year ago. Net income rose 60% to $5.6 billion. Equities trading surged 69% to a record $6.3 billion, roughly $1.9 billion above expectations. Investment banking climbed 58%. Total client assets crossed $10 trillion for the first time.

Between JPMorgan's record profit Monday and Morgan Stanley today, Wall Street's intermediary businesses are running hotter than the economy they serve.

Watch after the close. Netflix reports Q2 earnings. The Street expects $12.58 billion in revenue and $0.79 in earnings per share. Ad revenue scaling toward $3 billion is the number that moves the stock. Content amortization is expected to peak this quarter before easing in the back half.

June retail sales land at 8:30 AM. After yesterday's PPI showed wholesale inflation running twice as hot as consumer prices, the question is whether consumers are still spending through the margin gap.

UnitedHealth opens with a $1.53 tailwind. Watch whether the repricing spreads to Elevance, Molina, and Centene. The stocks that fell on sector fear are the first to bounce on company-specific strength.

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