The Cigna Group Reports Strong Q1 2026 Results and Raises 2026 Outlook

The Cigna Group reported strong first quarter 2026 financial results, with total revenues increasing 5% to $68.5 billion compared to Q1 2025. Shareholders' net income was $1.7 billion, or $6.26 per share, while adjusted income from operations was $2.1 billion, or $7.79 per share. The company raised its full-year 2026 outlook for adjusted income from operations to at least $30.35 per share, representing a $0.10 increase from previous guidance. Key drivers included growth in Evernorth Health Services (9% revenue increase) and improved margins in Cigna Healthcare (18% increase in adjusted income from operations). The company's SG&A expense ratio improved to 5.4% from 6.4% in the prior year quarter, reflecting business mix shift and operating efficiency gains. Total customer relationships stood at 185.5 million, with medical customers increasing 1% to 18.3 million.