UnitedHealth (UNH) stock has been a topic of discussion lately, with Piper Sandler analyst Jessica Tassan expressing optimism despite lowering her price target on shares. This adjustment comes in light of the Centers for Medicare and Medicaid Services (CMS) announcement that there will be no significant increase in health insurers’ Medicare Advantage reimbursement rates in 2027.
The decision by CMS has raised concerns about the future prospects of health insurers, especially with President Donald Trump’s administration targeting the industry. UnitedHealth, in particular, faces risks as its Medicare and Retirement unit contributes 25% of its revenue. This has led some investors to consider selling UNH stock given the unfavorable risk-reward ratio.
UnitedHealth, the largest U.S. health insurer with a market capitalization of $264 billion, reported a 12% increase in sales to $113.2 billion in the third quarter. However, net income decreased to $2.35 billion, and operating cash flow stood at $5.9 billion. The company had $27.2 billion in cash and cash equivalents and $72.4 billion in long-term debt as of the end of Q3.
CMS’s decision to only increase payments to Medicare Advantage providers by 0.09% in 2027 has put pressure on UnitedHealth. Analyst Jessica Tassan revised her price target on UNH stock to $396 from $417, citing concerns about funding challenges and rising costs. While Tassan believes UnitedHealth will adjust by reducing benefits and exiting certain markets, she acknowledges the risk posed by CMS’ decision to the entire industry.
Despite being considered the top Medicare Advantage insurer, UnitedHealth faces stiff competition in the sector. Medicare beneficiaries have access to plans from an average of 8 firms, making it challenging for UnitedHealth to cut benefits without losing market share. This could further impact the company’s financial performance.
Looking ahead, the Trump administration’s stance on health insurers’ premiums could pose additional challenges for UnitedHealth. Past administrations targeting specific sectors have had negative implications for companies within those industries. Given the uncertainty surrounding UNH stock and the current political climate, it may be prudent for investors to exercise caution.
In conclusion, while Piper Sandler maintains an “Overweight” rating on UnitedHealth, the forward P/E ratio and potential regulatory hurdles suggest that UNH stock may not be a strong buy at this time. It’s essential for investors to carefully consider the risks and uncertainties associated with the healthcare sector before making any investment decisions.

