How Aetna, Anthem, Cigna, Humana and UnitedHealth fared in Q1

The health insurance industry's five largest payers reported solid earnings for the three months ended March 31 in fiscal year 2018.

1. Aetna saw total revenue remain relatively flat during the three-month period at $15.3 billion, compared to $15.2 billion in the same period of 2017. Total expenses for the insurer fell from $15.8 billion in the first quarter of 2017 to $13.9 billion in the first quarter of 2018. Aetna reported net income of $1.2 billion in the first quarter of 2018, compared to a net loss of $381 million in the same period a year prior.

2. Anthem reported operating revenue of $22.3 billion in the first quarter of this year, reflecting little to no change from the same period in 2017. At the same time, the insurer's expenses fell 1.2 percent to $20.8 billion, down from $21 billion in the first quarter of 2017. Anthem ended the first quarter of 2018 with net income of $1.3 billion, up 30 percent from the same period a year prior.

3. Cigna recorded revenue of $11.4 billion in the first quarter of this year, up 9 percent year over year. The payer saw expenses rise 6 percent year over year to $10.2 billion. Cigna posted net income of $915 million in the first quarter of 2018, up 53 percent from $598 million reported in the same period a year prior.

4. Humana reported GAAP consolidated revenues of $14.3 billion, up 4 percent from $13.8 billion in the same quarter of 2017. Humana's expenses were up 12.4 percent to $13.5 billion in the first quarter of 2018, up from $12 billion in the first quarter of 2017. The payer ended the three-month period with a 55.9 percent drop in net income. Humana saw its net income soar to $1.1 billion in the first quarter of 2017 due to the termination of its merger agreement with Aetna. As this quarter's results don't include those gains, Humana's net income fell to $491 million.

5. UnitedHealth Group reported first quarter revenues of $55.2 billion, up 13.3 percent from $48.7 billion in the first quarter of 2017. The payer saw expenses climb 12.9 percent year over year to $51.1 billion. Altogether, UnitedHealth saw profits jump 30.6 percent in the first quarter of 2018 to $2.8 billion.

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