The Projection — a symmetric watercolor butterfly

The Projection

The surface is never the system.

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across 7 members — open each for the figure + sources

about Health

aggregate of member nodes

Aggregate of 7 member claims — each member's sourced figures are below.


the working

Basis

aggregate of member nodes

Member claims 7

This is an aggregate — its evidence is the members' own claims.

  • Kaiser Permanente inflows — ~$127.7B 2025: member premiums (integrated payer) + care-delivery revenue …
  • Unitedhealth Group inflows — ~$447.6B FY25 premiums + Optum services revenue
  • Cvs Health inflows — ~$402B FY25 revenue: Aetna premiums + Caremark PBM + CVS Pharmacy retail
  • Cigna inflows — ~$274.9B FY25: Evernorth/Express Scripts PBM services revenue now dominant + …
  • Elevance Health inflows — ~$197.6B FY25: Blue-licensed premiums (14-15 states) + Carelon services revenue
  • Humana inflows — ~$129.7B FY25, ~85% CMS-set government premiums (Medicare Advantage + Medicaid)
  • Hca Healthcare inflows — ~$75.6B FY25 patient-service revenue from ~186 hospitals + ~2,000 care sites …

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A claim is one metric we assert about a node — the value is the summary, this page is the receipt. Sourced from kestrel; supersedes-history not yet shown. Back to Health.