Basis

aggregate of member nodes

Member claims 7

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

• Kaiser Permanente outflows — care delivery consumes ~99% of revenue (only ~$1.4B operating income); the rest …
• Unitedhealth Group outflows — medical costs (MLR ~85%+) dominate; then ~$7.9B dividends + ~$5.5B buybacks + …
• Cvs Health outflows — medical + pharmacy cost of goods dominate; then ~$3.4B dividends, ~$0.4B M&A, …
• Cigna outflows — medical + PBM drug costs dominate; then ~$3.6B buybacks + ~$1.6B dividends FY25
• Elevance Health outflows — medical costs (rising MLR from Medicaid/ACA morbidity) dominate; then ~$2.6B …
• Humana outflows — MA medical costs (elevated utilization) dominate; then ~$0.43B dividends + …
• Hca Healthcare outflows — labor + supply operating costs, then ~$10.1B buybacks + ~$0.7B dividends + debt …

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