GLOBAL RESEARCH ARCHIVE
EVH - Moving to Hold on Recent Share Price Move & Medicaid Headwind Heading Into 2027
Research evidence excerpt
EVH - Moving to Hold on Recent Share Price Move & Medicaid Headwind Heading Into 2027
Truist Securities
contribution. The Technology & Services business is seeing a modest headwind because of the exchange enrollment decline. Roughly
50% of revenue this year is expected to come from new contracts, with Highmark representing a large portion of that. Highmark was a
drag at the beginning of the year and in the first half, which supports the expected second-half improvement. EVH has noted in the past
that the company's overall MER peaks in 2Q and improves in 3Q. While EVH has noted that early implementation, prior authorization
activity, and intervention tracking for new contracts have been going as planned, the company would still likely book close to forecast until
claims data confirms outperformance even if intervention rates appear strong. 2Q includes a significant explicit margin impact from new
business load tied to Highmark, that burden goes away in 3Q, and some of it may reverse in 4Q. However, 3Q should be “unburdened”
by the explicit margin drag associated with new business load, which is one of the key drivers of sequential improvement.
Acceleration in New Contract Awards Would Represent Upside Risks to Our Call: EVH continues to see significant oncology demand,
as payers remain concerned about trend and the cost flowing through the system. The company's updated corridor structure has also
helped support demand, particularly in oncology. EVH could announce additional deals in Performance Suite but is unlikely to implement
any new contracts in 2026 and any new contracts in 2027 are unlikely to contribute meaningfully to EBITDA in 2027. However, EVH
could still roll out some Technology & Services opportunities that can be implemented during 2026.
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