CLAIM #18634 · CVS Health Corp (CVS) · 2025Q4 earnings call · Feb 10, 2026 · due Dec 31, 2026
“Fully insured remains pressure just due to the disciplined pricing approach. We're going to continue to be really disciplined in our pricing across all parts of this business, but that's been more than offset by growth in the self-funded business.”
Steve Nelson · Executive
How to check this claim
Look at: Commercial segment membership mix and trend: fully insured membership vs. self-funded (ASO) membership growth, as disclosed for the Commercial/Health Care Benefits segment
It came true if: Self-funded (ASO) membership growth is positive year-over-year while fully insured membership declines or stays flat, for fiscal year 2026
Where: Company-disclosed membership metrics (10-K/10-Q segment disclosures or quarterly earnings call commentary on Commercial membership)
In context
“Yes. So Steve, do you want to take that question, please? Steven Nelson: Sure. Andrew, so on respect to our commercial membership, we serve about 18 million members. It's the highest membership level that we've served in the last decade actually. And so this is a strong business for us, and it remains strong. We -- I think the overperformance and growth that we saw in '25 and then as we will continue to grow in '26, it's a result of better-than-expected retention. And just the innovative products and the approach that we're taking with these very sophisticated purchasers of health care, offering leading technology and solutions that they've been looking for. It's resonating with them. And so really pleased with the results there and the advancement we're making in the Commercial business. Fully insured remains pressure just due to the disciplined pricing approach. We're going to continue to be really disciplined in our pricing across all parts of this business, but that's been more than offset by growth in the self-funded business. So continue to be well positioned. Aetna has been a brand that's long been associated with product innovation and clinical innovation, and we're getting back to that. And as David mentioned in his prepared remarks, really, really proud to be honored by Press Ganey, acknowledging the innovative work we're doing around member experience and reducing friction there. And then the engagement we've had with our provider partners, again, plays out really well in terms of just reducing the friction, but also lowering the total cost of care. So I'm pleased with how the commercial business is performing and confident about the ability to continue to advance that. Operator: Our next question comes from Elizabeth Anderson with Evercore. Elizabeth Anderson: I was wondering if you could comment in a li”
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SEC filings for CVS ↗ · Claim quote is verbatim from the 2025Q4 earnings call.