Elevance Health, Inc. reported first-quarter 2026 revenues of $49.5 billion and adjusted EPS of $12.58, surpassing market expectations by 16.4%. In a positive shift, the company increased its full-year adjusted EPS guidance to at least $26.75 while initiating a $1.1 billion stock repurchase program. However, Elevance continues to face challenges with Medicaid margins, projecting a negative 1.75% operating margin outlook for the year, and is currently addressing compliance issues with a $935 million accrual linked to CMS risk adjustments.