All health insurers are not doing great currently. Quickly look at their profit margin for the past 2-3 years and it’ll often be low single digit or negative
Medicare advantage is going to be tough again this year, so, not surprised
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Tell us you don't know the industry without telling us you don't know the industry. What health insurance company alone has double digit growth? Cigna proper is less than 5% and Everwhatevertheyarecalledthesedays is closer to 2%.