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Elevance Health (ELV) Benefit Expense Ratio

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Benefit Expense Ratio

Measures the percentage of premium revenue spent on medical claims, providing insight into cost management efficiency and profitability.

84.0086.0088.0090.0092.00Mar 21Jun 21Sep 21Dec 21Mar 22Jun 22Sep 22Dec 22Mar 23Jun 23Sep 23Dec 23Mar 24Jun 24Sep 24Dec 24Mar 25Jun 25Sep 25Dec 25Mar 26Jun 26Sep 26
Chart Insights

Benefit Expense Ratio is showing recurring year‑end spikes and a re‑emergent upward bias, reflecting persistent utilization and Medicaid pressure rather than a one‑time timing blip. Management acknowledged concentrated cost drivers (behavioral health, specialty pharmacy, outpatient surgery, ED), a deliberate set of one‑time investments, and a trough Medicaid margin in 2026—so expect BER to remain elevated near term even as Carelon and analytics investments aim to compress costs into 2027. Watch sequential BER and planned Medicaid exits to see whether operating improvement outpaces the ongoing investment drag.

ELV Benefit Expense Ratio

DateBenefit Expense Ratio
Sep 30, 202690.60
Jun 30, 202689.70
Mar 31, 202686.80
Dec 31, 202593.50
Sep 30, 202591.30
Jun 30, 202588.90
Mar 31, 202586.40
Dec 31, 202492.40
Sep 30, 202489.50
Jun 30, 202486.30
Mar 31, 202485.60
Dec 31, 202389.20
Sep 30, 202386.80
Jun 30, 202386.40
Mar 31, 202385.80
Dec 31, 202289.40
Sep 30, 202287.20
Jun 30, 202287.00
Mar 31, 202286.10
Dec 31, 202189.50
Sep 30, 202187.70
Jun 30, 202186.80
Mar 31, 202185.60
Dec 31, 202088.90
Sep 30, 202086.80
Jun 30, 202077.90
Mar 31, 202084.20
Dec 31, 201989.00
Sep 30, 201987.20
Jun 30, 201986.70
Mar 31, 201984.40