This Dirt Cheap Healthcare Stock Could Be a Hidden Artificial Intelligence (AI) Opportunity (Hint: It's Not Eli Lilly)
Key Takeaways
Artificial intelligence (AI) has the potential to transform several different areas of the healthcare industry.
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June 29, 2025
03:55 AM
The Motley Fool
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Artificial intelligence (AI) has the potential to transform several different areas of the healthcare industry
When it comes to healthcare stocks, investors have focused a lot of attention lately on Eli Lilly and Novo Nordisk and the potential of their blockbuster weight management treatments, including Mounjaro, Zepbound, Ozempic, and Wegovy
While these drugs are ly to lead to billions in revenue, Lilly and Novo aren't relying solely on these drugs to grow their es
Both companies are also looking into the potential that artificial intelligence (AI) can bring to their operations -- and for good reason
Accounting and consulting firm PwC estimates that the total addressable market (TAM) for AI in healthcare could reach $868 billion by 2030
One of the obvious applications that AI has for healthcare is facilitating pharmaceutical companies in clinical trials and drug discovery
While such use cases are exciting, I see another pocket of the healthcare industry that could be positively disrupted by AI: insurance
Let's explore why UnitedHealth Group (UNH -1. 57%) could be an under-the-radar growth opportunity because of the intersection between healthcare and AI
Image source: Getty Images. 2025 has been a challenging year for UnitedHealth Group, but
Back in April, UnitedHealth greatly disappointed investors after the company published revised financial guidance that indicated a lower-than-expected earnings outlook for the remainder of the year
Management blamed the lower fitability on two primary factors
First, utilization rates in the company's Medicare Advantage gram exceeded internal forecasts, taking a toll on the company's cost structure
Second, reimbursements in the company's pharmacy benefits management (PBM) platform, Optum Rx, were negatively impacted by reductions in Medicare funding as well as changes to some of the patient demographic files in this segment of the
In short order, the stock price plunged and has shown no indications of recovery, so far
For 2025, prices are down 40%, making UnitedHealth the poorest-performing stock in the Dow Jones Industrial Average this year
But before you go writing UnitedHealth off as a broken, let's examine how AI has the potential to help the health insurance industry and how UnitedHealth specifically could implement this nology to imve the over time
AI has the potential to transform the The underlying issue surrounding UnitedHealth's challenges right now has to do with forecasting
There isn't anything fundamentally broken with the
Rather, unforeseen changes in the macroeconomic environment led to a different reality than what management had previously modeled -- ultimately leading to higher costs and compressed fit margins
By using machine learning, UnitedHealth could train AI models on claims data and subsequently integrate these s into electronic health records (EHR) to help predict more accurate utilization trends
More efficient data s could help UnitedHealth hone its pricing strategy and better plan for cost spikes
In addition, AI has the ability to build predictive models that can more accurately assess patient risk files
In theory, this has the potential to analyze more granular detail around various segments of patient data as it relates to engagement rates and risk files
This could help imve reimbursement forecasts for the Optum
Lastly, natural language cessing (NLP) can also be used to create scenario models by simulating how a could be impacted based on changes in the regulatory landscape
An example of a company that specializes in this area of AI training is FiscalNote
This could help UnitedHealth plan more strategically as it pertains to budgeting decisions during periods of political uncertainty
Is UnitedHealth Group stock a buy right now
While s of UnitedHealth trade at a slight premium to other large health insurers based on forward earnings multiples, the bigger takeaway from the trends below is that the stock price is hovering near a five-year low
While UnitedHealth's operational challenges won't be fixed overnight, it is key to remember that management believes the company can course correct throughout the second half of this year and be better positioned by 2026
Whether UnitedHealth transitions into an AI-powered service remains to be seen
Investors with a long-run time horizon might want to consider holding on to their s, though, as the ideas explored above showcase how AI has the potential to become a game-changing advancement for the health insurance industry over time
Looked at a different way, UnitedHealth could transform its over the next several years by making cognizant investments in this nology
Nevertheless, the stock appears dirt cheap right now, and I think patient investors will be rewarded as the company turns things around over the next couple of quarters
Editor's note: This article has been corrected
UnitedHealth's pharmacy benefit manager is called Optum Rx
Fiscal Note is a transcription service used by The Motley Fool
Adam Spatacco has positions in Eli Lilly and Novo Nordisk
The Motley Fool recommends Novo Nordisk and UnitedHealth Group
The Motley Fool has a disclosure policy.
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