CI · 10-Q · 2026Q3 · Full report

Operating Cash Flow Trends

Cigna Group · 2026-11-05 · Importance 25 · Surprise 32

Operating cash flow was $3.281 billion for the nine months ended September 30, 2026, down from $3.452 billion in the comparable 2025 period. The decline was primarily driven by the Inflation Reduction Act’s unfavorable net cash flow impact and lower insurance liabilities. These decreases were largely offset by accounts-receivable impacts, partly due to timing, and lower inventory purchases.

Key facts

• Cigna cash flows from operating activities were $3.281 billion for the nine months ended September 30, 2026, compared with $3.452 billion in 2025. source