2023 | 2022 | Name | Country | 2023 | 2022 | 2023 | 2022 |
|---|---|---|---|---|---|---|---|
| 1 | 1 | UnitedHealthcare | United States | $37,094M | $32,946M | AA+ | AA+ |
| 2 | 3 | Optum | United States | $20,127M | $15,873M | AA- | AA- |
| 3 | 2 | Anthem | United States | $19,883M | $18,611M | AA- | AA- |
| 4 | 4 | Humana | United States | $16,497M | $14,065M | AA | AA |
| 5 | 6 | Aetna | United States | $8,707M | $7,057M | AA | AA- |
| 6 | 5 | Cigna | United States | $7,731M | $7,537M | AA- | AA- |
| 7 | 7 | Evernorth | United States | $7,029M | $6,234M | A+ | A+ |
| 8 | 8 | McKesson | United States | $6,853M | $5,729M | A | A |
| 9 | null | Cardinal Health | United States | $5,767M | $0M | A+ | null |
| 10 | null | Centene Corporation | United States | $5,545M | $0M | A+ | null |