UNH Surges After Berkshire Reveals Surprise Position

Warren Buffett just placed his biggest healthcare wager on UnitedHealth while the company battles investigations and leadership turmoil.

Warren Buffett just placed his biggest healthcare wager on UnitedHealth while the company battles investigations and leadership turmoil.

🕒 Market Overview: UNH rockets 12% as Berkshire discloses massive healthcare stake

🔄 Sector Insight: Healthcare emerges from worst-performing status with institutional validation

💰 Today's Trade Idea: Bull Call Spread targets recovery to pre-crisis levels

MARKET BREAKDOWN

Macro Lens – Big Picture Market Forces

Healthcare sector positioning shifts dramatically following Berkshire's validation of UNH fundamentals. Producer Price Index jumped 0.9% month-over-month, marking the largest wholesale inflation spike in three years, while retail sales showed continued consumer resilience with 0.5% monthly growth. The VIX response to healthcare volatility compression signals broader market confidence in institutional positioning during uncertain monetary policy conditions.

Federal investigations into Medicare billing practices continue across the managed care landscape, while Budget Reconciliation Law cuts totaling nearly $1 trillion over ten years reshape Medicaid dynamics. Geopolitical risk factors including Trump-Putin summit discussions add complexity to risk assessment frameworks.

Sector and Stock Watch – Identifying Key Movers

UNH transformed from sector liability to institutional darling in a single session. The stock had declined 62.8% from November 2024 highs following CEO assassination, leadership upheaval, and regulatory scrutiny. Options flow patterns shifted dramatically with implied volatility collapsing 12.8% as professional money repriced extreme outcome probabilities.

Sympathy plays emerged across healthcare names with Centene, Molina, and Elevance gaining over 4% in premarket trading. The August 15th $260 call contracts represented 7.3% of total UNH options volume, indicating significant positioning ahead of the Berkshire disclosure.

Trading Strategy in Focus – How to Play the Market

Long-dated bull spreads present compelling risk-reward profiles for quality names trading at multi-year low valuations. UNH trades below 11 P/E compared to SPY's 17.86 average, while offering 2.75% dividend yield versus market's 1.14%. Aging demographics support structural healthcare demand growth despite regulatory headwinds.

Professional positioning suggests defensive value-seeking rather than momentum speculation, creating opportunities for patient capital in beaten-down quality businesses with competitive advantages.

SMART TRADE IDEA

Bull Call Spread on UNH

Trade Setup:   Buy $400 Call / Sell $500 Call, with an expiration of January 16, 2026.

  • Cost: $6.00 or lower ($600 per spread or lower)

  • Max Profit:  $94 or higher ($9,400 per spread or higher)

  • Breakeven:  $406.00

  • Risk-reward at $6: 1:15.66

Management Plan:  Exit at 50% loss, roll up, or take profits if UNH share price reaches $380 or higher.

Following one of the world’s most iconic value investors is rarely a mistake. UNH is an inexpensive stock based on its price-to-earnings ratio compared to the rest of the U.S. stock market. The 2.75% dividend is above the market’s average. Mr. Buffett and his colleagues at Berkshire Hathaway believe UNH management will put the company back on the correct course over the coming months. The $400-$500 call spread with five months until expiration is a risk position providing significant leverage if the shares can recover to near the levels seen in late 2024.

NOTE: Remember, options trading involves substantial risk and is not suitable for all investors. Consider your investment objectives, financial resources, and experience level before implementing this or any options strategy.

DISCLOSURE: Trade recommendations may have changed since publication. Evaluate current market prices and risk/reward before acting. Trading involves significant risk and is not suitable for everyone. This is not personalized investment advice. Past performance doesn't guarantee future results. Publisher and contributors may hold positions in recommended securities. Readers assume full responsibility for their trading decisions. Consult a financial professional before investing.

Andy Hecht | Second Take

Wall Street veteran and analyst covering technical and fundamental factors in markets across all asset classes for over four decades.

Warren Buffett is a revered value investor whose investment philosophy centers on owning great companies with compelling growth potential at attractive share prices. Some of his most successful investments have been made when companies experienced significant pressure due to internal or external events. UnitedHealth (UNH) shares have experienced a challenging period since late 2024.

As the chart shows, UNH shares had dropped 62.8% from a record high of $630.73 in November 2024 to a low of $234.60 in August 2025. News of Buffett’s investment lifted the shares to the $310 level on August 15, still half the level at the November 2024 high. The average P/E of the SPY, which tracks the S&P 500, is approximately 17.86. UNH’s is below 11. The average dividend yield of the SPY is 1.14%, while UNH’s $8.51 annual dividend translates to a 2.75% yield. As the U.S. population ages, with the number of Americans over the age of 65 expected to increase significantly over the coming years, healthcare is poised for substantial growth, depending on the potential political environment for the industry. Mr. Buffett appears to believe that UNH’s value transcends the political, macroeconomic, and company-related idiosyncratic risks.

UNH’s value, the Buffett blessing, and the price action since November 2024 suggest the shares could have significant upside potential. While the January 16, 2026 $400-$500 bull call spread at $6.00 or lower is far from the current share price, the attractive risk-reward ratio and the upper strike price below the November 2024 high could present a compelling opportunity.

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