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The operating cash flow and CapEx guidance implies less than 80% free cash flow conversion on your pretax income, which is below recent history
My understanding was that some of those large contracts were only modestly profitable, and now you're talking about lower profitability on those contracts
There's been a lot of developments in the GLP-1 market, including your announced partnerships with Lilly and Novo this quarter
As the Part D market evolves alongside the IRA, curious to hear what your experience has been on the EverNorth side of the business
if you're seeing pressure in that part of the business related to higher specialty cost trends, I'm a little confused why you are not seeing that pressure on the fully insured
Can you help us understand why you believe you attracted that higher acuity cohort for this year
the guide seems to imply incremental pressure within Medicare Advantage beyond the PDP reset
Now it sounds like you're not expecting much improvement in Medicaid profitability
help clarify and level set the expectations for margin improvement next year
You help us understand how the risk corridor actually works? Is that applied at the contract level or plan level
I wanted to revisit your assumption that ACA membership could be down 20% to 30% if enhanced APTCs expire. Are buydowns contemplated within that assumption
can you help us understand the level and pace of AI investments you're making this year
Your medical membership was revised up 200,000 members, even though AEP results were described as being consistent
I wanted to ask about the recontracting efforts at Oak Street and understand the room for improvement there
Can you help reconcile your favorable Medicare results in the HCB segment with the unfavorable results you're seeing at Oak Street
Wanted to follow up on your comments at Oak Street, where you noted some early signs of pressure. Can you elaborate on the nature and timing
you also took aggressive actions on the individual ACA business, so was hoping you could elaborate on those actions
any color on the underlying mortality performance would be helpful considering that's an important metric for building consensus on volumes for the balance of the year?
Hoping you could provide more color on what you're doing to position yourself to capture market share
Can you help us understand how missed treatments and mortality trended throughout the fourth quarter?
Can you give us more detail on how you expect the ACA headwind to play out this year from a cadence perspective?
I think the last estimate of the headwind you gave was $120 million over 3 years. Is that still a good number to think about?
is it fair to think of that as a reasonable starting point as we contemplate potential growth for next year?
can you give us the phosphate binder contribution to RPT and CPT in the quarter? And why was the dispensing volumes lower in the quarter?
Can you give us a sense for how census and treatments track following the cyber attack and how you're thinking about volumes in the back half?
can you help us understand how much of that was attributable to flu in the first quarter and how much of that is attributable to the cyberattack?
Are you going to adjust that out of earnings, or will you be incurring those costs and absorbing that into guidance?
can you provide a bit more color on what you saw in the quarter with respect to uptake and drug mix?
G&A per treatment, I think that was up 6% sequentially and 11% year over year. That looks like a big acceleration
that feels a little bit light versus what CMS quantified today in the final rate. So just trying to understand the absolute dollars on the Medicare patients specifically
have you observed any impact from higher gas prices or broader macro pressures on health care utilization
Your 2026 membership declines generally came in larger than expected, especially on the Medicare side. Can you walk us through what played out during AEP
You commented that you now expect Medicare operating margins to increase slightly in '25, but I think it was unclear if that was a year-over-year comment or a positive revision to this year's outlook
Can you help delineate the pressure you're seeing in that business between unit cost trends and shifts in the risk pool
Can you help us understand what developed favorably in the back half of March to drive that better MLR performance
I was hoping you could clear some of this up and tell us what your actual AEP growth is, and how much of that accounts for the full year outlook
which states you're seeing that slow down, whether you view that as a temporary or issue or durable trend
Outpatient surgery declined year over year on a negative comp and moderated from the previous quarter. Can you elaborate on what you saw there?
Last quarter, you called out a few underperforming regions outside the hurricane markets. Can you give us an update on those markets
Can you give us the latest quote on ACA revenue and admissions? And maybe just a question on the hurricane performance
I'm not 100% I understand that because you have two markets that were hurricane impaired in Q1 this year. That were not impaired at this time last year
Hoping you could spike out the performance of Mission Hospital in the quarter and help us understand what impacts that had on same-store volumes in the quarter
do you plan to exercise your June call options for the first 2 clinic cohorts?
I was hoping you'd be able to offer a framework for the level of new growth that you're comfortable with before it starts to impact your operational capacity
One of your peers noted a pretty meaningful pullback in the individual PPO market next year. Just curious how you're thinking about the implications
Can you provide more color on your experience in Part D relative to expectations? And specifically, can you comment on the pace that seniors are tracking
Can you share the splits of the incremental STARS investments across the MLR and OpEx line?
can you comment on volume progression throughout the quarter in each segment, including exit rates in March and April?
Can you give us a bit more detail on the nature of the headwind and help us understand why the headwind from the midyear implementation wouldn't annualize into a larger run rate headwind?
outside of the discrete items related to state directed payments in Cedar Hill, the EBITDA guidance looks largely unchanged. One, do I have that right?
You called out $25 million of start-up losses in the quarter. Can you update us on the latest accreditation status of that hospital?
are you seeing any changes in your behavioral referral patterns or willingness of JV partners to work with UHS
Can you help us understand what actions you're taking now to prepare for potential tariffs? And what your GPO has communicated to you thus far?
The 2025 EBITDA guidance is up 5% to 11%, which is higher than typical growth rates this despite state supplemental payments forecasted to be down year over year
the guidance range, I think, is $127 million wide, which is higher than previous years despite better operations and visibility
Could you help us unpack what's driving the outperformance in Optum Health this quarter?
Can you elaborate on your experience with the co-pay structure in 2025? And what drove that decision to change the benefit structure in 2026?
Can you compare the relative margin profiles and different paths of margin recovery for each including which population is most addressable near term
I was hoping to get your thoughts on the risks and implications of tariffs, particularly around the impact of pharmaceutical tariffs