Lance Wilkes: Yes. Just wanted to turn to the PBM within Evernorth. And kind of 2 elements to the question. One was, if you could just talk a little about the strategic role of Part D, both for the PBM and for health care for driving kind of MA business going forward? And how you see that going forward, given some of the changes in the Part D program. And then the specific question was on adjusted home delivery and specialty scripts. There were some drops in that. I was just interested if that was a driver — that was driven by the prime relationship and any sort of in-sourcing that’s going on there? Or what the other drivers of that move was?
David Cordani: Lance, it’s David. I’ll take the first part of your question. I’ll ask Brian to address the second part of your question. . First, specific to Part D broadly, with the size, shape and scope of our enterprise today, it’s a portion of our enterprise, but I would call it as not a significant part of our overall portfolio. That’s not to dismiss the importance of it from a societal standpoint, by any stretch of imagination. But when you look at the scope of our enterprise approaching $200 billion of revenue this year, I would not call it as a significant component. Secondly, inferred in your question, I would submit that we’ve underrealized or underleveraged the potential to effectively convert PDP lives or enroll PDP lives into MA.
That’s an untapped opportunity that exists within our portfolio today relative to our level of activity and initiation. Lastly, in your comment, we do recognize that the PDP landscape is disrupted, based on some of the legislative and policy activities that have transpired. And we will effectively position our portfolio, obviously, to be responsive to that disruption. But we have the tools to be able to manage within our portfolio in totality. I’ll ask Brian to pick up the second piece of your question, just relative to the script volume and the puts and takes in the portfolio this past quarter.
Brian Evanko: Yes, as it relates to the adjusted home delivery and specialty scripts, you can think of a couple of different drivers in there. Specialty scripts continue to grow at attractive rates, so I think mid- to high single-digit-type unit growth. But given the relatively small numbers there, they’re outweighed by what happens in home delivery. So in that line item, you can think of 95% plus of the volume is home delivery, and less than 5% is specialty scripts, but attractive growth in specialty, which continues to drive the double-digit revenue growth that we’ve seen in that business all year. The specific driver of the home delivery decrease, just to put a finer point on it, is we had a transitioning client that we’ve known about for several years, [indiscernible] had some outsized home delivery volumes, but we’ll see some improvement in that on a go-forward basis with additional clients coming in.
Operator: Thank you. I’ll now turn the call back over to David Cordani for closing remarks.
David Cordani: First and foremost, thank you again for joining our call today and for the ongoing conversation. Just to highlight and summarize our dialogue today, we are very pleased with our performance for the quarter and the momentum we’ve been able to carry now through 3 quarters of the year. And we remain on track to deliver our overall commitments for 2023. We increased our outlook for adjusted EPS to at least $24.75 for full year 2023, as well as increasing the overall outlook we have for revenue, customer lives and cash flow based on our strong performance. And remain committed to our 2024 EPS objective of at least $28. I do want to pause for a moment and thank my colleagues around the world. The health care landscape continues to change, with accelerated forces impacting our clients, our customers, our patients and our partners.
And our team leads in day in, day out, working to make a positive difference, for those we have the benefit to serve, those we have the benefit to partner with, as well as our orientation around making a positive difference in the communities we work, serve and play in each and every day. So I want to call out and thank our colleagues that continue to make such a positive difference in the marketplace each and every day. With that, we look forward to our ongoing conversation and our future dialogues, both in person and investor events as well as our fourth quarter conversation coming up. Have a great day.
Operator: Ladies and gentlemen, this concludes the Cigna Group’s Third Quarter 2023 Results Review. Cigna Group’s Investor Relations will be available to respond to additional questions shortly. A recording of this conference will be available for 10 business days following this call. You may access the recorded conference by dialing 800-839-1171 or 203-369-3030. There is no passcode required for this replay. Thank you for participating. We will now disconnect.
