Operator: We’ll go next to John Ransom with Raymond James.
John Ransom: Hey, good morning. On your fully accountable lives, what’s the expectation where you’ll end up in the year with a number of medicare fully advantage lives? And just looking at the eliminations, is it fair to assume that a lot of those fully accountable lives are coming out of the UHC book? Thanks.
Andrew Witty: So thanks very much for the question. I’ll ask Dr. Amar Desai, who leads our OptumHealth Organization, just to comment a little bit on the, kind of, shape of the folks we look after there, and the degree to which they come from both UHC and obviously many of our external partners, Amar?
Amar Desai: John, thanks very much for the question. We’ve had great growth in fully accountable membership as we mentioned earlier, adding over 900,000 patients for the year. That growth is diverse across a number of payers. We have over 100 payer partners spanning both national and regional payers. And as we think about that growth, of course, UnitedHealthcare is a core partner to us, but we continue to have the strength of our medical groups and physician networks being incredibly attractive to other payers regionally and nationally to be able to grow in their own value-based arrangements to drive outcomes and total cost of care. So we look forward to continued growth in a broad-based, diverse way. Thank you very much.
Andrew Witty: Amar, thank you. And thank you for the question. Jennifer, I’d say the last question now please.
Operator: Okay, we’ll go last to Lance Wilkes with Bernstein.
Lance Wilkes: Great. Thanks for taking the question. On Medicaid and Medicaid Redetermination, could you comment a little bit on the margin and implications of the members that are getting redetermined off? We’ve already seen a lot of double coverage or zero MOR on that? And then just in general, are enrollment — disenrollment trends kind of consistent with your expectations and do you see where those members are going to as far as individual, employer, or uninsured? Thanks.
Andrew Witty: Hey, Lance. Thanks so much for the question. I’m going to ask Tim Spilker, who leads our Community and State business to respond to that, Tim?
Tim Spilker: Yes. Thank you, Lance, for the question. And maybe I’ll start with just the enrollment trends, because I think that really informs a whole number of factors. So first off, what we’re seeing, I think, consistent with what states have reported is significant disenrollment for procedural reasons. And what’s more, a lot of variability, frankly, across states in terms of the pacing and re-enrollment and even states now that are suspending terminations or re-enrolling members based on guidance. So those stops and starts certainly have an impact, you know, on our membership, as well as membership mix. But frankly, that’s why we continue to develop even more ways to engage members and support our states. You know, our goal really is to help individuals find coverage and so a couple points on that.
Our reach rate for the programs that we’ve implemented exceeds that of our traditional programs, and we’re seeing strong re-enrollment rates between 15% and 20% depending on the state. And so as a result, as John mentioned in his comments, we’re retaining a significant majority of the members we engage with, certainly more to do. And second, in terms of your question around just kind of outlook, again, I think the factors around the re-enrollment has an impact on just how we think about mix. But I think it’s also important that to consider the rate environment. You know, states are taking into account a thoughtful, taking a thoughtful and data-driven approach to rate setting. And with visibility now into around 45% of our revenue for ‘24, really appreciative of the approach that states are taking.
So all in all, I would say both membership, as well as our outlook is in line with what we expected at this point with a lot of variability. I think our membership looks good in terms of the outlook that we set at the beginning of the year. And at this point, I feel all of this is manageable.
Andrew Witty: Tim, thanks so much. And thank all of you for your time this morning. I hope what you heard during today’s call only reinforces what you’ve come to expect from UnitedHealth Group, an organization that’s just as nimble and agile as it is focused and disciplined, always growing, always innovating, ceaselessly committed to our mission and deeply devoted to those we share. Thank you for your attention today and we appreciate it.
Operator: This does concludes today’s conference. We thank you for your participation.
