Operator: The next question is from the line of Lisa Gill with JPMorgan.
Lisa Gill : Great. I was wondering if maybe you could just comment on the RADV expectations for February 1. We just had our conference this week, and there was a lot of talk about this and just what managed care is generally expecting out of that ruling?
Andrew Witty : Lisa, thanks very much for the question. Yes. I mean, we’re not going to get into a ton of speculation because obviously, it’s very, very potentially imminent. And so not sure there’s tons of value there. But I would like to ask Tim Noel looks after our M&R business to maybe share some of his perspective on that. Tim?
Tim Noel: Great. Thanks for the question, Lisa. We talked about this a bit at the investor conference and don’t have a lot of new information to share this morning, but let me revisit a couple of the key elements that we discussed a couple of weeks ago. So first, risk adjustment is really critical to providing broad and equitable access inside the Medicare Advantage program. Also a really important part of ensuring there’s no disincentives for caring for the most vulnerable. We also continue to remain very supportive of additional transparency. And here, that takes the form of more timely and consistent reviews. And a few of the key elements that we’re thinking about with respect to these audits is it’s very important for CMS to include a fee-for-service adjuster to make sure that we’re comparing original Medicare and Medicare Advantage on the same basis.
And also, very important that we don’t conduct these audits decades in arrears. That comes with some challenges, of course. That said, without the final rule set, as Andrew alluded to, hard to get really narrow and specific, but we feel really good about how our results validated. Some of our sample sets were above, some of our sample sets were below. But likely more specifics to discuss at next quarter’s call. Thanks, Lisa.
Andrew Witty : Tim, thanks so much. And Lisa, thanks for the question. I mean I think as you just, again, just maybe step up a little bit in the broader position, obviously the whole MA program is unbelievably successful and popular program for seniors across the U.S. And of course, the biggest proof of that is the number of folks who every single year volunteer to sign up to be part of this program. And we’re seeing another record year of enrollment coming through as we speak. It’s super important that any changes, whether it’s in this particular circumstance or any other circumstance, it’s super important that folks are thoughtful about collateral consequences, making sure that what is really impressive program in terms of quality of care, reassurance provided to seniors, ability to deliver good value for the senior, good value for society, making sure that any changes are made thoughtfully and holistically is what we would be hoping to see.
And obviously, we look forward to working with the administration when and if any further updates come forth. With that, Lisa, thanks so much for the question. And let’s go to next question, operator.
Operator: The next question is from the line of Josh Raskin with Nephron Research.
Josh Raskin : I was wondering if you could speak to the progression of earnings when you add physicians or large physician groups in OptumCare and how that changes over time. I’m specifically looking for sort of margin ranges as you first get started in the first year. When you break even, how long that takes? And then how long it takes to get to the ultimate margins? And I’m curious if the scale that you’ve got now, half of this book is new in the last three years, does scale accelerate some of that opportunity?
