Operator: And we’ll take our next question from the line of David Windley with Jefferies.
David Windley : In OptumHealth as you have added or about to add behavioral and home, more substantial home care opportunities and have talked about those in the context of value-based care. I’m wondering what influence those have on the trajectory of revenue per member served? That’s already rising at a pretty rapid clip due to the full cap that you’re transitioning lives into. So the home and behavioral adds to that.
Andrew Witty : Yes. So I’m going to ask Dr. Wyatt Decker to make a couple of comments in a second on that. But maybe just before he does, and I think we don’t particularly break out what’s driving the elements of that kind of consumer served number. But you can imagine that the move to value-based care is a big driver of that. Now one of the pieces within the home platform, just to pick out one of the two areas you called out, David, is, of course, within there, you have a substantial amount of D-SNP population, right? So that particular part of the business helps us do a much better job of looking — giving a much better end-to-end wraparound care for complex folks often found in the D-SNP population. And of course, they represent a different type of revenue profile compared to more of a community patient.
So I just make that point. So within the home piece, it kind of a derivative phenomenon that home creates a capability, which allows us to serve D-SNP folks better. That, of course, is going to be an accelerator to the metric you were focused on. And maybe ask Wyatt to go a little deeper though, around how you’re bringing behavioral along as well as home please?
Wyatt Decker : Yes. Well, thank you, David, for the question. And it’s very timely. We view home health as one of the new frontiers of providing value-based healthcare because of the convenience it provides and the ability to access people, like dual special needs patients that often have very difficulty leaving their home to get care. So you will see us both developing if you will, the platform of home care increasingly in a comprehensive fashion, as well as integrating home care with our clinic-based care model. So it really creates two growth vehicles for us, if that makes sense. And similarly, with behavioral, as we’ve seen during the pandemic, the need for behavioral care is immense in the U.S. market. And our ability to embed behavioral healthcare services within our primary care and value-based care offerings has been differentiated and will continue to grow, as well as our utilization of virtual behavioral care solutions in both the home and clinic environments.
And so we’re pretty excited about how this is coming together, and we’re creating a differentiated offering that helps accelerate value-based care growth and provide that comprehensive care that people made.
Andrew Witty: Thanks, Wyatt. Next question please?
Operator: The next question comes from the line of Gary Taylor with Cowen.
Gary Taylor : Just looking for a couple of numbers. One, just going back to respiratory. Our recollection was maybe 4Q for you guys was about 30 basis points of MLR from respiratory. I know Brian said not meaningfully higher. So I’m assuming that means there is another 15 bps or 20 bps or something from respiratory this quarter. And then just secondly, on the investment gain, about $400 million above The Street, about a couple of hundred million above the ’23 guidance run rate. So just wondering, was there a realized gain in that quarter that’s kind of above recurring or how we should think about that number?
