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CLAIM #18464 · CVS Health Corp (CVS) · 2024Q3 earnings call · Nov 6, 2024 · due Dec 31, 2025

We expect that those changes are going to drive margin expansion

Tom Cowhey · CFO

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versus commitment · official band 5 percent
Committed
We expect that those changes are going to drive margin expansion
Reported
delivering a year-over-year adjusted operating income improvement of over $2.6 billion

In context

racts that we have that are now going to be four stars or better for 2025 payment year, that’s going to be about an $800 million headwind, no matter what the baseline is--or excuse me, tailwind - I keep doing that. It used to be a headwind, and now it’s going to be a tailwind next year. On the individual blocks of business, we have made deliberate benefit design changes to supplemental benefits which will fundamentally change how these benefits function in 2025, which will also improve margins. Finally, we’ve both exited underperforming counties and we’ve pulled underperforming products that will impact nearly half a million members. Those changes should also improve profitability in ’25 as many of those members will chose newly designed products that will have an improved margin profile. We expect that those changes are going to drive margin expansion, and when we have a better understanding of what that membership mix looks like for 2025 as well as our ’24 baseline, we’ll be able to better provide specifics on the level of anticipated improvement next year. David Joyner: Lisa, this is David. Maybe just one additional follow-on here. I think one is we are feeling very good about the improvements that we’ve made going into ’25, so recognizing obviously the challenge in ’24, we believe we’ve made the appropriate course correction. Then as it relates to pharmacy, which was your last question, I think this is the unique opportunity at this enterprise. The goal here is not to be surprised, especially as it relates to pharmacy costs. We think we’ve anticipated and contemplated the changes both at IRA as well as the broader macro trends that

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SEC filings for CVS · Claim quote is verbatim from the 2024Q3 earnings call.