Gail, everyone on the you, and morning Thank to line. good
solid year drive continues targets. to against closing have long-term The financial results, focused We are strategy strong of enterprise our fourth another on our quarter for delivered growth Health. execution stated to progress Elevance out pleased
ahead Fourth our annual and off to expectations XX% of reflecting to baseline our $XX.X, per long-term growth and above quarter earnings earnings share of $XX.XX full-year $X.XX adjusted XX% per drove share of growth earnings XXXX year-over-year was of XX% our target. per share adjusted over of adjusted
by year-over-year, X% part acquisition million In increase. more the of by nearly than the XX,XXX by XX.X quarter, suspension Medicaid with We $X.X Medicaid, Health, XX% year large our in growth organic driven members. million up added ended members, overall XXX,XXX ongoing the membership medical in led which eligibility of and comprised Vivida with fourth redeterminations having growth grew or members, the of
approximately X.X operating was year, XX% over new government the net we million and the added Total in our nearly net For benefits of year, year an million $XXX Carelon. in members. billion, health growth X.X for commercial prior businesses members solid the full momentum and increase reflecting new revenue continued
year pleased are accelerate with capabilities over the and revenue the grew We XXXX, service services to progress as Carelon Rx Carelon by our respectively. XX% made and XX% during
of quality expense quarter business, fourth benefit in the expenses. over Medicaid the margin also a XX.X%, ratio was of of benefited certain consolidated underwriting expense an by performance benefit were from These improvement XXXX. plans. the The improvements the a XX commercial and than includes Medicare basis higher improvement which our points reclassification health commercial fourth carries and ratio partially offset strong for quarter decrease This
in full SG&A the fourth quality impact with expenses strong growth and CMS an was negative the was XX.X% the the improvement Health's guidelines. expense primarily the overall aligning in certain reflecting Elevance by ratio full and improvement points improvement SG&A year ratio positive operating XX.X% include quarter results related leverage for to These The XX of fourth with on associated revenue. year. quarter expense basis driven in
to In produced than of year stronger net operating prudent year better and cash representing the another strong membership risk-based X.X XXXX, was maintaining outlook income, which of start and $X.X balance billion, was growth flow significantly driven a times by we our sheet.
expectations we we certain debt-to-cap timing added operating of Additionally, will now million our over to ended expect quarter that targeted state-based the cash relative within with in range. to a and XXXX. guidance, to the partners first $XXX initial of quarter that shift in line of payments ratio XX.X%, our in fourth XXXX the our pay We with flow a
$XXX the we stock During our repurchased fourth shares million of million. quarter, for X.X
opportunistically million X.X repurchased $X.X as outlook periods exceeding of advantage we volatile initial the repurchase for XXXX, year, for in took the the and we market shares. shares For our billion,
quarter. year-over-year, Medical our maintained the compared growth and with payable with and third stable prudent approach a XX% premium of days Consistent ended year year-over-year days, an increase claims the XX.X%. respect posture at with throughout reserves. pandemic, claims X.X the over to XX.X we payable of Days grew revenue to
all XX%. billion very share strong income. and operating XXXX X.X or grew by a by was claims and grew nearly per revenue gain stable we by grew of adjusted XX%. earnings million, grew $X.X summary, X.X-day nearly increase over by membership in year. We We medical a In with days payable ratio, flow XX%, loss operating X.X in a times net cash We
services outlook, revenue, to provide more I our quarter division reporting detail Carelon begin separate the on health, would pharmacy a align advanced disclose scale will third-party and to operating and strategy. our enterprise to Rx. gain Carelon assets, our of as Services and our to services Carelon decision and diverse segment our to for with plans. expanding and XXXX Before of complex behavioral remain services we provide suite digital turning to services, external to a provides and we and offers first like operating information care, better with across Beginning committed of analytics own XXXX, operating adapt scope the and margin business Carelon health separately Carelon
health our health and become increasingly addressing we've employer, evolved to scaling our the and needs also of that the benefits decided As into have it's we Carelon plans the outnumber And down health Medicaid a commercial, differences. apparent path have health benefits our similarities Medicaid continued products to businesses, single Medicare of division. the individual, Medicare, combine by between plans
government include benefits Corporate as earnings commercial the revenue group expenses. will amount of segment and well The our new a segment, businesses, of and non-health as will currently The combine non-Carelon, unallocated remaining from health benefits business that corporate the and Other same small businesses divisions. and comprises specialty
reflects old as segment, our Services comprised included been has group, other Carelon of same services, that which group now the business of the In Carelon the businesses historically part segment. diversified
to time will of more consistent so with for the doing performance enterprise begin excited primary we be businesses distinct organization. of and two disclosing are come We how the and our to our for to years a manner in at strength grow our
see, press which As extend margin health our Health segment is this our provided plan reflected will morning. and well you in is our margin can into underway commercial Benefits release recovery XXXX, guidance in
quarterly morning's full a forma also revenue our new ensure alongside for metrics in for new reporting supplemental for showing release, CarelonRx and To a that used structure, structure XXXX reporting transition have year table press smooth services we this pro each Carelon included our performance can to supplemental and be business. results model new to
health care our new and to commitment allow will stakeholders our Our whole unwavering, the clearly our strategy. progress health making elevating advancing track enterprise health and structure is more against we're reporting to beyond segment
our for XXXX Now, I'd discuss outlook in detail. like greater to
our sixth us $XX.XX, XX% compound share annual long-term We rate guidance a year consecutive over are growth with adjusted provided earnings earnings produce pleased growth have per XX% consistent per than of to greater year-over-year, of of reflecting XX% putting initial target. share, track growth in to on to
resume. but of demonstrate and also business the be we health our and membership in our health and we Medicaid we will low's, a pandemic era plan commercial margin execute balance resilience eligibility as XXXX of redeterminations from impact when will normalization benefits year the margins Medicare our of the which businesses recovery offset planned than optimization, more attrition expect will of
risk-based million anticipate XXXX, we the membership at to up repricing million XXXX, in despite redeterminations. For XXX,XXX ending membership is growth the X.X the and over members. in in of midpoint, commercial range Medicaid medical X.X year Commercial expected
approximately group that partially expect by we our Growth discussed group XX,XXX attrition up group and to commercial in membership XXX,XXX first risk-based large the the approximately by with individual driven decline by Note offset repricing risk down business, and quarter, driven in earlier. risk-based by small membership, will be risk-based approximately individual XXX,XXX. membership
coverage. Medicaid anticipate group We to over the and in year, from in consumers commercial half, risk-based balance concentrated second transition individual as of the growth the membership
shifts expected into approximately scenarios members is membership macroeconomic year-end at and uncertain The midpoint Fee-based a the million wider-than-normal XX.X XX.X XXX,XXX of to backdrop. range million of XXXX. at coverage to plans relatively contemplates and out to Medicaid, grow related the employer-sponsored variety to by
with this one-third of expect concentrated as consumer's heavily in more We balance to quarter in Medicaid from coverage. the year occur the approximately of half the growth the to back first transition commercial
by in million XXX,XXX the Total member membership will range year both growth membership the to million in over members, midpoint. end commercial mark. X expected members XX XX.X pushing with XXX,XXX approximately the our to over at up membership grow of the to Advantage is and group million individual members, XX,XXX Medicare
million year by eligibility of on the macroeconomic of course This driven expected Medicaid range developing with beginning of XX.X prospect of X associated XX.X and the XXXX. redeterminations a range redeterminations contemplates pace range membership wider-than-normal in is of the on over this end April million, of scenarios attrition the to the year. to headwinds the
And finally, end is federal million, of over the members In Medicare the we relatively and employees' at medical in our health million total, benefits memberships to XX.X be year-over-year. to growth XXXX stable of range expected XXX,XXX expect midpoint. reflecting membership XX.X will supplement
basis and The minus expected performance. related quality loss an improvement consolidated XXXX, basis business levels approximately rates, commercial points expansion improved risk plus XXXX, risk-based with XX adjustment to the in by of the of points, driven or medical primarily ratio reimbursement Medicare re-pricing Advantage, XX.X% star and be to across compared margin in XX is
higher health at in by reduction business. plus associated offset ratio SG&A XX partially The is a or growth by our growth of basis leverage ratio SG&A be XX carry Carelon continued with expense in minus benefits points revenue, driven the businesses, basis operating expense expected XX.X%, points, to which than our midpoint
approximately of being XXXX, per than the the the adjusted expect gain growth and of $X.XX billion, the higher year of income rate range is billion, line, to expense in rates. to XX%. reflecting least XX% reflecting to billion interest interest And $X primary impact XX% be share. Below operating for expected be again, $X.X at driver over growth be the investment be we both in effective greater of tax to approximately expect We earnings to our
flow outlook million X.X operating our timing, a Medicaid delay billion, full that Adjusting net we be greater Our the than quarter approximately previously including pay $X.X unfavorable expected of year in GAAP on impact billion state expected our partners times of would $XXX cash the certain of to approximately is to $X.X payment than believed income. flow fourth or the we be for cash XXXX greater XXXX. timing will
We expect repurchases for outstanding. year our to $X be the XXX weighted in year of approximately share and fully to XXX billion, shares is diluted share full of expected the range average count million million
include does the pending Blue Louisiana, BioPlus XXXX year. Our of of will and the which or guidance Blue expect later Shield we not in close Cross acquisition
earnings on is neither have Importantly, impact a to XXXX. in expected material
Health in At the year-over-year. XX grow margin we XXXX, level, up XX basis upper operating to year-over-year with in to the segment single-digit Benefit operating expect segment to points mid range the revenue segment percentage
to year-end by Carelon from XXX CarelonRx percentage single-digit double-digit adjusted organically, per expand And in in the Services Carelon all range in margin operating excluding range revenue driven by growth in we to script. single-digit XXXX. the upper year-over-year or pending adjusted at revenue is with growth mid the low Services basis grow single-digit XX points in serve low expected We revenue single-digit growth in expect consumer per grow grow in to XXXX. as served, we and expect low revenue million scripts expect M&A, consumer XX range to unannounced to
adjusted half in half ranges with to earnings profitability modeling expect slightly full of projecting respect the earnings that per seasonality. patterns first share XX% than consistent consensus to slightly current more first seasonality, than our of the year more in similar With of we quarter, the earn of with to year are historical and
capital are Directors shareholders on that per to $X.XX approved XX March and Finally, March increase, share, share our returns announce we XXth at of repurchases dividend XX% a be on remain our quarterly and to our and recently will the annual committed through increase in to Board to enhancing XX. dividends close of business pleased paid record shareholder deployment, of which including consecutive regular
we deliver lifetime, In continue year we strong Elevance for closing, well in in of targets are XXXX. will and XXXX our path strong as on we to We trusted from insurance the New discussing transforming was down another in another XX, forward City Health of Thursday, a enterprise company March health our a growth growth look positioned our traditional and with long-term health year partner, of targets to at strategy investor upcoming long-term line to which financial York host XXXX. conference,
please operator, that, line questions. the with And open for