Bruce on everyone. year and billion I will creation date for quarter made an line value business you, performance and our morning plan. provide details, including update Thank on our full to first our of results, the outlook $X progress good
expected update to pending use the businesses. capital hospice quarter. trends we earnings across to will in continue we’ve interest divestiture utilization our on business. some early results or our nature primarily due positive, in adjusted in we as and performing in slightly driven weeks. admissions faster and COVID it is costs, evaluate was to an planned provide Finally, and strong lower-than-anticipated pharmacy business raise would not need Inpatient which Kindred’s, per favorable lines at guidance care will share surges are majority to too proceeds contributing All slower other XXXX we and reported Medicare particular. in our of medical further this businesses outperformance from the during monitor and as cost seen rebounds of of utilization decline personal quarter to further rebound of the in coming $X.XX fully I first and deployment, by in our previous commercial Today, a admissions stage Typically, is non-COVID including than administrative of timing how
XX% However, of are given drivers results. $X.XX growth actual year XXXX we raising approximately guidance the main our representing quarter our first nearly our outperformance, $XX.XX, full by to over
in of in and anticipate XX% time, impact estimated this respect later of to continues guide emerge revised at quarterly hospice earnings I year. of be the it net conservatism this With earnings the to to also segment, seasonality, as this beginning full provide percentage to to cover performance care low COVID-related and headwind on reiterate, quarter interest our divesting to the $X impacted will development that to Importantly, the timing now businesses COVID should continue the want of however, anticipates we quarter XXs. by personal expect continue dynamics. a to Kindred earnings with second our We on quarterly should first ongoing details Retail additional investors that, by be will With year segment. estimates our focus
we Bruce continue estimates. previous expect remainder individual slightly If better trends our Advantage period our discussed, than for enrollment of Medicare these of As growth open trended the the results year, to of of year-over-year. Advantage expectations midpoint line the current Revenue XXX,XXX guidance XXX,XXX X% above up with to in PMPMs the was individual for slightly with Medicare range members. our be quarter
be range yield high the full single-digit expect our to continue in to for year. the We PMPM
lower-than-anticipated in expectations costs the and higher projected to development. largely in utilization line first Advantage than costs quarter. our trend, period medical prior total lower Medicare ran unit by experienced favorable with offset We claims inpatient in Turning inpatient business
unit saw prior the XXXX fourth for development, period inpatient cost and we than As it anticipated. restate higher quarter of respects
under As as whereas XXXX for unit Omicron to meaningful XX% on in with the additional admissions COVID increasing emergency the non-COVID higher with payment initial average claims restated hospitalizations COVID a the admission, diagnosis of to represented hospitalizations the that not XX% admitting December received, wave, health were XX% admission a we non-COVID Delta reason incidental reflected total of an and public the Medicare is These request admissions incur in it average during a even restated in a the XX% COVID resulting cost XX% costs. admission. to wave any and condition. occurring Recall the authorization COVID increase when
need variant. quickly We our monitor inpatient trends Delta lowest in inpatient admissions inpatient higher rebound cost it and With historically, quarter, net XXXX seen seen before We thousand quarter unit did per per than expected costs with towards for year. as respect X.X reducing rates approximately running in not thousand, year quarter will utilization quarter Non-COVID rebound fourth rise the quickly to inpatient to to the the consistent current the unit resulting resulting levels. COVID admissions first at of considered overall the to January although in continue throughout just COVID we favorability admissions utilization, XXXX declined began ending COVID generally in and then costs of June since first admissions expectations. positivity the level at XX we’ve as continues more peaked the estimates, have
until into shared, claims As trends are limited received. visibility we have non-inpatient previously
we first point quarter with line Advantage results expect MA basis is utilization expectations. XX the and early in All of pretax our customary, in individual are continue is so previous non-inpatient in XXXX. performance a our as in, Medicare margin improvement pleased our to business assume And with
to COVID, an our about much we on estimates. shared, have baseline levels of COVID of of evaluate relative to impacts Provided impact our low, will be long-term members. mortality including previously the Medicare further the remain opportunity morbidity as learned However, remains trends higher the to
Walmart Moving to are due premier terminations lower favorable sales tracking trends in PDP, membership and plan. in the plan to higher voluntary the Value
to our members. down members versus XXX,XXX XXX,XXX have we year updated result, full our projection down a previous guidance As of
to continue approximately product Advantage members to we addition, Medicare In move to this PDP year. expect Humana XX,XXX a
team in full contract which Ohio We is implementation, occur well actively COVID performed preparing quarter, first the later costs. to business to a the range experiencing for lower-than-expected guidance our Medicaid The the year. expect we Our this Medicaid health public a updated down XX,XXX the down to to of of mid-July. year XXX,XXX Medicaid range emergency reflect to XX,XXX XX,XXX of extension to from membership
a the We notification and announced the that quarter now we that the rescore Department Humana its intent strength state contract previously given to addition, In receive in score Louisiana a to of in pleased again once anticipated will serve offering. to to optimistic were award beneficiaries. with first RFPs the well we our expect the Health we May, late are submitted decision Medicaid
back program group medical experienced We were continue Group utilization Medicare with and The slightly due of proud to ongoing in business, to footprint contributing admissions, and incorporate favorable in segment what our similar the insured specialty Medicaid taken The than very of by our attrition anticipated. positive resulted COVID to half business medical growing the fewer results be offset originally growth partially membership and favorable to in costs results. we group success fully expected rating to Specialty experienced businesses XXXX organically. higher our inpatient slightly the slightly COVID actions losses. higher-than-expected
to continues run Medicare extent To the plan to outperformed continues, as particularly Advantage pricing than in dental utilization services business we to for this expected. XXXX specialty reduce lower utilization, Our accordingly. business also dental our lower
a Healthcare start the had Our segment Services to strong year.
order rates in although mail throughout fill. penetration course and order penetration, favorable to persist drug lower year. the As the expectations, currently the previously outperformed expect due mix over previous favorability costs lower by estimates year, to mentioned, our with moderation driven We increases higher-than-expected unit as business of contemplated increasing the some to our pharmacy meaningfully mail underlying cost
XXX to success Advantage our first individual members penetration Our of a drive mail point home Medicare in are increased services our delivery utilizing demonstrating order quarter, XX% year-over-year. efforts with the basis increase
also more who in strong to year. disenrolled, start retained Pharmacy’s frequently to the XXXX delivery services, than used Medicare As contributing nearly members Bruce X% mentioned, Humana the Advantage members home
full the of billion healthcare in our of estimated previous to the $X.XXX have to the also $X.XXX As year million personal time, updated of we timing in expense Kindred not hospice This impact billion. contemplates or as guidance EBITDA business, to depending the by XX% interest the year. care to could outperformance we a adjusted our later EBITDA adjustment on revenue range have businesses billion $X.XXX increased the divesting transaction pharmacy $XX this services guidance of operating this of from the result At $X.XXX impact vary the and seen billion close. points
Turning to the are quarter issued X.X% our home. are morning, X.X% for and admissions health first Episodic expectations. admissions year-over-year, Beginning with with largely this consistent total total home our business. episodic up release up disclosed year-over-year, we admissions while
expect For full we continue up mid-single be to health to the year, digits. home admissions
also model. value-based proprietary provided regarding health covered home our detail members by We
to improve at membership home sustainably and continue our Carolina closely of position as business for and expect and Within for the support it of to be be We to levels, we beginning supported growth. staffing continues continue patient North spend additional June. outcomes. deliver home industry to end members Virginia of XX and further XX% reductions nurses including will health Advantage of broadly, model with approximately Medicare monitor years, improving XX to clinical markets, as the admission within overall expect to retention believe capacity investments Advantage recruitment home targeted mid-double-digit by we in the Medicare implementation labor X this concern we a our trends and nursing maturity XX% year-end XXXX at health shortage to reductions infusion health of and months value-based to to our of mid-single-digit and while expand DME the The making model
on by insufficient impacted focused capacity. markets We are been has growth particularly negatively nursing where
We recruiting reduction March are nurse as X% to voluntary efforts, the to as the including well turnover a first return attributed from in quarter seeing face-to-face recruiting. positive our improved in results in full-time
hospice performed encouraged recruiting work we the the nursing access referrals improvement capacity, done. to business total business in negatively with more on-call nursing in winter staff in by investments acknowledge much be and are the well are voluntary there fueled impacted in seeing the X% by increased sources, mainly The that turnover, dedicated in admissions year. but the is to We improvement up general and in year-over-year, to a led by prior expand of clinical facility-based missions form storms quarter
new centers our joint opened reflects a owned, which quarter. enhanced our remain include centers, all XXXX under the to Turning with breakout MSO. since by venture, line for We in by organization. which disclosures venture Carson includes primary of novo, to clinics Results in our expectations all primary care de care not patients joint Conviva our IPA, Welsh Carson served representing Welsh and wholly the
We our also business. driver represents Medicare to metrics and by is this only model patient payment covered the focus include primary patients SERD as value-based our updated a growth for the
under progression. by and quarter XX in XX identify in panel As engagement the a and engagement centers, XX% while can planning. also disease value-based arrangements XXX,XXX novo Medicare our an de We centers first serving increase XXX% in year-over-year. March These in since opened patient primarily patients of March driving X,XXX on five to patients owned grew and operate in centers We XX, focused X,XXX de XXX quarter and supporting first wholly arrangements, identified patients’ are supports operate new which served. Medicare and increase a patients This and representing we early begin patients Texas. year-over-year, We our to our we ensure growth centers, slow additional arrangements. care are needs XXX,XXX in ability paneled XX,XXX operate XXXX, IPA a total Florida the membership serving of XXX value-based centers, novo
our financial March approximately Medicare patients of to centers served supported improving clinical on and these by organic have including grow and two-thirds Texas-based with contracts. this patients of one-third to due acquisitions patient XX% XX focused under by and XX,XXX on proprietary inorganically also practices are by organically to continuing and served we XXXX, and workflow center owned wholly DCE model focusing multi-disciplined growth, Since count our We and attributed growth care senior-focused, by analytics. or care approximately increased Florida technology while outcomes leveraging primary
centers, improvement pleased As we average XX are performance X,XXX of targeted our Advantage are owned the contribution risk report have Medicare of monitor patients. or to greater our wholly $X an panel million that of and continued EBITDA we producing size
Additionally, are owned to this centers last of at year. compared time positive XX wholly EBITDA our XX%
of like value Finally, $X billion creation our some progress. I add on plan, recent Bruce’s would to to commentary highlighting our
We We and initiatives at moves starting execute development design the gained are the through of million finally, sizing, phase. approximately valued pleased now realization across savings. that as initiative we’re initiatives in and stages, followed tracking by stages and with design of and execution; $XXX various discrete ideation, are confidence each
continue to was in of contemplated back believe half be of that initiatives initial the our We in the guidance. which will majority implemented XXXX,
receive Our upon capacity well quarter additional will management that expenses billion savings perspective, a otherwise remain the in updates continue hospice to we closing year. later the in throughout accelerated ability investment actions to first $X.X reflect goal, this deployment From fund XXXX, we in expect our confident to in transaction. We of and cash approximately the Kindred we year our to expected as timing-related administrative as proceeds progress on in capital share pending part lower-than-expected creating achieve our some variances.
in to intend hospice Humana week, XX%. our last $X repayment for back billion enterprise billion billion As as $X.X towards debt to the value. of and the made $XXX approximately up repayment to $X.X proceeds deleverage hospice of of of the billion. from use is We equity we look target the The reflective to Kindred is value shared majority related proceeds Kindred approximately the XX% debt of of million, of $X.X
continue we plan level share disclosed, in previously as to XXXX. addition, repurchase for customary of a In
be ratio XX% approximately capitalization of at to debt the the year. our to expect end We
believe continue to and we non-coding in of is demonstrating I closing, we trends our a again the is including with quarter year Before items to positive strong conservatism to fully our businesses performance, that which cost would trends, all inpatient assess unit we supporting had it COVID guidance. continue monitor to allow ‘XX positivity raise. are COVID guidance reiterate to rate why utilization There full number need fundamentals for a will of prudent
our to our made Healthcare for to further questions. our the ask caller. expansion our capabilities, to value the business up growth question. in progress we for we Finally, waiting on creating goal In Services you investment first Medicare that earnings those creation our limit open the achieve plan ability target still delivering XXXX. date fairness in and one remain in we with the introduce will the on and please lines are queue, that, your Operator, while to Advantage capacity long-term confident pleased With in of yourself
