Capitated Revenue Increase
Capitated revenue increased by roughly 6%, demonstrating the impact of clinical programs and utilization management efforts.
Operational Improvement Plan Success
Achieved over $100 million in EBITDA improvement year-over-year due to the embedded operational improvement plan.
Strategic Joint Venture
Moving forward with a joint venture that will add approximately 13,000 fully accretive ACO members, improving profitability and cash flow.
Provider Network Optimization
Rationalizing provider network to improve margin performance by exiting non-aligned groups and focusing on those where the Care Enablement Model delivers strong outcomes.
Tier 1 Provider Performance
Tier 1 providers performed 17.4% higher in closures compared to non-Tier 1 providers, demonstrating stronger documentation accuracy and quality performance.
Medical Margin Improvement
Medical margin for the quarter was $4.4 million or $13 PMPM compared to $500,000 or $1 PMPM in the prior period, indicating improvement.
Operating Expense Reduction
Operating expense for the quarter was reduced by $10.4 million or 33% compared to the prior year period.