Demand Environment - The demand environment has shown some natural variability, which has become an expected aspect of the business over time [2] - There was a noticeable slowdown in volume growth during the second quarter compared to previous periods [2] - Medicare and Medicaid volumes were specifically highlighted as being weaker than anticipated at the beginning of the year [3] Volume Trends - The transition from Q1 to Q2 revealed key moving parts affecting volume trends, particularly in the Medicare and Medicaid sectors [3]