Financial Data and Key Metrics Changes - The company has seen a significant increase in membership, with over 100 million members now having access to its services, reflecting a 12% year-over-year growth in members in Q1 [20][23] - The transition from subscription-based models to utilization-based models has created a headwind for top-line growth, although underlying utilization and visits are growing [48][50] Business Line Data and Key Metrics Changes - The integrated care business has over 1 million people enrolled in chronic condition management programs, with a focus on enhancing offerings to drive more value for clients [10][14] - BetterHelp, the direct-to-consumer virtual therapy business, has a significant drop-off rate, with over 80% of users not converting to active users due to high out-of-pocket costs [35][37] Market Data and Key Metrics Changes - The international market represents about 15% of the revenues of integrated care, with expectations to grow upwards of 50% over the next few years [16] - Utilization levels in the U.S. are still in the mid to high single digits, indicating substantial room for growth in engagement and usage [29] Company Strategy and Development Direction - The company is focused on four strategic areas: integrated care, international expansion, operational excellence, and enhancing mental health services [9][19] - There is a strong emphasis on leveraging technology and data to improve engagement and drive better health outcomes, particularly in chronic care and mental health [12][60] Management's Comments on Operating Environment and Future Outlook - Management acknowledges the challenges posed by the shift from subscription to utilization models but remains optimistic about the growth potential in both domestic and international markets [48][50] - The company is committed to creating efficiencies while also investing in technology and capabilities to enhance service delivery [74][75] Other Important Information - The company has made strategic acquisitions, such as Catapult and Uplift, to enhance its capabilities in insurance coverage and chronic care management [61][62] - Adjusted EBITDA margins have remained flat year-over-year, with ongoing efforts to streamline costs and improve productivity [70][71] Q&A Session Summary Question: How does the company plan to grow revenue per integrated care member? - Management indicated that they are focused on a "land and expand" strategy, starting with core telehealth services and expanding into additional products and services [23][24] Question: What is the current mix between subscription and visit-based models? - The majority of the business has shifted to visit-based models post-pandemic, although the exact mix has not been publicly shared [50][51] Question: How does the company plan to maintain its leadership position in chronic disease management? - Management emphasized the importance of innovation and leveraging their extensive data and clinical capabilities to provide greater value than competitors [58][59]