Financial Data and Key Metrics Changes - In Q4 2025, CVS Health reported adjusted operating income of $2.6 billion and adjusted earnings per share (EPS) of $1.09, with full-year adjusted EPS of $6.75 and operating cash flow of $10.6 billion, exceeding initial expectations by approximately 15% [5][6][24]. - Full-year revenue for 2025 was over $400 billion, with Q4 revenue exceeding $105 billion, an increase of over 8% year-over-year [23][24]. Business Line Data and Key Metrics Changes - The healthcare benefits segment generated over $36 billion in revenue for Q4, a 10% increase year-over-year, but reported an adjusted operating loss of $676 million due to changes in the Medicare Part D program [25][26]. - The health services segment saw revenues of over $51 billion, a 9% increase year-over-year, with adjusted operating income of approximately $1.9 billion [28]. - The pharmacy and consumer wellness segment generated nearly $38 billion in revenue, a 12% increase year-over-year, with same-store pharmacy sales growing over 19% [29][30]. Market Data and Key Metrics Changes - The company ended 2025 with approximately 26.6 million medical members, a slight decline from the previous year, primarily due to losses in individual exchange and government businesses [25][26]. - Aetna received the inaugural Press Ganey Health Plan of the Year award, recognizing its high-quality offerings and technological innovation [7]. Company Strategy and Development Direction - CVS Health aims to simplify the healthcare experience and make it more affordable, with a commitment to becoming America's most trusted healthcare company [5]. - The company is focused on improving margins in its Medicare business while advocating for better funding to ensure adequate access for seniors [8][40]. - CVS Health is committed to leveraging its diversified business model to unlock earnings power and drive shareholder value [6][21]. Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's momentum entering 2026, expecting another strong year of progress despite elevated medical cost trends [33][34]. - The company remains focused on addressing the challenges of cost, complexity, and fragmentation in the U.S. healthcare system [15][21]. Other Important Information - CVS Health's pharmacy businesses are adapting to regulatory changes while maintaining durable margins, emphasizing the importance of transparency and competition in the pharmaceutical supply chain [12][19]. - The company has successfully transitioned to a cost-based reimbursement model, enhancing transparency and stability in the pharmacy market [14][31]. Q&A Session Questions and Answers Question: Impact of Medicare Advantage rates on margins - Management acknowledged the Advanced Rate Notice's impact on Aetna but remains committed to improving Medicare Advantage margins and believes the business is well-positioned despite the preliminary rates [37][39][45]. Question: Regulatory impact on PBM negotiations - Management indicated that while they cannot discuss specifics regarding the FTC, they believe the PBM value remains intact and that they are prepared for upcoming regulatory changes [51][53]. Question: Medicaid rates and expectations for 2026 - Management reported that the Medicaid business is performing in line with expectations and emphasized ongoing advocacy for adequate rates while maintaining operational excellence [72][74].

Financial Data and Key Metrics Changes - In Q4 2025, CVS Health reported adjusted operating income of $2.6 billion and adjusted earnings per share (EPS) of $1.09, with full year adjusted EPS of $6.75 and operating cash flow of $10.6 billion, exceeding initial expectations by approximately 15% [4][5][24] - Full year revenue for 2025 was over $400 billion, with Q4 revenue exceeding $105 billion, an increase of over 8% year-over-year [23][24] Business Line Data and Key Metrics Changes - The healthcare benefits segment generated over $36 billion in revenue for Q4, a 10% increase year-over-year, but reported an adjusted operating loss of $676 million due to changes in the Medicare Part D program [25][26] - The health services segment saw revenues of over $51 billion, a 9% year-over-year increase, with adjusted operating income of approximately $1.9 billion [28] - The pharmacy and consumer wellness segment generated nearly $38 billion in revenue, a 12% increase year-over-year, with same-store pharmacy sales growing over 19% [30][31] Market Data and Key Metrics Changes - The company ended 2025 with approximately 26.6 million medical members, a slight decline from the previous year, primarily due to losses in individual exchange and government businesses [25] - The Medical Benefit Ratio (MBR) for Q4 was 94.8%, consistent with the prior year, but impacted by elevated medical cost trends [26] Company Strategy and Development Direction - CVS Health aims to simplify the healthcare experience and improve affordability, with a commitment to becoming America's most trusted healthcare company [4][5] - The company is focused on improving margins in its Medicare business while advocating for better funding in the Medicare Advantage program [6][7] - CVS Health is leveraging its integrated capabilities across Aetna, Caremark, and CVS Specialty to enhance consumer engagement and drive cost savings [16][18] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's momentum entering 2026, expecting another year of meaningful progress despite elevated medical cost trends [33][34] - The company remains committed to its long-term earnings growth targets, with a reaffirmation of 2026 adjusted EPS guidance in the range of $7-$7.20 [5][34] Other Important Information - CVS Health's Aetna business received the inaugural Press Ganey Health Plan of the Year award, recognizing its high-quality offerings and technological innovation [6] - The company has successfully transitioned to a cost-based reimbursement model, enhancing transparency in the pharmacy market [14] Q&A Session Summary Question: Impact of Medicare Advantage rates on margins - Management acknowledged the Advanced Rate Notice's impact on Aetna but remains committed to improving Medicare Advantage margins and does not foresee a significant impact on long-term guidance [40][42] Question: Regulatory impacts on PBM negotiations - Management indicated that while they cannot discuss specifics due to ongoing conversations with the FTC, they believe the PBM value remains intact and that they are well-positioned to adapt to regulatory changes [50][52] Question: Drivers behind medical membership changes - Management noted that commercial membership has reached its highest level in a decade, driven by better retention and innovative products, while the self-funded business continues to grow [67][70] Question: Medicaid rates and expectations for 2026 - Management reported that the Medicaid business is performing in line with expectations, with a focus on maintaining adequate rates and providing clinical excellence [73][75]