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CEO Pete Anevski stated that Progyny has not heard from clinic partners that GLP-1s or PGT-A testing are driving the recent consumption patterns, though he noted some clinics had observed lighter egg-freezing utilization. CFO Mark Livingston confirmed a shift in guidance philosophy, explaining they are now incorporating a greater emphasis on potential variability and relying less on the most current data points.

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CEO Seth Blackley stated the issue is concentrated within a 'handful of clients' with whom Evolent has deep, long-term relationships, and he anticipates a rapid resolution. While acknowledging the need for prudence, Blackley affirmed that market demand remains high, and the company will continue to pursue growth with heightened scrutiny on contract terms, balancing opportunity with risk.

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CEO Jeff Tangney attributed record physician engagement to all-time highs in news feed article reads and workflow tool usage, with AI tools being the fastest-growing component. CFO Anna Bryson added that client engagement with the portal is also driving growth, as brands with portal access are growing faster than the overall business. Mr. Tangney concluded that the portal reduces friction for clients, giving them on-demand access to performance data and ROI insights.

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Interim CEO Scott Wagner explained that the guided 20% growth rate for Q4 represents a steady and accelerating run rate, up from mid-single-digits in previous quarters. He emphasized that the company's focus on cash, co-pay, and access solutions is gaining consistent traction with brand manufacturers.

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CEO Ken Burdick stated that the 'excess capacity' was new information and not something LifeStance has observed, attributing their growth to the recruiting team's efforts. He confirmed the company is actively piloting AI and machine learning tools to reduce administrative tasks like note-taking, viewing it as a key part of their strategy to create a more positive and supportive environment for clinicians.

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CEO Matthew Hawkins explained that the rapid onboarding period yielded significant learnings in process automation and project management, which strengthens their competitive advantage and client referenceability. CFO Steven Oreskovich clarified that the growth in clients with over $100k in revenue was a healthy mix of both existing client cross-sales and faster-than-usual revenue from newly onboarded clients.

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CEO Bob Mauch detailed that Cencora targets specialty areas with strong growth, innovation, and a significant Part B drug component. He noted that while oncology is core, retina has long been a leadership area for the company, and RCA's best-in-class clinical and research capabilities made it an attractive acquisition.

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CEO Michael Alkire confirmed a significant focus on technology investment in the supply chain, highlighting e-invoicing and e-payables capabilities to identify new contract opportunities and technology that helps health systems manage price parity. Regarding distributors, he explained that Premier works closely with them, viewing them as important partners whose private-label products are often on Premier's contracts. He noted the relationship is collaborative, leveraging distributor scale in areas like food programs and non-acute care.

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CFO Jonathan Leon confirmed the company still expects positive free cash flow for the year, with a much stronger Q4 anticipated. He explained that Q3 was expectedly soft due to a planned inventory build but that cash flow was still sufficient to pay down significant debt. He stated that working capital initiatives are progressing as expected, with results expected to be more visible by year-end.

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CEO Jason Hollar expressed confidence, stating that both political parties generally support affordable healthcare access, which drives utilization and benefits their business. While acknowledging that tariffs could raise costs, he noted significant uncertainty remains. He concluded that Cardinal Health is well-positioned with strong momentum to work with any administration.

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Chief Executive Officer Chuck Divita emphasized that BetterHelp will remain primarily a direct-to-consumer business, with the payer integration initiative being a methodical, measured approach to allow consumers to use their benefits. He noted that internal capabilities are being built and discussions with select health plans have begun. Regarding competition, Divita and Chief Financial Officer Mala Murthy highlighted Teladoc's scale as a key differentiator that is difficult for competitors to match, which fuels its land-and-expand strategy and continued membership growth.

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CEO Chuck Divita emphasized that BetterHelp's primary focus remains direct-to-consumer, but the initiative to allow benefit coverage is progressing with a measured approach. Regarding competition, he highlighted Teladoc's scale as a key differentiator. CFO Mala Murthy added that strong membership growth fuels their 'land-and-expand' strategy for cross-selling additional products.

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CFO Nchacha Etta described cost control as an ongoing part of the company culture, focused on driving operational efficiencies across all areas. Executive Kathleen Nemeth cited the wind-down of a European operation as a specific example. CEO Randall Lipps noted an emerging trend of consolidated service centers, where Omnicell's robotics can drive significant efficiencies for large health systems managing multiple hospitals.

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CEO Adam Schechter acknowledged some pricing pressure in Early Development due to underutilized capacity but noted this is partially offset for customers by lower NHP pass-through costs. In Central Labs, long-term agreements provide stability. He stated the overall book-to-bill of 1.02 remains healthy for continued growth, with solid orders and consistent win rates, though he cautioned that quarterly book-to-bill figures can be volatile due to tough or easy comparators.

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CEO Robert Frist expressed confidence in the health plan channel, stating that HealthStream's efficient solutions are well-positioned even if payers face cost pressures. Regarding product messaging, he explained that the company is currently focusing on demonstrating value at the individual product level. He anticipates presenting a more cohesive "suite of suites" message in the second half of next year as the interoperability between applications becomes more tangible for customers.

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CEO Jim Davis agreed that as MA plans face profit pressures, there is a strong incentive for them to direct testing volume to high-quality, lower-cost providers like Quest. He stated that the company welcomes the opportunity to work with MA plans to shift volume from higher-priced out-of-network labs, suggesting a potential for accelerated adoption.

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CEO Tim Wentworth highlighted growth initiatives like pharma services and go-direct partnerships as key to margin expansion. President of U.S. Healthcare Mary Langowski added that the focus is on growing core assets like specialty pharmacy, Shields, and data analytics. She stated that Jason's B2B experience is critical for driving commercialization and developing new services for payer and pharma clients.

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CEO Tim Wentworth and President of U.S. Healthcare Mary Langowski explained that margin expansion involves disciplined growth in core assets like specialty pharmacy and Shields, as well as developing new services for payers and pharma companies. They highlighted that the new CCO, Jason, with his experience from CVS and Optum, is critical for driving a focused commercialization strategy and building B2B partnerships, signaling a clear intent to grow these new revenue streams.

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CEO Tim Wentworth affirmed a strong belief in value-based care, positioning pharmacy as a core component. Mary Langowski, President of U.S. Healthcare, clarified that while WBA will stop investing in owned primary care clinics, it will remain a partner and investor in VillageMD. The forward strategy is to invest in capital-light services and partner broadly with providers, payers, and pharma, leveraging Walgreens' unique patient reach and engagement.

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CEO Tim Wentworth affirmed a strong belief in value-based care, positioning pharmacy itself as a core value-based provider. President of U.S. Healthcare Mary Langowski elaborated that the strategy is shifting to capital-light services, partnering with providers and payers rather than owning brick-and-mortar primary care. She confirmed WBA will remain an investor and partner to VillageMD but will focus on leveraging its own unique assets like patient reach and engagement.

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Executive Balaji Gandhi highlighted that the larger value of new deals, which are about 20% bigger than a year ago, is a key driver that will flow through to future revenue per client. He also stated that the company's go-to-market strategy and the size composition of its client base have remained consistent, and he did not signal any further significant client off-boarding.

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