Bruce Caswell
Analyst · Jefferies. Your line is now live
Thank you, Rick, and good morning, everyone. While we have revised our revenue outlook for fiscal 2019 to reflect the issues Rick noted, we are seeing growth opportunities over the long-term. To capitalize on this, our strategic plan offers multiple paths forward through three key pillars. First is Digital Transformation or a cultural shift as we think about digital disruption within the government services market and new models for citizen engagement and operational efficiencies. Market-leading applications, advanced analytics and digital automation enhance our competitive position, enable new solution offerings and improve overall service delivery across our operations. Second, Clinical Evolution, as we see macro trends that drive demand for BPO services with a more clinical dimension, we maintain the foundation of our business, operating customer engagement centers and providing case management services. Third, Market Expansion, as we evaluate emerging markets, organically grow the portfolio and acquire capabilities and contracts to establish a foothold in these adjacent markets; we also consider our clients’ longer-term visions for reengineering their social programs and delivery models. We aim for expansion that is a natural complement to our core services globally. Today, I will focus my comments on both new work, as well as the expansion of our services in market adjacencies. With several new wins and a pipeline of developing opportunities in key markets, we are making meaningful progress on strategic execution as we offer integrated solutions across our geographies. We must, however, remain focused on winning work currently in our pipeline and reducing the levels of erosion on our existing portfolio. As I’ve previously discussed, we’re executing a technology transformation in our business and in the solutions, we provide our customers as part of our overall digital strategy. Fundamentally, to deliver digital solutions, we must also transform the platforms on which they are delivered, and the methods we employ to securely develop and operate these new solutions. So today, I want to start with our shift to a microservices architecture platform and the modernization efforts under way as we enhance our technology capabilities. We continue to make strategic investments to improve our competitiveness by modernizing the applications that underpin our core BPO services, while creating a modular set of new capabilities that can be deployed across our portfolio. Our evolution towards microservices means we can better organize our technology delivery around our business capabilities and more quickly respond to customer requirements. The microservices architecture allows a system to be divided into a number of smaller individual and independent services. Each service is flexible, robust, interchangeable and complete. This architecture means that our BPO services are extremely adaptable for use in multiple contexts. This is a key capability as our customers’ needs evolve and we work to drive organic growth in new adjacent markets. From a client perspective, since services can be selected and assembled in various combinations to satisfy specific user-requirements, we can vastly increase the speed with which we tailor our solutions. As a result, this will dramatically slash startup times to address clients’ unique needs with highly-configurable versus customized delivery. Microservices is not only changing the technology, but also our processes and methodologies. It enables the entire ecosystem to be faster, more adaptable and more responsive through strong standardization. This is a completely different and innovative model that merges business and technology. Such innovation is critical to successfully implement our strategic pillar of Digital Transformation. This shift supports growth beyond our current markets into adjacencies much more quickly, efficiently and effectively. We have also sought to build on the momentum of our assessments and appeals business, by turning our attention to broadening our clinical services capabilities. In 2013, MAXIMUS developed an adjacent solution to transform California’s approach to resolving disputes under its workers’ compensation program. Under the state’s reform efforts, MAXIMUS created a cost-effective, non-judicial Independent Medical Review, or IMR, to help control the cost of workers’ compensation premiums that are charged to employers. The new clinical IMR model replaced the previous labor-intensive process that had required opposing medical experts to present testimony to non-clinical judges, who then rendered decisions. The new model has produced dramatic results. California is saving more than $1 billion in related workers’ compensation medical costs every year. The state has seen a 42% decline in its advisory pure premium rates, from which insurer rates are derived since January 2015. Disputes about the medical treatment of injured workers are resolved in 10 days, down from an average of 231 days under the previous approach. And according to the state’s annual report, the total amount paid for opioid prescriptions tied to workers’ comp claims has decreased 80% since 2013. One of the factors in driving this decline includes independent medical reviews, which MAXIMUS performs. I’m very pleased to announce that as a result of the solution developed in California, we have further advanced this adjacency with the new award by the New York State Workers’ Compensation Board to serve as their utilization review contractor. MAXIMUS will perform independent medical reviews for New York’s workers’ compensation program, which is similar to our work in California. MAXIMUS is uniquely qualified to handle the highly variable volume of independent medical review requests and new drug formulary requirements under this program. We currently estimate a total contract value of $60 million for this five-year performance-based contract. As you may recall, our heritage in independent assessments, medical reviews and appeals started decades ago with our Medicare appeals work as a Qualified Independent Contractor or QIC. The federal team recently picked up a new contract to perform QIC appeals for Medicare Part B, Durable Medical Equipment or DME. The four-year performance-based contract has an estimated total contract value of $100 million. MAXIMUS will adjudicate the appeals of Part B DME claims, with an estimated 200,000 claims per year. Appeal adjudication includes technical benefit review, medical necessity review and pre-decision conferences with appellants. QIC Part B DME is the largest volume Medicare appeals contract. This adds to our existing Medicare appeals portfolio that includes Medicare Part A West, Part C and Part D. This win further demonstrates our ability to deliver an innovative solution and showcases our capability to handle large and complex volumes of appeals and assessments. You may recall that MAXIMUS previously supported the Department of Veterans Affairs’ Community Care Network or CCN program as a subcontractor. Under this program, veterans gain access to medical, dental and pharmacy services through licensed community healthcare providers. when they are otherwise unable to receive care through local VA medical centers. This program succeeded the earlier Veterans Choice Program, under which MAXIMUS also provided services. We have once again been tapped to support the CCN program as a subcontractor. Part of this work falls under the MISSION Act, which seeks to strengthen the nationwide VA Health Care System by empowering veterans with more healthcare options. The demands of the program require the assistance of a supplier with demonstrated expertise in customer engagement centers and program administration operations. Under our contract, we will provide services that include MISSION Act information support, authorization and medical documentation entry, and veteran provider and VA inquiry support regarding a veteran’s access to local providers. The current contract continues through January 1, 2020, and we are working towards a path supporting this program over the long term. Within our U.S. Health and Human Services segment, MAXIMUS is in the process of launching a new contract in Wisconsin called FoodShare Employment and Training, or FSET, for the Division of Medicaid services. The five-year award has a total contract value of $70 million. The program provides able-bodied adults without dependents on the SNAP program, with opportunities to develop skills, training and experience, so they can gain employment, avoid reliance on FoodShare benefits and meet federally mandated work requirements. Under the contract, MAXIMUS will provide tailored employment plans, case management services, business services, quality assurance, digital solutions, and finance and human resources fulfillment. As governments continue to see budget constraints with rising needs from beneficiaries, MAXIMUS remains a prime partner for our clients, to support long-term societal trends through efficient, effective and cost-conscious BPO service offerings. We anticipate additional integrated approaches, for which MAXIMUS is well-suited as governments seek to address emerging policy priorities like the social determinants of health that we discussed last quarter. Moving overseas to the United Kingdom, MAXIMUS was recently awarded contracts in Manchester and London for the Adult Education Budget. We will deliver a range of education and training services such as helping individuals gain qualifications, progress their education, access and sustain employment opportunities, as well as achieve career progression. These small but strategic wins, jointly place MAXIMUS as one of the largest skills providers for the AEB program in the United Kingdom. They also place us on the ground floor of devolved skills delivery in two of the most significant markets in the country and build upon our existing work and health program infrastructure in London. Moving on to new awards, for fiscal 2019, year-to-date signed awards were $1.8 billion of total contract value at June 30. During the third quarter of fiscal 2019, we were also notified of award on another $687 million worth of contracts that have not yet been signed. Let’s turn our attention to our pipeline of addressable sales opportunities. As a reminder, we modified our methodology at the beginning of the fiscal year to reflect the nature of the BPO business procurement cycle. The reported pipeline includes opportunities that we expect to see within the next two years and is measured on total contract value. Total contract value includes the base contract value specified within the contract and all priced options. Reporting on total contract value focuses our operations, business development and sales teams on long-term contracts and accordingly long-term value creation. Our total contract value pipeline at June 30 was $29.6 billion, compared to $21.9 billion reported in the second quarter. 68% of this is new work. Our Contact Center Operations or CCO contract, that was acquired in November, was added to the pipeline during the third quarter. This is the largest contract in our portfolio and represents approximately $5 billion of the sequential pipeline increase. We currently expect the RFP in June of 2021, and this rebid is one of our priorities. An integral part of returning the company to organic growth is converting our pipeline of addressable new sales opportunities into awards. Within our control are our efforts at marketing and shaping the opportunities, strategic partnering and teaming, and delivering a compelling and winning proposal. As I noted last quarter, as we expand our pipeline to include new customer departments and agencies, we don’t expect to maintain historical win rates. But we are pleased with the volume of opportunities we are seeing and hopeful that factors outside of our control, such as procurement process decisions and protests, will keep opportunities moving toward adjudication. As part of our approach, we also continue to invest and expand our business development resources, as well as other areas that provide meaningful support to winning new work. In closing, this quarter, we continued to see evidence that governments require much-needed support from organizations like MAXIMUS. As budgets challenge government and new policy priorities merge, MAXIMUS continues to evolve to meet the demands of our clients by offering effective and efficient services, increasingly underpinned by digital solutions delivered through new technology platforms. The teams are focused on executing our strategic market-plan, as seen by our new wins, and impressively, our expansion into adjacencies. We are building upon our operational strength, providing clinical services to new customers and enhancing our technology platform to enable new digital solutions. We are winning new work and further developing our pipeline. MAXIMUS is an integral partner for our customers as they shape policy and subsequent program design to address long-term macro trends, reflecting aging populations, labor skills and demand asymmetry, public health priorities and the integration of historically siloed employment and health programs. We remain focused on delivering solid operational execution, which in turn provides strong cash generation, best positioning us to respond to these emerging market opportunities. And with that, we will open up the line for Q&A. Operator?