CVS Health's Turnaround Defies Chaos Embracing Order

Navigating the Healthcare Labyrinth

Well well well look at CVS Health cleaning its room so to speak. It seems they've managed to pull themselves up by their bootstraps reporting earnings and revenue that have exceeded expectations. "'24 was a tough year," they say but "'25 righted the ship." Righting the ship eh? It's about time someone decided to stand up straight with their shoulders back and face the dragon of chaos. It appears they are making progress which is more than can be said for many in this… increasingly disordered world.

Strategic Restructuring: Facing the Dragon

They've done it by implementing what they are calling a "sweeping restructuring" cutting costs reshuffling leadership and exiting weaker markets. As I've said before you can't just sit there and expect things to get better. You have to take responsibility confront the chaos and impose order. It seems that David Joyner who stepped into the CEO role in late 2024 has started with the man in the mirror. Moreover it seems like these shifts could impact the average wealthy investor and their tax liabilities. The effects of these changes could impact their portfolios in unexpected ways further exemplifying the need for strategic planning as discussed in the article Blue Wave Rising Wealthy Face New Tax Raids.

Medicare Advantage: Aetna's Ascent

CVS is also focusing on its recovering Aetna insurance business particularly the privately run Medicare Advantage plans. They are aiming for target margins of 3% to 4% by 2028. The landscape of Medicare Advantage can be treacherous with higher than expected medical costs and shifting government policies. It requires vigilance and adaptability. One must stay alert and anticipate problems before they fully manifest to be successful in this realm.

TrumpRx and the Quest for Lower Drug Prices

Now here's a fascinating twist. CVS is accepting discount cards from President Trump's new direct to consumer platform TrumpRx. They share the goal of reducing costs and they see these lower prices as a starting point for further negotiations. Imagine that finding common ground with someone you might fundamentally disagree with. That's what happens when you focus on solving problems rather than indulging in ideological posturing. As I always say “to stand up straight with your shoulders back is to accept the terrible responsibility of life with eyes wide open.”

Oak Street Health: Improving Profitability Amidst Challenges

They are also working on improving the profitability of Oak Street Health closing 16 underperforming locations. Sometimes you have to prune the dead branches to allow the rest of the tree to flourish. This isn't easy but it's necessary. You can't be afraid to make difficult decisions if you want to achieve something meaningful.

Facing Elevated Trends with Prudence

Brian Newman offers a measured perspective stating "I don't think it's too early to assume anything other than a prudent outlook." Prudence my friends is a virtue often overlooked in our age of instant gratification and reckless abandon. But as CVS Health demonstrates a little bit of caution can go a long way in navigating the complexities of the healthcare industry. Sometimes the best thing you can do is aim low and be happy.