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Our next question will come from Lance Wilkes of Bernstein. First and foremost, is the health and safety of our employees. And so that's -- we've run it that way for a long time. So how are you thinking about those? But in terms of the MLR, you're just saying, we still think that number is good relative to the EPS guidance or do you think it's higher or lower?It would still it would still be within the range. I'm curious if we could get a little bit more color on the sizing. The Company's updated guidance reflects the following:"Our increased earnings guidance for the full year demonstrates the strength of our business and our ability to navigate the pandemic while meeting the critical needs of our members, providers and state partners," said As previously announced, the Company will host a virtual investor meeting today, including a question-and-answer session. This is driven by an increase in pass through payments of $1.3 billion and $700 million due to actual membership and premium changes as we exited the first quarter. I appreciate the difficulty in modeling the Q1 MLR, HBR. Should we think right now with current guidance that second half is going to be in line with what we've seen in the first quarter or higher than that?
While we saw a minor effect of lower utilization in the first quarter's results, we expect to see a significant impact of shelter in place policies on utilization rates during the second quarter. But I can't say that other care will not return. And that's where the strength of our balance sheet comes in handy that we can -- we have the strength and wherewithal to work with them and yet get issues resolved.And can you just remind us from the last recession, I know that there is more actuarial soundness by a rate sell level, protection that came in, there is other Obama Care protections that came in. Virtual Investor Day CENTENE | 2020 INVESTOR DAY .

I just want to make sure that there weren't any other major differences that came up during the quarter that affected it, whether that would be a mix issue for more PDP lives in the WellCare book or some of the investments that you might have made in the quarter knowing that the volumes were going to be a little bit lighter going forward, just to help understand the delta again between consensus and what you were previously talking about?Yeah. Josh, I mean it's hard to bifurcate. We -- it's difficult to model when you have no prior experience. But in general, I think it's just process-related right now, meaning, I think the Medicaid review task force came out with recommendations and I think we've had one meeting with the states since then maybe. We didn't give really any guidance on the Q1 MLR. And then obviously, they had a lot of growth in the PDP business this year, and that's the highest MLR for the PDP businesses in Q1.
To an early question you talked about delays in the WellCare synergy capture. And operator, you may now open the line for questions.Thank you. And so that's where we were from our perspective. I just love to go through those items and kind of see which ones are kind of more this year versus maybe have an impact beyond 2020?Kevin, I'll start off. Webcast. Please proceed with your question.Thank you. I will tell you on the Medicaid piece, I would say, the large portion of that's in the Medicaid side because the eligibility redetermination is suspension, right?
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