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Operator
Hello, and thank you for standing by. At this time, I would like to welcome everyone to the MediaAlpha Inc., first-quarter 2024 earnings call. (Operator Instructions) I would now like to turn the conference over to Alex Liloia. Please go ahead.
Alex Liloia - Investor Relations
Thank you, Jericho. After the market closed today, MediaAlpha issued a press release and shareholder letter announcing results for the first quarter ended March 31, 2024. These documents are available in the investors section of our website, and we will be referring to them on this call.
Our discussion today, will include forward-looking statements about MediaAlpha's business and outlook for future financial results, including its financial guidance for the second quarter of 2024, which are based on assumptions, forecasts, expectations, and information currently available to management.
These forward-looking statements are subject to risks and uncertainties that could cause future results or events to differ materially from those reflected in those statements. Please refer to the company's SEC filings, including its annual report on Form 10-K and its quarterly reports on Form 10-Q for a fuller explanation of those risks and uncertainties, and the limits applicable to forward-looking statements.
These forward-looking statements are based on assumptions as of today, May 1, 2024, and the company undertakes no obligation to revise or update them. In addition on today's call, we will be referring to certain actual and projected financial metrics of MediaAlpha that are presented on a non-GAAP basis, including adjusted EBITDA and contribution, which represented in order to supplement your understanding and assessment of our financial performance.
Non-GAAP measures should not be considered as a substitute for or superior to financial measures calculated in accordance with GAAP. Reconciliations of these non-GAAP measures to the most directly comparable GAAP measures are included in our press release and shareholder letter issued today.
Finally, I would like to remind everyone that this call is being recorded and will be made available for replay via a link on the investors section of the company's website at investors.medialpha.com. Now I'll turn the call over to Steve and Pat for a few introductory remarks before opening the call to your questions.
Steven Yi - Chief Executive Officer and Co-Founder
Hi, thanks, Alex. Hi, everyone. Welcome to our first quarter 2024 earnings call. I'd like to make a few comments before turning the call over to our CFO, Pat Thompson for his remarks. We've had an outstanding start to the year. Our first quarter results exceeded the high end of our guidance ranges across the board as we saw increasingly strong step-up in marketing investment by our P&C carrier partners during the back half of the quarter. We're confident that we're now firmly in the middle of an auto insurance market recovery, and we're expecting strong year over year growth in our second quarter P&C transaction value.
First quarter results in our health insurance vertical were also above expectations. This is driven by continued strength in our under-65 business as well as opportunistic carrier spend in Medicare. We expect high single to low double digit year over year of transaction value growth in our health insurance business in the upcoming second quarter.
As auto insurance carriers rate increases continued to significantly outpace moderating loss cost inflation, the P&C industry's recovery from a period of unprecedented underwriting losses is quickly gaining momentum. We expect these favorable market conditions to be sustained for the remainder of this year and beyond. As an increasing number of carriers achieve rate adequacy and begin to reinvest in customer acquisitions.
We believe these positive trends will enable us to drive meaningful cash flow growth and shareholder value and the years to come. Finally, Eugene Nonko, my Co-Founder and the company's Chief Technology Officer, will be transitioning out of his current role at the end of the year and handing the reins to Amy Yeh, our SVP of Technology.
Amy, has worked closely with Eugene during her nine years of MediaAlpha and will take over as our CTO in 2025. I would like to personally thank the team for all he has done over 13 years with the company. Without him, of course, we would not be where we are today.
With that, I'll turn the call over to Pat.
Patrick Thompson - Chief Financial Officer, Treasurer
Thanks, Steve. I'll begin with a few comments on our first quarter financial results and other recent business and market developments, before reviewing our second quarter financial guidance and opening the call up for questions.
As Steve mentioned earlier, our first quarter results exceeded the high end of our guidance ranges across all metrics with year-over-year transaction value and adjusted EBITDA growth of 13% and 98%, respectively. Transaction value in our P&C insurance vertical was up 150% quarter-over-quarter, driven by strong step-ups in marketing spend during the back half of the first quarter by our carrier partners, especially our largest advertisers.
Transaction value in our health vertical was also up 16% year-over-year above expectations. The adjusted EBITDA increase of $7.1 million year-over-year and was driven by higher contribution and lower overhead. We are in a very different place now than where we were at this time last year when carriers were significantly pulling back on marketing spend.
We expect 60% to 70% sequential growth in P&C transaction value, driven by a continuation of the positive trends we've been seeing. In health, we expect transaction value to grow at a high single to low double digit rate year over year.
Moving to our consolidated financial guidance, we expect Q2 transaction value to be between $285 million and $300 million a year-over-year increase of 132% at the midpoint. We expect revenue to be between $145 million and $155 million a year-over-year increase of 77% at the midpoint.
We expect adjusted EBITDA to be between $15.5 million and $17.5 million, a year-over-year increase of 359% at the midpoint, driven by higher contribution. We expect overheads to be approximately $500,000 higher than Q1 2024, lastly, Q2 legal costs associated with the ongoing FTC inquiry are expected to be approximately $1 million similar to Q1.
Finally, a few comments on expenses and profitability going forward. We continue to have measured hiring plans for 2024 and expect limited overhead growth for the full year. Given our lean team and capital efficient model, we expect to generate significant operating leverage and adjusted EBITDA as our top line growth accelerates.
Cash flow is expected to follow suit in our near term priority remains on using excess cash to reduce net debt. To the extent attractive alternative capital deployment opportunities arise, we will reassess at that time.
With that, operator, we are ready for the first question.
Operator
Thank you.
Michael Graham, Canaccord.
Michael Graham - Analyst
Thanks a lot and congrats on the really strong results. My first question, I just wanted to kind of ask how you were thinking about, sort of like what the high watermark could be for the business in this, the early cycle. Like if we look back at your historical transaction value results to sort of peaked in the middle part of 2021.
And you were sort of like on a run rate, well, north of a billion dollars I'm just wondering like, do you think the industry is set up for you to be at that level at when this next cycle shrinks or larger or just like how are you thinking about that topic?
Steven Yi - Chief Executive Officer and Co-Founder
Hey, Michael. Yeah, I hope I'll take the first crack at that question. As we think about where we are and sort of what the future holds. I mean, certainly, the first thing that comes to mind is something that we've talked about in earlier calls, which is that, this is an unprecedented underwriting cycle. And as the market recovers from it, I think there's going to be a lot of unpredictability.
And so I think certainly we're seeing that with our first quarter results and with how the second quarter is shaping up as well. So I think what's driving that are a couple of things. I mean, first is I think, we were right in predicting this recovery that it would start with a small number of advertisers or carriers really getting back into the marketplace.
And that momentum would continue to build as more carriers achieved rate adequacy and start to really reinvest in growth through '24 and into '25. Certainly, we've seen that play out. The second thing we got right, was that with the consumer shopping sentiment with auto insurance is at an all-time high. So volume is at an all-time high in our marketplace, and that's to be expected because consumers have had some of our rate increases of 30%, 40%, which really spur shopping behavior.
And again, there too, we expect that to continue through '24 and '25 because rate taking continues. So even now I think rates are going up, but 20% to 22% year-over-year, their carriers who still taking rate this year and we'll be taking rates '25. As those rate increases continue to earn through and show up in people's renewal notices, that's going to trigger shopping behavior.
So we expect the shopping behaviors continue to remain elevated again through this year and into next. I think the thing that we got wrong in terms of the unpredictability is really the pricing with a small number of national carriers really reentering the marketplace early this year. I think everyone knows who those carriers are the ones who were early to take rate, so achieved rate adequacy.
I think that was enough to really get pricing back to put a pre-hard market levels in over the first quarter and early part of the second quarter and that was unexpected. I think we can attribute that snapback in pricing to a couple of things. I think one is just the appetite that these carriers have after having sat with the sidelines for the better part of three years.
I think the second is really the hallmark of our marketplace that we've talked about in the past, which is the measurability right? The measurability, which then leads to a small number of competitors really being needed to actually have pricing reset based on expected lifetime value and return on ad spend and far less on competitive dynamics. So along the pricing front, again, we've been pleasantly surprised to how quickly that's returned to pre-hard market levels.
What we do expect going forward is that as more carriers come back end, pricing is going to go off. As some of the states like California and New York, New Jersey kind of comeback online again, average pricing across our network is going to go up. But I think those increases going forward are going to be a bit more measured than the sharp increase that we've seen year to date.
Okay. Michael, does that give you the color that you were looking for?
Michael Graham - Analyst
It does, Steve, thank you. And that was a complete answer, so I'll defer to the next caller. Thanks so much.
Steven Yi - Chief Executive Officer and Co-Founder
Thanks, Michael.
Operator
Mike Zaremski, BMO Capital Markets.
Mike Zaremski - Analyst
Thanks. Good afternoon. I guess my only follow-up question to that good question and answer is just should we be cognizant or maybe you can remind us, if there's some seasonality we should be thinking about clearly you gave us 2Q guide. And I believe historically there's been seasonality around tax refund season, maybe that we've given you that's obviously that would be encapsulated in the 2Q guide if that is true. But anything on the seasonality front we should keep in mind.
Patrick Thompson - Chief Financial Officer, Treasurer
Yeah. Steve, do you want me to take this one?
Steven Yi - Chief Executive Officer and Co-Founder
Yeah, go ahead, Pat.
Patrick Thompson - Chief Financial Officer, Treasurer
Perfect. Yeah, Mike, thanks for the question. I would say that I think, -- Steve our two main verticals have different seasonality trends. So I would say in P&C in a typical year, Q1 and Q3 tend to be the biggest for consumer shopping. Q2 tends to be a little bit below those and then Q4 tends to be a bit lower than that.
And I think we've given the guidance in the past that in a typical year, we would expect to Q1 to be 15% to 25% bigger than Q4. So I think that some of the guidance we're giving for Q2 shows a trend that's kind of bucking normal seasonality on the P&C side. We haven't given any guidance, as you pointed out for Q3 and beyond.
The health vertical, that piece of the business is relatively focused on Q4. So in a typical year, Q4 is about 40% of our business and health. Q1 tends to be the next largest because some of the enrollment period we suffer at the January and that's Q2, Q3 tend to be a little bit smaller than Q1. So hopefully, that kind of gives you the view of what typical seasonality looks like.
I would say just as in the hard market downturn, we had some of the seasonality was a bit hard to tease out of the numbers. I wouldn't doubt that it could be hard to tease out as the business recovers as well.
Mike Zaremski - Analyst
Okay, got it. That is helpful. I guess it's been you guys have it's been a maybe a you've done a good job. I know it's probably tough to put the expense cuts in recent years directionally as the market stabilize it or gets a lot better.
Are you guys going to be kind of cautious at first and kind of making sure if the revenues are there before kind of reinvesting, or are you guys right, is good enough line of sight that we should just be thinking you guys going back to kind of doing what you have always done in terms of how to reinvest when we think about margins?
Steven Yi - Chief Executive Officer and Co-Founder
Yes. And Mike, I would say that efficiency is in our DNA as a company and it's a bootstrap company and it's been profitable since at the very beginning, and we take that very, very seriously. So I think we've managed pretty well through the hard market. We're going to be seeing a bit of investment over the course of this year.
I would say that some of that is going to be capacity and some of that is going to be in kind of core tech product analytics. But our guidance for the year is on limited dollar overhead growth for the full year '24 as compared to '23. I think we've kind of we've indicated Q2 should be up $500,000 versus Q1 and would expect probably a bit of increase in Q3 relative to Q2 and Q4 relative to Q3 as we start to hopefully reinvest as we gain more confidence.
Mike Zaremski - Analyst
Just as a last follow-up, is there any way you could size up a level, like what percentage of your expense base is fixed versus variable?
Patrick Thompson - Chief Financial Officer, Treasurer
That's not something we disclose, Mike. The one thing I would say that the vast majority of our headcount is included in the operating expenses category. And so we would deem it to be fixed or semi kind of semi-fixed. Obviously, there are some roles in there that probably our variable at some point, which is, hey, if you've got a bunch more business happening, you need another account manager or something like that. But I'd say that the vast majority of our headcount, I would deem as being fixed.
Mike Zaremski - Analyst
Thank you.
Operator
Cory Carpenter, JPMorgan.
Cory Carpenter - Analyst
Hey, good afternoon, and thank you. Steve, could you just give us a sense of how close the wave one carrier is back to normal fully normalized spending levels? Then if we think of -- I'll call it the wave two or wave through carriers, how much are they contributing? How material was that 1Q and how do you expect them to ramp in Q2? Thank you.
Steven Yi - Chief Executive Officer and Co-Founder
Yes. So Corey, if I heard you correctly, I think you're asking about I think the small number of carriers who right now are getting close to normal levels. I think I just answered your question by saying that I think the small number of carriers who have achieved rate adequacy are really starting to reinvest in growth are getting close to normal levels.
And so we've been again surprised by that very pleasantly. So again, I think that's really attributable to the fact that there's been three years of muted growth investments and the industry is really ready to start reinvesting in growth. One, each of the carriers in the industry achieve rate adequacy. In terms of color into what that next wave looks like.
I mean, we're certainly engaged in positive discussions with all of the other carriers. I think that one thing that we're seeing that's a little bit different than the last hard market cycle is just the sheer number of other carriers, right? Who typically haven't been big players within the online direct to consumer space and just how hard advance they are versus when they when we emerged from the last hard market.
And what I mean by that is just in terms of the level of technical integrations that we have with them and their understanding of how to measure expected lifetime value, how to match that to media cost to achieve target return on ad spend. The value of programs to gain additional monetization from visitors like our carrier publishing program and the strong adoption we got of that program during the hard market period.
And even with the personnel that are within the marketing departments of a lot of these carriers and just the level of sophistication they have. And so the timing of the second tier or the next wave of carriers to come on, I think really will be dictated by how quickly they achieve rate adequacy. I think you and I have the same access to that data.
Again, I'm not going to go out and say that they're going to return ahead of getting profitability where they need to be. It was a tough cycle, but when they come back, really what we're excited about is just how many more carriers actually in a good place to really scale their spend with us.
I think that really bodes well for this vertical for us over the next couple of years. Again, of what we are expecting to be sort of the opposite of the hard market cycle, which is the soft market cycle, where a number of carriers are really aggressively spending in growth and in marketing in order to gain market share
We're into we're excited about working with just a growing number of carrier partners to really realize and help them realize their growth objectives.
Cory Carpenter - Analyst
Great. Thank you very much.
Operator
Tom McJoynt, KBW.
Tommy McJoynt - Analyst
Hey, good afternoon. Thanks for taking my question. With so much auto consumer shopping going on, you mentioned that carriers are certainly thinking pretty hard about lifetime values of customers. Can you talk about some of the advantages that MediaAlpha has over its competitors in terms of helping carriers to evaluate this really important input as carriers are looking to kind of seek out new customers, basically just what is the value proposition that MediaAlpha goes to market on to its carriers?
Steven Yi - Chief Executive Officer and Co-Founder
Sure. I think first is the measurability of all the media in our marketplace, it performance media. And so it's expected to tied back to an actual sale. And so at the end of the day, every dollar spent in our marketplace is fully accountable and again, tied back to a policy sale to justify media pricing.
So in addition, to being a performance-based marketplace, it's really the scale of our marketplace because in terms of carrier spend and our ability to support that as the marketplace, the carrier spend here is oftentimes two to three times that of any other marketplace. And that additional data really allows the carriers to get a much better view into the expected lifetime value because there's just so much data out there for every consumer segment that they're targeting.
And so what that helps is get enables them to get you to get a much more accurate bearing on the estimated lifetime value of all the customers that they're acquiring in our channel, which then allows them to have a much better ROI or return on ad spend again across 300 to 400 publishers within our marketplace and in a time like this when advertisers are really looking to scale up.
But the granularity that's really enabled that massive scale and transparency that we have that in our marketplace is really what's going to enable carriers to scale up right, while keeping their efficiencies at target levels.
Tommy McJoynt - Analyst
Got it. Thanks. Then just a second question here from your perspective, have you seen a lot of unbundling of customers in terms you're looking to separate home and auto and kind of how has that impacted what carriers are kind of willing to bid for customers who are looking to acquire?
Steven Yi - Chief Executive Officer and Co-Founder
Yes. I think that that's I mean that's certainly something that a lot of people are talking about is that dynamic in the marketplace just because both auto and home have had its own issues in terms of dislocated markets and large pricing increases. So I certainly believe that that is happening in the marketplace and we don't really have visibility into that. Our marketplace is predominantly auto and home is a smaller part of our marketplace. But what we are seeing is increased demand for home that I think is reflected or resulting in part from some of the issues that the carriers may be having with retaining some of their bundle customers.
Tommy McJoynt - Analyst
Makes sense. Thanks.
Operator
Ben Hendrix, RBC Capital Markets.
Ben Hendrix - Analyst
Great. Thanks, guys. Congratulations on the quarter. Maybe a couple of quick ones here. First, just if you could follow up on this opportunistic partner spend in Medicare, can you remind us kind of the nature of that arrangement and kind of what you saw in terms of magnitude this quarter, and how should we think about that going forward?
Patrick Thompson - Chief Financial Officer, Treasurer
Yeah. Ben, this is Pat. So I would say that on the Medicare side, there were a couple of carriers that are kind of in late February and March unlocked some spend with us. I would say that presumably they liked what they saw in terms of market opportunity and returns. So they spent into that the feedback from them was generally positive on, they felt like they got a good return on that spend.
The thing I would say is, that kind of given the size of our health vertical in Q1 and the spend and kind of that growth outperformance we had relative to expectations like it wasn't that much spend. It just ended up driving in 6, 8, 10 percentage point beat versus expectations, but clearly positive from our perspective.
Ben Hendrix - Analyst
Got you. And just also, we saw a suboptimal rate notice for Medicare Advantage next year. We see some of the MA leaders, Humana and CVS, talking about protecting margins curtailing benefits for next year. It seems like the shopping center is just getting incrementally better. Just wanted to see kind of that's if you agree and how you see the transaction value opportunity shaping up for OEP this year?
Steven Yi - Chief Executive Officer and Co-Founder
Yes. I would say that I think he did it. You had a nice summary of a lot of the market forces that have been at play and I think one of the things we've seen over time with both Medicare and our under 65 business is that regulatory and market shifts, it can have an impact on the business over the long term, totally confident that the industry will successfully adapt to whatever changes come.
Near term, yes, may be hiccups, maybe positive surprises seen about what kind of see on that. I would say that we're excited by the long-term opportunity. We're here in decent things from our advertising partners and on the publishing side and I think where we're feeling okay about Q2. I think we'll provide more guidance as we get closer to the time and get a little bit more clarity on exactly what folks are thinking.
We'll see how things shape up and where we will as always, be ready to do the best we can and react to whatever may come our way.
Ben Hendrix - Analyst
Thank you very much.
Operator
Mike Zaremski, BMO Capital Markets.
Mike Zaremski - Analyst
Thanks for fitting me. I just want to pick up follow-up, and I think you may have used a bit of this out. Thinking on the property casualty insurance segments. I believe if we go back to the prior to the industry, you saw profitability was that -- the revenue is very concentrated with one or -- with a smaller number of carriers in terms of the largest carrier.
Is if we think about the first half of '24 is it and I believe that defragmented after that, but maybe I'm wrong it when we think about first half '24, is it still very constant? Is it back to like being very concentrated and you expected to get deep concentrate, or maybe you could just unpack that a little bit?
Steven Yi - Chief Executive Officer and Co-Founder
Yeah, Mike, I think, you said it exactly right. I think because we're in the early part of the recovery where there's still on a small number of carriers who are back to or somewhere close to normal levels of spend, you're going to see more concentration in the P&C marketplace. Again, as more carriers achieve rate adequacy start to make growth investments again, I think you're going to see increasing diversity in demand in our P&C marketplace.
And I think coming out of this hard market, as I mentioned before, again, we think we have a stable of additional carriers that we're working with who I think again, we feel are really poised to really embrace this channel in this next growth cycle. And so I think you're going to expect to see, I think, additional bases that fragmentation and demand or diversification and demand as the soft market really starts to gain traction.
Mike Zaremski - Analyst
Okay. Loud and clear. Thank you.
Steven Yi - Chief Executive Officer and Co-Founder
Thanks, Mike.
Operator
Seems that there are no further questions at this time, and this concludes today's conference call. You may now disconnect.