Profile: UnitedHealth Group Inc (UNH)
28 Sep 2016
UnitedHealth Group Incorporated, incorporated on January 25, 1977, is a health and well-being company. The Company’s business platforms include UnitedHealthcare and Optum. UnitedHealthcare provides health care benefits to various customers and markets. Optum is a health services business serving the health care marketplace, including payers, care providers, employers, Governments, life sciences companies and consumers. The Company’s business platforms have four segments: UnitedHealthcare, OptumHealth, OptumInsight and OptumRx.
The Company’s UnitedHealthcare segment includes UnitedHealthcare Employer & Individual, UnitedHealthcare Medicare & Retirement, UnitedHealthcare Community & State and UnitedHealthcare Global. UnitedHealthcare Employer & Individual offers various consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers, small businesses, individuals and military service members in the TRICARE west region. UnitedHealthcare Employer & Individual provides services, such as coordination and facilitation of medical and related services to customers, consumers and health care professionals, administration of transaction processing and access to a contracted network of physicians, hospitals and other health care professionals, including dental and vision. It also offers a range of insurance options for purchase by individuals, including students, which are designed to meet the health coverage needs of these consumers and their families. UnitedHealthcare Employer & Individual segment consists of products, such as traditional products, consumer engagement products and tools, value based products, essential benefits products, and clinical and pharmacy products. UnitedHealthcare Employer & Individual’s clinical programs include wellness programs, decision support, utilization management, case and disease management, on-site programs, and employee assistance programs, among others. It also offers dental, vision, life, and disability product offerings.
UnitedHealthcare Medicare & Retirement provides health and well-being services to individuals aged 50 and older, addressing their needs for preventive health care services, as well as services dealing with chronic disease and other specialized issues common among older individuals. It offers a range of Medicare products that can be purchased by individuals or on a group basis. UnitedHealthcare Medicare & Retirement’s product categories include Medicare Advantage, Medicare Part D and Medicare Supplement. UnitedHealthcare Community & State is engaged in serving state programs that care for the economically disadvantaged, the medically underserved and those without the benefit of employer-funded health care coverage. It administers benefits for the needs of children, pregnant women, adults, seniors and those who are institutionalized or are nursing home eligible. UnitedHealthcare Global provides health benefits, care management and care delivery for multinational employers, Governments and individuals around the world. Its Amil business provides health and dental benefits. It operates more than 30 hospitals and approximately 50 specialty, primary care and emergency services clinics across Brazil. UnitedHealthcare Global includes other health services operations with a variety of offerings, such as brokerage services, network access and care coordination in the United States and overseas, and practice management services for care providers, among others.
The Company’s OptumHealth segment is a health and wellness business serving the physical, emotional and financial needs of individuals. OptumHealth sells its products in three markets: employers, payers and Government entities. OptumHealth consists of two operating groups: collaborative care and consumer solutions group. Collaborative Care’s product offerings include local care delivery, complex population management and mobile care delivery. Local care delivery serves patients through a collaborative network of care providers aligned around total population health management and outcomes-based reimbursement. Complex population management services focuses on providing care for patients with complex medical conditions by providing care and is focused on building and executing solutions for payers, Governmental agencies, accountable care organizations and provider groups. Mobile care delivery business provides occupational health, medical and dental readiness services, treatments and immunization programs. Consumer solutions group includes population health management services, specialty networks, distribution and financial services products. Population health management services include care management, complex conditions, such as cancer, neonatal and maternity, health and wellness and advocacy decision support solutions. Specialty networks provide access to networks of provider specialists in the areas of behavioral health management chiropractic, physical therapy, transplant, infertility, kidney and end stage renal disease. Distribution business provides health exchange capabilities to help payers, market aggregators and employers meet the needs of the consumers they serve. OptumHealth provides call center support, multi-modal communications software, data analysis and trained nurses that help customers acquire, retain and service populations of health care consumers. Financial services business serves the health financial needs of individuals, employers, health care professionals and payers.
The Company’s OptumInsight segment provides technology, operational and consulting services to participants in the health care industry. OptumInsight is used by hospital systems, physician practices, commercial health plans, Government agencies, life sciences companies and other organizations. It provides capabilities to four primary market segments: care providers, payers, Governments and life sciences organizations.
The Company’s OptumRx segment provides a range of pharmacy benefit management (PBM) services. OptumRx’s PBM services include delivering pharmacy benefit through retail network contracting services, home delivery and specialty pharmacy services, manufacturer rebate contracting and management and a variety of clinical programs, such as step therapy, formulary management, drug adherence and disease and drug therapy management programs. OptumRx also provides PBM services to non-affiliated external customers, including public and private sector employer groups, insurance companies, Taft-Hartley Trust Funds, third-party administrators (TPAs), managed care organizations (MCOs), Medicare-contracted plans, Medicaid plans and other sponsors of health benefit plans and individuals throughout the United States.
The Company competes with Aetna Inc., Anthem, Inc., Cigna Corporation, Health Net, Inc., Humana Inc., Kaiser Permanente, CVS Caremark Corporation, Express Scripts, Inc. and Catamaran Corporation.
UnitedHealth Group Inc
9900 Bren Rd E
HOPKINS MN 55343-9664
Company Web Links
- U.S. wants letters showing conflict in Anthem-Cigna merger: filing
- U.S. wants letters showing conflict in Anthem-Cigna merger -filing
- U.S. wants letters showing conflict in Anthem-Cigna merger -filing
- UnitedHealth trims drug coverage, including Sanofi insulin
- UnitedHealth unit to face class action over mental health coverage