What is UnitedHealthcare?

UnitedHealthcare has become synonymous with quality healthcare and superior service, and one of the nation’s largest and best-known health insurers. Headquartered in Minneapolis, UnitedHealthcare operates two distinct business platforms — UnitedHealth Group and Optum — providing access to an array of health benefit services for customers while creating trust between providers and patients.

UnitedHealthcare business operates an extensive array of health benefit plans for individuals and employers alike – military service members, retirees and their families as well as Medicare/Medicaid beneficiaries are among those it services. Their offerings include individual and group health insurance policies along with specialty plans designed to treat chronic diseases such as diabetes.

Fortune magazine honored Cigna with an honorable mention in 2015’s annual list of “World’s Most Admired Companies,” ranking it fifth for insurance and managed care firms. Cigna was also among The National Society of High School Scholars’ 25 Most Desirable Employers survey for millennial workers.

Optum is the company’s information and technology-enabled health services business, offering solutions including population health management, care delivery and clinical and operational improvement. Furthermore, Optum leverages valuable health care data to gain insights that enhance outcomes while decreasing costs while providing better quality of care.

The company operates an expansive network of over 1.3 million physicians and other care professionals as well as 6,500 hospitals and other facilities nationwide, in addition to contracting with more than 2.2 million individuals through Medicare and Medicaid programs. Furthermore, they also maintain an established presence in South America.

UnitedHealthcare has an illustrious legacy of innovation in health care and benefits. They were pioneers of accountable care organizations (ACOs), where groups of healthcare providers come together to deliver coordinated, efficient and cost-effective care to their patients. UnitedHealthcare currently partners with 2,300 ACOs that serve nearly 11 million plan participants – nearly 11 million participants overall!

Though recently successful, Cigna still faces hurdles. For instance, its membership growth lagged behind that of its top competitors this year – its total membership declined 1 percent while Aetna saw growth of 5.9 percent and Cigna increased by 2.7 percent respectively. The cause for the slowdown may lie with changes to health care delivery models that emphasize lower-cost, value-based care and the health care reform law’s requirement that insurers offer health savings accounts, which may affect membership numbers. The company lags in its performance in Medicare Advantage plans, where competitors are seeing double-digit growth. It hopes to boost enrollment through lower premiums. Optum seeks to leverage its Optum data and analytics capabilities to boost performance, as well as pursue partnerships that facilitate cost-effective care delivery, including behavioral health management, integrated care delivery, pharmacy benefits management services and pharmacy benefit management.

Leave a Reply

Your email address will not be published. Required fields are marked *