Thursday, June 6, 2019

UnitedHealth execs detail plan to get OptumCare to $100B


By Alex Wittenberg  – Staff writer, Minneapolis / St. Paul Business Journal
Jun 3, 2019, 2:37pm CDT Updated Jun 3, 2019, 4:37pm EDT
Top executives from UnitedHealth Group Inc. at a conference last week spoke about how the insurer plans to grow a division of Optum into a $100 billion business.
At the Bernstein Strategic Decisions Conference, UnitedHealth Chief Financial Officer John Rex said OptumCare, a unit of Minnetonka-based UnitedHealth (NYSE: UNH) that provides health care services to patients and runs clinics, has served between 93 million and 94 million consumers since starting about a decade ago.
OptumCare is separate from UnitedHealth's insurance business; instead it's part of Optum Health, the fast-growing UnitedHealth technology and services subsidiary. Optum passed $100 billion in revenue for the first time last year; Rex now envisions OptumCare, which brought in $16 billion in 2018, hitting $100 billion all by itself by 2028.
OptumCare can reach that target, Rex said, in part by expanding to serve more elderly patients, especially those with Medicare Advantage plans. The service currently is in network with 80 insurers and has a presence in 35 markets.
"The revenue per consumer served right now ... is roughly $19 or so per month," Rex said. "A typical senior Medicare Advantage member at a full-risk offering would be something in the range of $900 to $1,000 a month in terms of revenue potential."
Business development will also come through growing the geographic reach OptumCare has developed by buying primary-care offices, urgent-care practices and surgery centers, Rex said. The business operates MedExpress, a chain of urgent-care clinics, and surgical centers under the Surgical Care Affiliates Inc. brand.
OptumCare also stands to benefit from UnitedHealth's acquisition of DaVita Inc.'s medical group, a deal on which the company spent more than $4 billion and is still working to close. The purchase includes nearly 300 clinics, half a dozen outpatient surgical centers and 2,200 medical staff across six states.
UnitedHealth CEO David Wichmann, speaking after Rex, said two areas OptumCare does not plan to expand into are in-patient care and post-acute care, when patients are recovering from surgery. In other words, OptumCare won't be building any hospitals, although it does plan to align with some health systems that provide those services, Wichmann said.
Ranked by Revenue, trailing four quarters
Rank
Name
Revenue, Trailing Four Quarters
1
UnitedHealth Group Inc.
$229.48 billion
2
Target Corp.
$75.35 billion
3
Best Buy Co. Inc.
$42.88 billion

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