Tuesday, December 3, 2019

Optum To Provide More Than Half Of UnitedHealth’s 2020 Profits


Bruce Japsen Senior Contributor Dec 3, 2019, 08:56am
The rapid growth of UnitedHealth Group’s Optum health care services unit will contribute more than 50% of the company’s earnings in 2020, executives disclosed Tuesday.
UnitedHealth chief executive David Wichmann vowed at the start of the company’s annual investor day to continue the momentum and growth of the nation’s largest health insurer at a cumulative annual earnings growth rate of 13% to 16%. This means that the Optum unit will contribute more than 50% of total company earnings.
Optum will generate $112 billion in revenues in 2020, Wichmann said. UnitedHealth Group’s revenues will surpass $260 billion next year, the company has said.
“With more than 50% of our earnings coming from Optum in 2020, it’s a good time to reflect on the accelerating impact diversification has had on the capacities of UnitedHealth Group, now a broad-based, health care company still in its formative stages of development,” Wichmann told the investor day attendees.
While UnitedHealth continues to be the nation’s largest health insurance company, selling commercial, Medicaid and Medicare Advantage plans, its finding growth on the medical care provider side of the healthcare system. Optum owns one of the nation’s largest pharmacy benefit managers in OptumRx as well as an array of medical care provider businesses, including doctor practices, surgery centers and urgent care sites across the country.
“We believe in supporting the whole person throughout their care journey,” Andrew Witty, who is CEO of Optum and was recently promoted to president of UnitedHealth Group, told analysts and investors at the company’s annual investor day in New York.
Witty cited examples in certain markets where Optum is reducing costs, which helps the company’s overall financial growth. In New Jersey, for example, Witty said the company’s OptumCare doctor practices are “seeing 37%” fewer emergency room visits among Medicaid patients.
Meanwhile, UnitedHealth Group and its Optum medical care provider business are rolling out a combined package of medical care and health insurance as insurers meld health benefits with the provision of healthcare services. In southern California, for example, the company has unveiled a new Harmony health plan where UnitedHealth and Optum have created an “accountable care platform” that now serves 1.5 million people through value based arrangements.
Value-based models put doctors and hospitals under an umbrella that is paid based on health outcomes and performance. The goal is to make sure patients are getting the right care at the right time and in the right amount. That is contrary to the fee-for-service approach of insurance payment to doctors that is based on volume of care delivered.
On Tuesday morning, Witty said the company is working to bring Harmony to more markets including Seattle and Texas “initially.”

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