United Healthcare’s Revenue by Segment (2016-2021)

This statistic highlights United Healthcare’s Revenue by Segment from 2016 onwards, split between OptumHealth, OptumInsight, OptumRx, and UnitedHealthcare.

United Healthcare’s Revenue by Segment

(All figures in billions, except percentages)

The two business platforms, Optum and UnitedHealthcare, have four reportable segments:

• OptumHealth: OptumHealth segment provides care management, care delivery, health financial services, wellness, and consumer engagement through a national health care delivery platform that helps people manage chronic needs, and behavioural health needs. It provides care through local medical groups and ambulatory care systems like speciality, urgent, primary, and surgical care.

  OptumHealth’s customers include health systems, employers, government, and health plans. Optum Financial like Optum Bank serves consumers through health savings and other accounts. OptumHealth markets its products through its direct sales force, strategic collaborations, and external producers in areas like employers that include large, mid-sized, and small employers; payers which include TPAs, health plans, underwriter, and individual product intermediaries; and government entities that include the U.S. Departments of Health and Human Services (HHS), Defense, Veterans Affairs, and other federal, state and local health care agencies.

  In Q1 2021, revenue from OptumHealth contributed 13% to the total revenue amounting to $12.40 billion. The revenue has increased by 35% year-over-year from $9.19 billion in Q1 2020. This increase in revenue is primarily due to organic growth and acquisitions in risk-based care delivery.   

• OptumInsight: OptumInsight segment offers data analytics, consulting, research, technology, and managed services solutions. OptumInsight helps to improve performance, advance quality, meet compliance mandates, achieve efficiency, modernize core operating systems, and reduce costs.

  It serves the needs of health systems, physicians, health plans, state governments, and life sciences companies. OptumInsight’s products and services are sold essentially through a direct sales force, an array of alliances, and business partnerships with other technology vendors, that integrate and interface OptumInsight’s products with their applications.

  In Q1 2021, revenue from OptumInsight segment contributed only 3% to the total revenue amounting to $2.85 billion. The revenue has increased by 14% year-over-year from $2.49 billion in Q1 2020. Revenue from operations at OptumInsight increased primarily due to growth in technology and managed services.

• OptumRx: This segment provides a diversified array of pharmacy care services through its network of more than 67,000 retail pharmacies, speciality, community health pharmacies, multiple home delivery, and pharmacy infusion services. OptumRx administers limited and ultra-limited distribution drugs in oncology, pain management, HIV, pain management, and ophthalmology and meets the growing pharmacy required with behavioural health and disorders. OptumRx business makes health care more affordable by helping people find the medications they require at the lowest price at the same time helping benefit sponsors pay the lowest net cost.

  OptumRx offers multiple clinical programs, digital tools, and services to help clients manage overall pharmacy and health care costs to promote better health outcomes. OptumRx renders various medication management, utilization management, quality assurance, adherence, and counselling programs to complement each client’s plan design and clinical strategies. OptumRx integrates medical and pharmaceutical care management by using data and advanced analytics, which helps improve comprehensive decision-making, close gaps in care, elevate quality, and reduce costs for customers.

  In Q1 2021, revenue from OptumRx contributed 23% to the total revenue amounting to $21.6 billion. However, the revenue has not changed since Q1 2020. 

• UnitedHealthcare: Revenue from this segment is the aggregate of revenue from UnitedHealthcare Employer & Individual, UnitedHealthcare Medical & Retirement, UnitedHealthcare Community & State, and UnitedHealthcare Global. UnitedHealthcare Employer & Individual offers consumer-oriented health benefit plans and services to large national players, individuals, small businesses, mid-size employers, and public sector employers. UnitedHealthcare Medical & Retirement provides healthcare coverage and wellbeing services to people who are above 50 years. UnitedHealthcare Community & State provides healthcare services to economically disadvantaged and medically underserved people. UnitedHealthcare Global provides health benefits, hospital benefits, clinical services, and dental benefits to individuals as well as employer groups in South America and other diversified global health businesses.

  In Q1 2021, revenue from UnitedHealthcare contributed 60% to the total revenue amounting to $55.11 billion. The revenue has increased by 8% year-over-year from $51.07 billion in Q1 2020. This makes it the key driver behind United Healthcare’s Revenue by Segment.

Company Overview

UnitedHealth Group is American-based healthcare and insurance company established in 1977 by Richard T. Burke. Its headquarters are in Minnesota, the United States. UnitedHealth Group completed its initial public offering in 1990 and its common stocks are traded on the New York Stock Exchange under the trading symbol “UNH”.

Optum and UnitedHealthcare are two interconnected businesses that have a unified mission and vision to improve health care quality, affordability, and access. Optum is an information and technology-enabled health services business that serves the broad healthcare marketplace like governments, life sciences companies, payers, consumers, care providers, and employers through its OptumInsight, OptumHealth, OptumRx businesses. UnitedHealthcare focuses on improving the health care that the consumers receive by reducing the total cost of care, improving health and wellness, enhancing the quality of care received, and simplifying the health care experience. This is served through four businesses like UnitedHealthcare Employer & Individual, UnitedHealthcare Medicare & Retirement, UnitedHealthcare Community & State, and UnitedHealthcare Global. 

UnitedHealth Group is the largest insurance company and the second-largest healthcare company. It is ranked 5th on the 2021 Fortune 500 and has a market value of $351.725 billion as of March 31, 2021. Over the years the company has acquired Ramsey-HMO, The MetraHealth Companies Inc., HealthWise, HealthPartners, AmeriChoice, Golden Rule Financial, Touchpoint Health Plan, PacifiCare Health Systems, Inc., Picis, Logistics Health, Inc., XLHealth, Audax Health, Rally Health, and Davita Medical Group. Some of its competitors are Healthesystems, Centene, Cigna, CVS Health, Anthem, and Humana.

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