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Can Optum Offset UnitedHealth's Health Benefits Growth Woes?
UnitedHealthUnitedHealth(US:UNH) ZACKSยท2025-06-17 16:21

Core Insights - UnitedHealth Group is increasingly relying on its Optum business to drive growth and mitigate challenges in its health benefits segment, UnitedHealthcare [1][9] - Optum has become the primary growth engine for the company, delivering stronger margins and faster revenue growth compared to the insurance unit, which is pressured by rising medical costs, particularly in Medicare Advantage [1][3] Business Segments - Optum operates across three key areas: Optum Health (care delivery and physician groups), Optum Insight (data analytics and tech solutions), and Optum Rx (pharmacy benefit management), which are less vulnerable to cost fluctuations affecting insurance operations [2] - From 2022 to 2024, Optum's revenues grew by 17.5%, 24%, and 11.6%, respectively, consistently outpacing UnitedHealthcare's growth of 12%, 12.7%, and 6% over the same period [3] Strategic Focus - UnitedHealth continues to invest heavily in expanding Optum Health's clinics and physician groups to build a more integrated care model and reduce reliance on the insurance segment, which faces regulatory and cost pressures [3][5] - Optum Insight's advanced data capabilities provide a competitive edge in risk prediction and care management across both business arms, although a cyberattack in early 2024 exposed vulnerabilities [4] Financial Performance - Optum accounted for more than half of UnitedHealth's total operating income in 2024, highlighting its importance as a profit driver [4][9] - UnitedHealth's shares have lost 38.1% year-to-date, compared to the industry's decline of 27.6% [8] Comparison with Competitors - Humana Inc. has seen weaker profits, declining about 1% over the past five years, while UnitedHealth experienced a growth of 13% [6] - Elevance Health's profits grew 11.3% over the past five years, which is below UnitedHealth but above Humana [7] Valuation Metrics - UnitedHealth trades at a forward price-to-earnings ratio of 13.18, above the industry average of 11.95, and carries a Value Score of B [11] - The Zacks Consensus Estimate for UnitedHealth's 2025 earnings is pegged at $22.28 per share, indicating a 19.5% drop from the previous year [12]