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How Does UnitedHealth Group Make Money?
Forbes· 2025-05-28 13:25
Core Insights - UnitedHealth Group's stock has declined over 50% since April 2025, prompting scrutiny into its revenue generation and key segments [1][13][15] Revenue Generation - UnitedHealth Group operates two primary businesses: UnitedHealthcare and Optum, with revenue generation roughly balanced between the two. In 2024, Optum accounted for 46% of total revenues, while UnitedHealthcare contributed 54% [2][13] - Optum's contribution to overall sales has been increasing, rising from 41% in 2021 to 46% in 2024, while UnitedHealthcare's share decreased from 59% to 54% during the same period [2] UnitedHealthcare Segment - The UnitedHealthcare segment focuses on providing a full range of health benefits and insurance products, currently facing pressure on profit margins due to rising medical costs [3][15] - The Medicare & Retirement division, which serves individuals aged 65 and older, generated $139.5 billion in revenue and $8.4 billion in EBITDA in 2024, representing 25% of the company's total revenue and 23% of its EBITDA. This segment is currently under criminal investigation for possible fraud [4][15] - The Employer & Individual segment generated $74.5 billion in gross revenue and $4.5 billion in EBITDA in 2024, accounting for 13% of the company's revenue and 12% of its total EBITDA [5] - The Community & State division reported $80.6 billion in revenue and $4.9 billion in EBITDA in 2024, making up 15% of the company's total revenue and 13% of its EBITDA [7] - The International segment generated $3.7 billion in revenue with EBITDA of approximately $222 million in 2024, accounting for less than 1% of the company's sales and profits [8] Optum Segment - Optum focuses on modernizing the healthcare system through technology and direct care delivery, with three key sub-segments: Optum Health, Optum Insight, and Optum Rx [9] - Optum Health generated $105.4 billion in gross revenue in 2024, with sales rising at an average rate of 25% since 2021, contributing 24% of the company's total EBITDA [10] - Optum Insight, focusing on data and analytics for the healthcare industry, generated $18.8 billion in sales and $3.6 billion in EBITDA, contributing 9% of the company's total EBITDA [11] - Optum Rx, a pharmacy benefit manager, generated $133.2 billion in gross revenue and $6.8 billion in EBITDA in 2024, accounting for 24% of the company's overall revenues and 18% of total EBITDA [12] Strategic Challenges - UnitedHealth Group is at a pivotal moment, facing scrutiny that impacts its stock and necessitates strategic shifts. Optum's increasing contribution to sales highlights its role in future growth, but challenges include potential political changes affecting the PBM landscape and the ongoing criminal investigation into Medicare fraud [13][15]
American Oncology Network Appoints Terri Casey as Chief Human Resources Officer
GlobeNewswire News Room· 2025-05-13 12:00
Core Insights - American Oncology Network (AON) has appointed Terri Casey as the new Chief Human Resources Officer (CHRO) to enhance leadership and talent development as the company continues to grow [1][2]. Company Overview - AON is one of the fastest-growing community oncology networks in the United States, founded in 2018, and currently represents over 290 providers across 21 states [5][7]. - The organization focuses on innovative healthcare solutions through a physician-led model, aiming to improve patient outcomes while reducing costs and expanding access to quality care [5][7]. Leadership Appointment - Terri Casey brings over 15 years of experience in human resources, particularly in the healthcare sector, and has held executive roles in various physician specialty practices [2][3]. - Her expertise includes partnering with executives to achieve financial goals and fostering a workplace culture that attracts and retains top talent [2][3]. Strategic Vision - Casey expressed her commitment to AON's mission of making cancer care affordable and accessible, emphasizing the importance of building a strong workplace culture and creating meaningful relationships [3]. - The evolving healthcare landscape presents new opportunities and challenges, which Casey's strategic HR leadership is expected to address effectively [3]. Commitment to Health Equity - AON is dedicated to promoting health equity by addressing disparities in cancer care, ensuring all patients have access to necessary care for optimal health outcomes [7].
UnitedHealth vs. Humana: Which Healthcare Stock Should You Buy Now?
ZACKS· 2025-04-09 16:10
UnitedHealth Group Incorporated (UNH) and Humana Inc. (HUM) are two of the most prominent players in the U.S. health insurance space. Both operate in the managed healthcare space, offering health plans, Medicare Advantage (MA) services and a broad range of healthcare solutions to millions of Americans.While both companies offer compelling narratives, one clearly stands out as the more attractive choice in today’s market.The Centers for Medicare & Medicaid Services (CMS) recently announced a 5.06% hike in MA ...