49-493: UNH may refer to: UnitedHealth Group , a U.S. healthcare company listed on the NYSE University of New Hampshire , the U.S. state of New Hampshire's public flagship research university University of New Haven , a private university in the U.S. state of Connecticut Unnilhexium (Unh), temporary name of chemical element 106, now Seaborgium (Sg) Topics referred to by
98-467: A majority stake in the Washington, D.C.-based startup Audax Health. Audax's CEO, Grant Verstandig, continued running the firm alongside COO David Ko. In October 2014, Optum Health acquired the health services unit of Alere for $ 600 million cash. In March 2015, it was announced that CatamaranRx would be acquired by OptumRx. In April 2016, the company announced it was pulling out of all but
147-587: A "handful" of state healthcare exchanges provided under Affordable Care Act and will continue to sell only in three states in 2017. In 2017, UnitedHealth's Optum unit acquired Rally Health, a company started by Audax Health's executives. Prior to acquisition, in 2015, UnitedHealth supported Rally Health as a majority investor, and through enrolling 5 million UnitedHealth policy holders in Rally Health's flagship product, RallySM. The close relations between UnitedHealth, Audax Health and Rally Health follows
196-491: A 2016 audit. The New Jersey Department of Banking and Insurance fined UnitedHealthcare $ 2.5 million due to various compliance issues; this was the largest fine against a licensee in nine years. In 2019, UnitedHealthcare paid a $ 1 million penalty to settle Pennsylvania regulators' allegations that the company violated state and federal laws when paying medical claims, particularly for patients seeking treatment of autism and substance use disorders. The regulators also compelled
245-567: A close personal relationship between Grant Vrestandig (Audax and Rally) and UnitedHealth's President and CFO at the time, David Wichmann. In June 2019, UnitedHealth's Optum division acquired Davita Medical Group from DaVita Inc. for $ 4.3 billion. That year, the company also agreed to acquire Equian for $ 3.2 billion. On June 19, 2019, UnitedHealth acquired the online patient community platform PatientsLikeMe for an undisclosed amount and it will be incorporated into UnitedHealth Group's research division. In November 2019, Andrew Witty
294-455: A lawsuit asking a U.S. District Judge Mark Wolf to stop former Optum executive, David William Smith, from working at Haven (the Amazon, JP Morgan and Berkshire-Hathaway joint-healthcare venture). Optum argued that Haven is in direct competition with its business and as such, Smith's employment would be in violation of a noncompete agreement that he signed while with Optum. Smith, meanwhile, asked
343-520: A managed care organization with an ambulatory care delivery platform and a pharmacy benefit manager all in house can lower or maintain and bend cost trend and then drive better market share gains in their health insurance business. I think they have been the impetus in the large space for the Aetna-CVS deal," Ana Gupte, managing director of healthcare services at Leerink, said in an interview with Healthcare Dive . In early 2019, UnitedHealth Group filed
392-469: A new, non-profit entity that would develop a new health care pricing database. Ingenix would discontinue its medical pricing databases when the new entity makes its product available. The company acknowledged the appearance of a conflict of interest but admitted no wrongdoing. On January 15, 2009, UnitedHealth Group announced a $ 350 million settlement of three class action lawsuits filed in Federal court by
441-601: A nonpartisan reputation through its many ownership changes that have occurred over that time. The Lewin Group was purchased in 2007 by Ingenix, a subsidiary of UnitedHealth Group, but alleges editorial and analytical "independence" from UnitedHealth Group, its parent company. The Lewin Group discloses its ownership in its reports and on its website. While the Lewin Group does not advocate for or against any legislation, both Democratic and Republican politicians frequently cite
490-483: A provider of health savings accounts. On July 21, 2003, Exante Bank started operating in Salt Lake City, Utah, as a Utah state-chartered industrial loan corporation. It changed its name to OptumHealth Bank in 2008 and to Optum Bank in 2012. In April 2004, UnitedHealth Group acquired Touchpoint Health Plan, a Wisconsin health plan. In July 2004, the company acquired Oxford Health Plans . In December 2005,
539-635: A quarter of UnitedHealthcare's membership. In February 2024, UnitedHealth Group completed the sale of its operations in Brazil. In February 2022, UnitedHealth announced the acquisition of Change Healthcare , the largest health payments platform in the US, which the US Justice Department tried to block on antitrust grounds; the sale went through by September. 18 months later, in February 2024,
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#1732772962861588-413: A scheme by health insurers to defraud consumers by manipulating reasonable and customary rates. The announcement included a statement that Cuomo intended "to file suit against Ingenix, Inc., its parent UnitedHealth Group, and three additional subsidiaries." Cuomo asserted that his investigation found that rates found in a database of health care charges maintained by Ingenix were lower than what he determined
637-666: A series of probing stories in the Wall Street Journal in May 2006, discussing apparent backdating of hundreds of millions of dollars' worth of stock options by UHC management. The backdating apparently occurred with the knowledge and approval of the directors, according to the Journal . Major shareholders have filed lawsuits accusing former New Jersey governor Thomas Kean and UHC's other directors of failing in their fiduciary duty. On October 15, 2006, CEO William W. McGuire
686-597: A website where consumers will be able to compare prices before they choose doctors. To fund FAIR Health, the Attorney General's office secured nearly $ 100 million from insurers such as Aetna , UnitedHealth Group, and Anthem Inc. A whistleblower lawsuit, filed in 2011, charges UnitedHealth Group's data analytics division with assisting in defrauding Medicare by boosting risk adjustment scores from Medicare Advantage companies. The suit alleges that UnitedHealth Group subsidiary Ingenix (now OptumInsight) "defrauded
735-549: Is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager ) and various direct healthcare services. Optum was formed as a subsidiary of UnitedHealth Group in 2011 by merging UnitedHealth Group’s existing pharmacy and care delivery services into the single Optum brand, comprising three main businesses: OptumHealth, OptumInsight and OptumRx. In 2017, Optum accounted for 44 percent of UnitedHealth Group's profits. In 2019, Optum's revenues surpassed $ 100 billion for
784-540: Is different from Wikidata All article disambiguation pages All disambiguation pages UnitedHealth Group UnitedHealth Group Incorporated is an American multinational health insurance and services company based in Minnetonka, Minnesota . Selling insurance products under UnitedHealthcare , and health care services under the Optum brand, it is the world's eleventh-largest company by revenue and
833-632: Is organized into three businesses: UnitedHealthcare is an insurance and managed care company with four main divisions: For the fiscal year 2022, UnitedHealth Group reported earnings of US$ 20.64 billion, with an annual revenue of US$ 324.16 billion. UnitedHealth Group's 2023 revenue grew by $ 47.5 billion, or 14.6%, on annualized revenue of $ 371.6 billion. Operating income for 2023 was $ 32.4 billion (up 13.8%). Cash flows from operations were $ 29.1 billion. In 2009, according to OpenSecrets , people affiliated with UnitedHealth Group gave $ 4.77 million to political candidates and groups. The Affordable Care Act
882-638: The American Chiropractic Association filed a national class-action lawsuit against the American Chiropractic Network (ACN), which is owned by UnitedHealth Group and administers chiropractic benefits, and against UnitedHealth Group itself, for alleged practices in violation of the federal Racketeer Influenced and Corrupt Organizations Act (RICO). In February 2008, New York State Attorney General Andrew Cuomo announced an industry-wide investigation into
931-493: The American Medical Association , UnitedHealth Group members, healthcare providers, and state medical societies for not paying out-of-network benefits. This settlement came two days after a similar settlement with Cuomo. On October 27, 2009, Cuomo announced the creation of FAIR Health, the independent, non-profit organization that will develop a nationwide database for consumer reimbursement, as well as
980-723: The California Department of Insurance took action against UnitedHealthcare's subsidiary PacifiCare Health Systems , acquired in 2005, ultimately fining UnitedHealthcare around $ 173 million for an estimated over 900,000 violations of the Unfair Insurance Practices Act; by 2019, the case was still being disputed in court, with the possibility of affirming $ 91 million in penalties. In 2017, CMS fined UnitedHealthcare after discovering issues in Medicare Part D leading to delays or denials in
1029-544: The U.S. Securities and Exchange Commission (SEC) began investigating the conduct of UnitedHealth Group's management and directors, for backdating of stock options . Investigations were also begun by the Internal Revenue Service and prosecutors in the U.S. attorney's office for the Southern District of New York, who subpoenaed documents from the company. The investigations came to light after
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#17327729628611078-687: The Senate held a hearing concerning the cyberattack and UnitedHealth's response. Andrew Witty went before the Senate stating that there was both a lack of a strong digital security system in place along with an adequate backup plan. UnitedHealth revealed the hackers did gain access to patient information, but the Senate was informed the company is not yet aware of the extent of the data breach. UnitedHealth Group has two subsidiaries: Optum and UnitedHealthcare. Formed in 2011, Optum says that it provides "data and analytics, pharmacy care services, population health, healthcare delivery and healthcare operations". It
1127-674: The United States of hundreds of millions — and likely billions — of dollars." Former UnitedHealth executive Benjamin Poehling brought the suit under the False Claims Act . The government said it would proceed on claims against two health care companies, UnitedHealth and its Texas subsidiary WellMed Medical Management. In February 2017, a federal judge unsealed the suit after the Department of Justice announced it would join
1176-553: The backdating prosecution. He was also barred from serving as an officer or director of a public company for ten years. This was the first time in which the little-used "clawback" provision under the Sarbanes-Oxley Act was used against an individual by the SEC. The SEC continued its investigations even after it in 2008 settled legal actions against both UnitedHealth Group itself and its former general counsel. In June 2006,
1225-492: The case. On April 29, 2019, Judge Robert N. Scola Jr. of the United States District Court for the Southern District of Florida , a cancer survivor, recused himself from a case against United Healthcare, stating that the company's denial of treatment was "immoral and barbaric", and that his opinions regarding the company would prevent him from "deciding this case fairly and impartially." In 2008,
1274-549: The company acquired PacifiCare Health Systems . It agreed to divest parts of PacifiCare's commercial health insurance business in Tucson, Arizona and Boulder, Colorado to satisfy antitrust regulator concerns, and also agreed to end its network access agreement with Blue Shield of California . The Tucson business was sold to Cigna. The company acquired Prescription Solutions, another pharmacy benefits manager, as part of its acquisition of PacifiCare Health Systems . This business
1323-448: The company acquired Sierra Health Services for $ 2.6 billion. As part of the transaction, to obtain regulatory approval, 25,000 customers were sold to Humana . In July 2009, UnitedHealth Group agreed to acquire Health Net 's Northeast licensed subsidiaries for up to $ 570 million in payments spread out over two years. Through 2010 and into 2011, senior executives of the company met monthly with executives of other health insurers to limit
1372-427: The company acquired XLHealth, a sponsor of Medicare Advantage health plans with a primary focus on medicare recipients with special needs such as those with chronic illness and those eligible for Medicaid ("dual eligibles"). In October 2012, UnitedHealth Group and Amil Participações, one of the biggest Brazilian health insurance companies, completed the first phase of their merger. In February 2014, Optum secured
1421-424: The company has acquired various healthcare technology services to build out its pharmacy benefit manager and care services offerings. This Optum-UnitedHealth model of vertical integration is pointed to as having sparked a pattern of acquisition activity in the healthcare industry; most notably, mega-mergers between CVS - Aetna , Cigna - Express Scripts and Humana -Kindred. "Optum's been the leader in showing how
1470-479: The company to pay restitution for wrongly denied or delayed claims, and to spend $ 800,000 on an outreach campaign to notify consumers of their mental health and substance use disorder benefits. United Behavioral Health sued over $ 5 million in denied claims. The Lewin Group is a policy research and consulting firm that provides an economic analysis of health care and human services issues and policies. The organization has existed for about 40 years and has maintained
1519-704: The company was reorganized as the holding of independent companies UnitedHealthcare, Ovations, Uniprise, Specialized Care Services and Ingenix, and rebranded as "UnitedHealth Group". Also in 1998, United Health Group acquired HealthPartners of Arizona, operator of Arizona's largest AHCCCS provider. In 2001, EverCare, a UnitedHealth Group subsidiary, merged with LifeMark Health Plans In 2002, UnitedHealth Group acquired GeoAccess and Medicaid insurance company AmeriChoice. In 2003, UnitedHealth Group acquired Mid Atlantic Medical Services, an insurer serving Maryland, Washington D.C., Virginia, Delaware and West Virginia. Also in 2003, UnitedHealth Group acquired Golden Rule Financial,
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1568-400: The effect of the health care reform law. In July 2010, Ingenix acquired Picis Clinical Solutions, Inc., a health information provider for the high-acuity areas of hospitals. In 2011, Logistics Health, Inc. of La Crosse, Wisconsin , was acquired by OptumHealth. In September 2014, the office buildings where LHI is based were sold to UnitedHealth Group for $ 45 million. In February 2012,
1617-494: The firm's studies to argue for and against various U.S. healthcare reform proposals. For example, Democratic Senator Ron Wyden uses Lewin Group estimates to cite the feasibility of his Healthy Americans Act . Former U.S. Representative Eric Cantor , the former House Republican Whip , has referred to the organization as "the nonpartisan Lewin Group" in arguing against government-funded health insurance proposals. Several Lewin studies have been used to argue both for and against
1666-1064: The first time, growing by 11.1% year over year, making it UnitedHealth’s fastest-growing unit at the time. In early 2019, Optum gained significant media attention regarding a trade secrets lawsuit that the company filed against former executive David William Smith, after Smith left Optum to join Haven , the joint healthcare venture of Amazon , JPMorgan Chase , and Berkshire Hathaway . Optum's three businesses, OptumRx, OptumHealth and OptumInsight focus on five core capabilities: data and analytics, pharmacy care services, population health , healthcare delivery and healthcare operations. Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering products in data and analytics, pharmacy care services, health care operations and delivery, population health management and advisory services. The Optum Serve division provides health-related services to U.S. government agencies. Since Optum's founding in 2011,
1715-545: The inclusion of a public option in national health reform. Lewin clients who often cite its findings include The Commonwealth Fund which recently held up a Lewin study it commissioned to advocate for a public plan. The report showed that legislative proposals would achieve nearly universal coverage and "estimated that a public plan could offer small businesses insurance that is at least 9 percent cheaper than current small-business policies." However, The Lewin Group has acknowledged that clients sometimes choose not to publicize
1764-477: The judge to send the parties into closed-door arbitration. Wolf rejected Optum's request and allowed Smith's, putting court proceedings on hold until the arbitration process is complete. The case garnered media attention as setting a precedent in trade secret litigation ahead of an anticipated wave of vertical integration in the healthcare industry and for uncovering previously unknown details about Haven. The case has also been referred to as having shed light on
1813-542: The largest health care company by revenue. The company is ranked 8th on the 2024 Fortune Global 500 . UnitedHealth Group had a market capitalization of $ 474.3 billion as of July 15, 2024. UnitedHealth Group has origins dating back to late 1974 with the founding of Minnesota-based Charter Med Incorporated by Richard Taylor Burke. It originally processed claims for doctors at the Hennepin County Medical Society . United HealthCare Corporation
1862-706: The results of studies they have commissioned. Indeed, Lewin Group Vice President John Sheils told The Washington Post that "sometimes studies come out that don't show exactly what the client wants to see. And in those instances, they have [the] option to bury the study." In August 2021, a report from The Intercept revealed that UnitedHealthcare worked behind the scenes to guide Yale University healthcare economist Zack Cooper's research on surprise medical billing . United provided Cooper with anonymous data and made edits to his paper, which blamed physician networks TeamHealth and EmCare for
1911-554: The rise in balance billing. United Health Network CEO Dan Rosenthal later confirmed United's work with Cooper during a deposition in a lawsuit filed against United by TeamHealth. Cooper's work was presented as independent, unbiased academic research before Congress , the White House , the U.S. Department of Justice , the Federal Trade Commission , and numerous media reports. Optum Bank Optum, Inc.
1960-403: The same term [REDACTED] This disambiguation page lists articles associated with the title UNH . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=UNH&oldid=1112738942 " Category : Disambiguation pages Hidden categories: Short description
2009-556: The subsidiary was brought completely down by the 2024 Change Healthcare ransomware attack , and the Justice Department announced that it was opening a new antitrust and Medicare overcharging probe. Despite making a ransomware payment, services remained down or incomplete for months. The CEO, Andrew Witty, was called before the US House and US Senate to testify about the cyberattack and DoJ concerns. In late April 2024,
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2058-617: The threat that pharmacy benefit managers feel to bottom lines amid mounting bipartisan pressure to control rising healthcare costs. Testimony brought by Haven chief operating officer Jack Stoddard was unsealed after a motion brought by the parent companies of Stat News and The Wall Street Journal . A 2019 study published in Science , alleges the "algorithm used to manage the healthcare of millions of Americans shows dramatic biases against black patients". Said algorithm, applied to over 200 million individuals yearly, "significantly underestimates
2107-491: Was being discussed in Congress at the time and was subsequently passed in the first quarter of 2010. In 2010 UnitedHealth Group hired nine different lobbying firms to work on its behalf. In addition, its corporate political action committee (PAC), called United for Health, spent an additional $ 1 million on lobbying activities. UnitedHealth Group subsequently spent $ 4.11 million to $ 4.75 million from 2011 to 2021. In 2006,
2156-407: Was forced to resign, and relinquish hundreds of millions of dollars in stock options. On December 6, 2007, the SEC announced a settlement under which McGuire will repay $ 468 million, as a partial settlement of the backdating prosecution. On December 6, 2007, the SEC announced a settlement under which McGuire was to repay $ 468 million, including a $ 7 million civil penalty, as a partial settlement of
2205-428: Was founded in 1977 to purchase Charter Med and create a network-based health plan for seniors. It became a publicly traded company in 1984 and changed its name to UnitedHealth Group in 1998. In 1988, United HealthCare started its first pharmacy benefit management , through its Diversified Pharmaceutical Services subsidiary. It managed pharmacy benefits delivered both through retail pharmacies and mail. The subsidiary
2254-535: Was later rebranded OptumRx. In February 2006, the company acquired John Deere Health Care. The same year, William W. McGuire stepped down as chairman and director due to his involvement in the employee stock options scandal. He was replaced by CEO Stephen Hemsley who had served as president and COO and a member of the board of directors. McGuire's exit compensation from UnitedHealth was anticipated to be $ 1.1 billion, but he only received $ 618 million after returning $ 420 million in stock options. In February 2008,
2303-596: Was named president of UnitedHealth, in addition to his role as chief executive of the company's Optum division. UnitedHealth announced in March 2022 that it would acquire LHC Group for $ 5.4 billion. The deal will expand its home health capabilities by combining LHC's services with UnitedHealth's Optum unit. In 2022, UnitedHealth Group said there would be no out-of-pocket costs for albuterol , epinephrine , glucagon , insulin , and naloxone for fully insured members starting in 2023. The discounts were guaranteed for less than
2352-540: Was sold to SmithKline Beecham in 1994 for $ 2.3 billion. In 1994, United HealthCare acquired Ramsey-HMO, a Florida insurer. In 1995, the company acquired The MetraHealth Companies Inc. for $ 1.65 billion. MetraHealth was a privately held company formed by combining the group healthcare operations of The Travelers Companies and MetLife . In 1996, United HealthCare acquired HealthWise of America, which operated HMOs in Arkansas, Maryland, Kentucky and Tennessee. In 1998,
2401-503: Was the actual cost of certain medical expenses. Cuomo said this inappropriately allowed health insurance companies to deny a portion of provider claims, thereby pushing costs down to members. On January 13, 2009, Ingenix announced an agreement with the New York State attorney settling the probe into the independence of the health pricing database. Under the settlement, UnitedHealth Group and Ingenix would pay $ 50 million to finance
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