Unitedhealth Group Executive Summary

The key issue facing GEHS today is that despite high potential growth in both the developed and developing markets traditional B2B marketing lines are slow; the buyers control the power and the end consumer (patients) sees GEHS and its competitors as “faceless” corporations and their countries health care services as lacking. End users want cheaper, better quality, and more accessible healthcare and GEHS wants to grow market share and improve reputation.

The US system is at its heart an employment-based health insurance system in which employers play a key role as sponsors of their employees. There are over 1200 private insurance companies offering health insurance in the US, which are

In addition, UnitedHealth Group distributes Medicare prescription drug benefits (Part D) to recipients throughout the United States through its Medicare Advantage plan. It is also serving approximately Four million senior citizens through different Medicare Supplement products due to its collaboration with AARP.

If are approved, three insurers (Aetna, Anthem and United) will control health insurance for 141 million Americans (approximately 40% of all Americans with private health insurance).

With all the health insurance options available, it’s hard to know which plan is right for your family. You want a plan that’s affordable, flexible, and provides comprehensive coverage for you and your loved ones. USHealth Group, with its headquarters in Fort Worth, TX, can help customize a plan that will meet your family’s unique needs.

Humana Inc. was founded in 1961 and is headquartered in Louisville, Ky. Humana employs 50.1k total employees and reported operating revenues of $54+ million in 2015 (www.macroaxis.com). Humana is one of the largest publicly traded health benefits companies that offers insurance coverage and related services through a variety of traditional internet-based plans for employer groups, government-sponsored programs, and individuals (www.csimarket.com). Humana’s business strategy is bringing consumerism to healthcare. They base their innovative products and initiatives around consumers. Humana has embarked on more than a dozen pilot programs to test possible ways to impact access to care, lower costs, and improve health outcomes.

from Kaiser, in the California market. Currently Kaiser has 7.8 million members in California, a merger of Anthem and Cigna could create 8.2 million members statewide. Combine this with the new Vivity healthcare plan can create a real market threat against Kaiser.

The health insurance industry operates through two types of organizations: independent insurance companies and managed care organizations. According to the trade association America’s Health Insurance Plans (or AHIP), about 90% of insured Americans are enrolled in healthcare plans by managed care organizations such as Aetna, Anthem, or Cigna but according to a study by the Congressional Research Service, the top 5% of the total population accounted for about 50% of health expenses in 2011 and 2012 . With 26 million uninsured people expected to gain insurance in the U.S. by 2017 as a result of the Affordable Care

UnitedHealth owns 110.54B of market capitalization, making it becomes leading company in diversified health and well-being company. Offering a broad spectrum of products and services through two distinct platform; UnitedHealthcare and Optum, UNH operates in a highly competitive market, where it identifies its main competitors as managed health care companies, insurance companies, HMOs and third-party administrators (TPAs). With annual revenue of about $146.94 billion and $12.49 billion of yearly earnings1, UNH by far is the largest insurance provider in the country, leading other competitors in the market including Aetna Inc., Humana Inc., Anthem Inc., Health Net Inc., WellPoint, for-profit and non-for-profit insurer under licenses from Blue Cross Blue Shield. Meanwhile for Optum, competitors include CVS Caremark Corporation, Express Scripts Inc. and Catamaran Corporation.

In the United States, with its mixed public-private system, 16% or 45 million American residents are uninsured at any one time.[21] The U.S. is one of two OECD countries not to have some form of universal health coverage, the other being Turkey. Mexico established a universal healthcare program by November 2008.[22]

Universal health coverage ensures that all people use the health services they need, of adequate quality to be effective, while also ensuring that the services provided are affordable (“What is Universal Coverage?” 2015). France, Germany, Italy, The United Kingdom, Japan, Canada and Russia all have universal health care. This means that the United States is the only industrialized nation that does not provide all its citizens with health care. With universal health care, countries provide their inhabitants with basic healthcare services as long as they are citizens. No one can be denied healthcare in these countries regardless of their social status (“Universal Health Care Coverage Definition | Investopedia” 2011). In the United States, the healthcare system is much different. Facilities are mainly owned and operated by the private business sector which causes the price of treatment and medical visits to be higher than those in countries who have hospitals and insurance run by the government. For example, the United Kingdom in which “Health care and health policy for England is the responsibility of the central government, whereas in Scotland, Wales and Northern Ireland it

These health sites are able to provide approximate prices for health services and procedures in fairly transparent format. Online resources are now being made available by insurers, government agencies, Internet companies and medical care providers. National insurers such as Anthem, United Health group, Humana, Aetna, and Cigna offer pricing tools to their customers. Some states including New Hampshire, Maine, Oregon, and Massachusetts offer pricing information. The internet company Healthcarebluebook.com prices products by are for all consumers in the United

Universal healthcare will lower healthcare costs for the economy and will eliminate the frustration of dealing with private healthcare insurers. From the healthcare providers’ perspective, though they may give up higher reimbursements, they will be able to reduce the number of staff dedicated to filing and billing complicated insurance claims. Currently physician offices alone spend around $70 billion annually to handle insurance claims (Jiwani, Himmelstein and Woolhandler).

These policies provide network-based health, medical, and well-being services to government based program beneficiaries and product sales. The estimated revenue for the health insurance industry is $677.4 billion from 2009-2014 (Hoopes, 2014). Approximately 88.7% of Americans hold more than one or more forms of health insurance plans in 2014, with 11.3% who are uninsured (Hoopes, 2014). There are two major groups that drive this industry’s demand; the private market and the public market run by the government (Hoopes, 2014). Out of 961 private market enterprises, there are 3 major leading competitors in the health insurance industry. These leaders are UnitedHealth Group Inc., WellPoint Inc. now Anthem Inc., and Aetna Inc. (Hoopes,

Over the past few decades Brazil has made major improvements to its healthcare system. Before 1988, half of Brazil’s population did not have health care coverage (World Health Organization). This changed when Brazil implemented Unified Health System (Sistema Único de Saúde) which provided universal free healthcare coverage for its citizens. Since its enactment, 75% of Brazil’s population now rely on Sistema Único de Saúde (SUS) as their sole provider of health coverage, making it the largest public health system in the world (World Health Organization).