COMPETITON AND UNTEDHEALTH GROUP PEERS 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. A recent update on UnitedHealth Group financial performance suggested that the company has experienced low Earning Per Share as compared to its peers. UNH share prices on Year-to-Date (YTD) basis keeps fluctuating for the past 52-weeks indicate the company is struggling to maintain its position as the nation’s largest insurance industry, especially after the mergers of four other key competitors in the insurance market. Throughout 2015, Aetna, Cigna, Anthem, and UnitedHealth Group reported rise of approximately 17.6%, 28.5%, 4.6% and 12.1%, which signify slight
“UnitedHealthcare provides network-based health care benefits for a full spectrum of customers in the health benefits market” such as students and individuals; sole proprietorships to multi-site, large national employers; promotion of health benefits to Medicare retirees and beneficiaries; and provides Medicaid and community programs (UnitedHealthcare, 2010). UnitedHealth Group 2012 revenue was $11.3 billion. The company is continuously growing through various mergers and acquisitions within the US and Europe, increasing members and revenues (Keepournhspublic, n. d.).
The main characters in this article include the merging PBM companies Express Scripts Inc. and Medco Health Solutions Inc. Their PBM competitor companies include UnitedHealth Group Inc. with its OptumRx pharmacy unit, Walgreen Co., and CVS
Universal Health Services, Inc. (UHS) has been the publicly held United States dependent traded specialty healthcare company. This involves the assisted of the public by hospitals. Most of these companies are owned and operates by acute care hospitals, behavioral health centers, surgical hospitals, ambulatory surgery centers as well as radiation oncology centers.
BlueCross BlueShield doesn’t have any other Managed Care Organizations that it truly competes against. There are only three MCO’s in the state of Tennessee who were awarded the contract to implement and administer the CHOICES program in 2010. BlueCross BlueShield (BCBST), AmeriGroup (Group) and United Healthcare (UHC) are all three actively managing care of the members in the program at this point. Upon review of the website of both of the other MCO’s, I found that they are all set up surprisingly similar and all three have a very comparable appearance. UHC’s site (www.uhc.com) presented the “locate a provider” feature more obviously than the other two websites; making it easier to find active providers that are participants in their network.
In July of 2015, Anthem, Inc. announced its intention to acquire competitor Cigna Corp (Mathews & Hoffman, 2015). According to the company’s joint website, betterhealthcaretogether.com, Anthem is one of the nation’s largest health service companies that covers approximately 38.5 billion people and boasts annual revenue of $78.5 billion. Led by president and CEO Joseph R. Swedish, Anthem will purchase smaller health service company, Cigna. Cigna covers around 14.5 billion people and has $36.5 billion in annual revenue (bettertogether.com, 2015).
United Healthcare insurance was established in 1977. David S. Wichmann is the CEO of United Healthcare and the headquarters is located in Minnetonka, Minnesota. United Healthcare is offered in all 50 states and is also available in 33 countries. In 1984 United healthcare was opened to the public. In 1998 United healthcare received the name United Healthcare Group. United healthcare offered a Medicaid plan in 2002. As of 2009, United Health Group offers a health plan for diabetes. In 2010, United healthcare offers ways to get on a payment plan for cancer treatments that help pay oncologists (United Healthcare Group, n.d.). United Healthcare will experience a growth from 13% to 16% but the good thing is that the plan costs will still remain affordable ("UnitedHealth sees growth in 2018, opportunities in Trump plans," 2017). United Healthcare can be access through the Maryland Health Choice program in Maryland, United healthcare handbooks, apps, and
UnitedHealth Group is a diversified health care company, and a worldwide leader in helping people live healthier lives and taking the necessary steps in making the health system work better for everyone. The UnitedHealth group serves more than 85 million individuals worldwide with health benefits and services. In 2012, they produced revenues of $110.6 billion and were ranked number 17 in the Fortune 500. The economic and political segments would rank the highest in influencing the UnitedHealth Group.
Although Express Scripts is the nation’s largest pharmacy benefit manager (PBM), CVS Healthcare comes in as second place. From 2010 to 2015 both pharmaceutical benefit managers have increased revenues from year to year. Express Scripts Holding Company comes in as number one because they are the leaders in their industry, with the highest market share. The difference between the two’s market share is a small 1.6%. Due to its retail pharmacies, CVS is able to possess such a high market share – but Express Scripts is able to slide by as the leader in its industry only when pharmaceutical benefit managers count. When searching complaints from Express Scripts and CVS Healthcare, you’ll find that Express Scripts has multiple websites that show thousands
Express Scripts Holding Company’s competitors are CVS Healthcare Corporate, UnitedHealth Group, Inc., and Catamaran. These companies are in the health benefits and pharmaceutical segment, who target corporate contracts and large employers to become another one of their subsidiaries. The goal of Express Scripts Holding Company and their rivals are to provide safe and reasonably priced drugs to more people around the world.
UnitedHealth Group continues to enjoy steady progress across its major business units. Over the past two years United has worked to strengthen and accelerate its investments in its core health insurance and health services (Optum) units. This disciplined approach has resulted in both top-line and bottom-line growth growth for the organization on a year-over-year basis, with primary growth coming from the senior and public sectors, as well as from strong results in Optum. Membership for the third quarter was unchanged sequentially from 2Q14 with medical membership holding steady at 44.9 million members.
The objective of this study is to compare service areas of Humana Healthcare and Aetna. A Service are structure analysis will be conducted as well as a competitor analysis. Strategic groups will be mapped and analysis synthesized.
Tufts Health Plan could appear to be a competitor to United Healthcare as a significant amount of their older population are affected by Alzheimer's. They provide an integrated care management program offers a care coordinator to members with Alzheimer's. Tufts Health Plan also offers members and employees education, resources and support services. "Tufts Health Plan's integrated care management program is the first of its kind in New England," said Jim Wessler, president and chief executive officer of the Alzheimer's Association Massachusetts/New Hampshire chapter. "It exemplifies how the values of the company support innovation and compassion. They are a model for other companies." United Healthcare needs to be competitive and not only provide the same services, but go beyond and find a cure for
While regarding the acuity level of how patients are treated, HealthSouth is quite different from normal hospitals. They, as rehabilitation hospitals, generally provide services to patients who have been under a stable physical condition and are in the process of recovery. Besides HealthSouth, other major competitive players in the industry are Select Medical Holding, Kindred Healthcare, Inc., Genesis Healthcare, Tenet Healthcare, NHC, etc. Even though a great number of competing firms appeared in this post-acute-care provider industry recently, no one provides exact the same services like HealthSouth does, making the industry in a monopolistic competitive pattern. When operating business, HealthSouth faces threats from different aspects, threats from sources like new entrants, rivalry, and even buyers. Providing services for years, the company has been a mature company in the industry and has definite cost advantages and competitive advantages in its services quality. The competition exists at national level, as well as at local level. As for patients, the customers in this industry, they forced the industry participants engaged in providing more professional and quality practices. With the pressure of price negotiation by customers,
In the United States today, UnitedHealth Group is the biggest and for profit healthcare organization, with their headquarter in Minnetonka Minnesota. Among the top 500 companies in the US, it ranked the #17, and was founded in 1977. UnitedHealth Group according to Fortune magazine serves roughly more than 85 million persons in the whole world and are staffed with closely 150.000 people in the US 50 states and 20 other countries. (UnitedHealth Group, 2013.). They have two operating business which provides a variety of health care services to consumers: UnitedHealth Care, focuses on the provision of benefits and health care coverage to individuals and employees, and Optum, which is focused on the provision of technology, health services and information in the delivery of health care and improvement of the
In the US, the growth of health care spending has been enormous. Almost $2 trillion is spending in the US healthcare which is as much as the GDP of India. The hCentive is reaping a major windfall, that is, by helping build online health insurance exchanges for several states, enabling insurance companies to connect with all 51 government-run exchanges, and moving to exploit the new but potentially large private insurance exchange market. The company expects to generate about