Modern Healthcare

UnitedHeal­th Group’s annual revenue soars past $200 billion for first time

- By Shelby Livingston

UnitedHeal­th Group had a banner 2017. The nation’s largest health insurer saw its revenue crack the $200 billion mark for the first time, while fourth-quarter profits more than doubled over 2016.

On top of those stellar results, the Minnetonka, Minn.-based company will reap an extra $1.7 billion in earnings in 2018 thanks to the Trump administra­tion’s recent tax overhaul that reduced the corporate tax rate from 35% to 21%.

During a conference call with investors last week, UnitedHeal­th CEO David Wichmann said the company plans to use its proceeds from tax reform to invest in ways to improve healthcare affordabil­ity and quality.

He didn’t get into specifics, or discuss whether the extra cash would be used to lower insurance rates for customers.

UnitedHeal­th had a busy fourth quarter. The company’s Optum unit announced a proposed acquisitio­n of DaVita Medical Group for $4.9 billion, which helps advance UnitedHeal­th’s strategy of shifting care away from costly hospitals and into outpatient sites.

The insurer also expanded its footprint globally through its proposed buyout of Santiago, Chile-based insurer BanMedica for $2.8 billion, “establishi­ng a foundation for growth in South America for decades to come,” Wichmann said.

He also expressed support for the Trump administra­tion’s recent executive orders meant to expand the use of associatio­n health plans and short-term health plans. UnitedHeal­th already has experience offering associatio­n health plans.

“We are supportive of these efforts to improve

UnitedHeal­th CEO David Wichmann said the company plans to use its proceeds from tax reform to invest in ways to improve healthcare affordabil­ity and quality.

choice and frankly provide access to lower-cost alternativ­es,” Wichmann said, though he added that the plans “must be designed carefully in order to enhance coverage options and to ensure they don’t destabiliz­e other aspects of the health insurance market, like the small group market.”

Many health insurance experts say that the expansion of associatio­n health plans and short-term plans will harm the individual and small-group markets by siphoning away healthy members needed to balance out the costs of the sicker members.

In the fourth quarter, UnitedHeal­th grew revenue by 9.5% to $52.1 billion year over year. For the full year, revenue increased 8.8% to $201.2 billion. Both of UnitedHeal­th’s segments posted strong financial results.

The company’s insurance arm, UnitedHeal­thcare, reported fourth-quarter revenue of $41.6 billion, up 9.6% over the same period in 2016. Its 2017 net income grew 9.9% to $163.3 billion.

Optum, the insurer’s health services segment, posted fourth-quarter revenue of $24.4 billion, up 10% year over year. Its profit increased 9.1% to $91.2 billion for the full year.

UnitedHeal­thcare served 49.5 million customers during 2017, about 1.9% more than in 2016. The insurer gained 800,000 Medicare Advantage members in 2017.

Its Medicaid membership grew by 815,000 during the year as UnitedHeal­thcare entered new states and expanded the number of members it served in Iowa after another insurer, AmeriHealt­h Caritas, pulled out of the state in late 2017.

Meanwhile, commercial membership dipped slightly by 715,000 members to 29.9 million members largely because of UnitedHeal­thcare’s retreat from the ACA individual market. The insurer covered 485,000 individual members, down from nearly 1.4 million in 2016.

UnitedHeal­thcare’s full-year 2017 medical-loss ratio, which represents the amount per every premium dollar spent on medical care and quality improvemen­t activities, was 82.1%. In the fourth quarter, the MLR was 82.2%.

Net income in the fourth quarter more than doubled over the same period in 2016 to $3.6 billion. UnitedHeal­th Group recorded a full-year profit of

● $10.6 billion, up 50.5% over 2016.

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