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The power of commercial payers in healthcare is undeniable, as shown by UnitedHealth Group's impressive fourth-quarter profit of $5.5 billion. However, my providers and customers continue to share concerns that UH is one of their lower payers. While this is worrying for those delivering expert services and care, CEO Andrew Witty has reassured that “UH is committed to balanced growth and improving patient care and consumer experiences.” But at what cost? If double-digit revenue growth is what defines "balanced growth," then should providers and customers expect less in reimbursements? How can we take measures to level this mountainous playing field? Check out the link for more information. #healthcare #commercialpayers #unitedhealthgroup #medicalbilling #physicians #reimbursement

Q four United earnings out now: While their stock “stumbled” here is the breakdown: - Q4 revenue = $94.4b - Q4 profit = $22.4BILLION - 2023 revenue = $371.6b - 2023 profit = $22.4BILLION This was on a 83.2% MLR, which would’ve been lower had it not been for the recent respiratory surge. Double-digit growth in both Optum and Health Plan. Optum grew VBC patients by 900k to now over 4m and increased revenue by nearly 30% from its acquisition of Change Healthcare. The health plan side saw growth in commercial and MA but lost 700k Medicaid lives. 2024 projections = $400-403B, growing by 30+% and EPS of $27-28. But their stock still didn’t meet expectations and dropped today… What do you all think about this? Well-deserved? Price gouging growing monopoly? Something in between? https://lnkd.in/g8zASt4m

Check out our insights from The 2023 Q3 Earnings Calls: Legacy Payers and VBC Market Entrants, authored by Sg2's Joe Maher!

In this Sg2 blog by Joe Maher, learn five emerging trends and dynamics in a subset of publicly traded legacy payers and #valuebasedcare focused entrants drawn from earnings call transcripts from 2023 Q4, including observations on: 💡 How the current economic environment continues to place a premium on margin over growth 💡 How the focus on margin management will increase payer-provider partnership opportunities, especially in VBC 💡 How understanding positioning of specialty care and pathways is critical for health systems in markets advancing toward value https://bit.ly/4a7HI83

Curious about what publicly traded legacy payers and value-based care entrants to the health care market are thinking? Check out these 5 observations from their quarterly earnings calls, including payer-provider partnership opportunities, positioning of specialty care and pathways, and much more!

C-Suite: "We are already paying an enormous amount in #healthinsurance premiums. where is all of this money going?" Let me educate you on how you can regain control over your #healthinsurance costs using our there pillars: #cost, #care, #community. CVS Health and UnitedHealth Group are the two biggest healthcare companies by revenue, according to a report from Investopedia.  Here are the 10 biggest companies in the healthcare field based on revenue as of Dec. 21, 2022. 1. CVS Health: $315.2 billion 2. UnitedHealth Group: $313.1 billion 3. McKesson: $272 billion 4. Cencora: $238.6 billion 5. Cardinal Health: $187 billion 6. Cigna: $180 billion 7. Elevance Health: $153.2 billion 8. Centene: $141.6 billion 9. Walgreens Boots Alliance:$132.7 billion 10. Pfizer: $99.9 billio #CommunityConnectedCare

As #CMS makes it more difficult to attain Stars ratings over 4, well-run plans will greatly benefit while laggards suffer serious financial impacts. Eg, CVS Aetna lost ~ $1bn after its stars ratings fell. That's why getting serious about a holistic #Stars strategy is key, and leveraging a tool like Jeff Schoenborn, MPH's Baltimore Health Analytics is will be crucial. #medicareadvantage #starratings https://lnkd.in/eGnv_BBu

In this Sg2 blog by Joe Maher, learn five emerging trends and dynamics in a subset of publicly traded legacy payers and #valuebasedcare focused entrants drawn from earnings call transcripts from 2023 Q3, including observations on: 💡 Strategic opportunities shifting from Medicare Advantage growth to member management 💡 The importance for health systems to develop or refresh their payer strategy https://bit.ly/49l3Jzp

https://lnkd.in/eDEDTRHn Takeaway: UnitedHealth Group expects costs from the massive cyberattack against its Change Healthcare unit to reach $2.3 billion to $2.45 billion this year, the company said in a second quarter earnings report That eclipses earlier projections by more than $1 billion