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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. [2] In 2017, Optum accounted for 44 percent of UnitedHealth Group's profits. [3]
UnitedHealth Group Incorporated is an American multinational for-profit company specializing in health insurance and health care services based in Minnetonka, Minnesota. Selling insurance products under UnitedHealthcare , and health care services under the Optum brand, it is the world's ninth-largest company by revenue and the largest health ...
Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4]
As of 2023, PBMs managed pharmacy benefits for 275 million Americans and the three largest PBMs in the US, CVS Caremark, Cigna Express Scripts, and UnitedHealth Group’s Optum Rx, make up about 80% of the market share covering about 270 million people [4] [5] with a market of almost $600 billion in 2024. [6]
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
Change Healthcare helps process claims and payments for healthcare companies, including hospitals and pharmacies. Dr. Amar Desai, CEO of Optum Health, a UnitedHealthcare business segment, said the ...
North American Medical Management (NAMM) develops and manages provider networks, offering a full range of services to assist physicians and other providers in their managed care and business operations.
Sanus was a health maintenance organization and it merged with the General America Life Insurance preferred provider organization. [12] Sanus rapidly grew and by 1986 it had 200,000 clients and $100 million in revenue, operating in the St. Louis, Dallas , Fort Worth , Houston , and Washington, D.C. markets.