UnitedHealth Group Inc. is a diversified managed health care company headquartered in Minnetonka, Minnesota, U.S. It is No. 14 on Fortune magazine's top 500 companies in the United States. UnitedHealth Group offers a spectrum of products and services through two operating businesses: UnitedHealthcare and Optum. Through its family of subsidiaries and divisions, UnitedHealth Group serves approximately 70 million individuals nationwide. In 2011, the company posted a net earnings of $5.142 billion.UnitedHealth Group is the parent of UnitedHealthcare, the largest single health carrier in the United States. It was created in 1977, as UnitedHealthCare Corporation , but traces its origin to a firm it acquired in 1977, Charter Med Incorporated, which was founded in 1974. In 1979, it introduced the first network-based health plan for seniors. In 1984, it became a publicly traded company.In 2011, J.D. Power and Associates gave UnitedHealthcare the highest employer satisfaction rating for self-insured health plans. UnitedHealthcare also received high marks from the American Medical Association in its 2011 National Health Insurance Report Card. The fourth annual report card evaluated seven national health insurance companies on the timeliness and accuracy of their claims processing based on a variety of payment, approval and process metrics. UnitedHealthcare moved into the top spot among its industry peers on two metrics: Contracted Fee Schedule Match Rate, which indicates how often an insurer's claim payment matches the contracted fee schedule; and Electronic Remittance Advice Accuracy, which measures the rate at which the insurer's allowed amount equals the physician practice's expected allowed amount. In a 2010 insurance industry publication, Business Insurance , UnitedHealthcare was named "Readers Choice" winner in 2010 for "Best health plan provider".In contrast, a 2010 survey of hospital executives who have dealt with the company, United received a 65% unfavorable rating. While this marks a 33% improvement over the prior year's survey, UnitedHealthcare still ranked last among all listed. Wikipedia.


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News Article | February 15, 2017
Site: news.yahoo.com

FILE - In this Tuesday, Aug. 19, 2014, file photo, a pedestrian walks past a sign for Aetna Inc., at the company headquarters in Hartford, Conn. Aetna and Humana are calling off a $34 billion deal to combine the two major health insurers after a federal judge, citing antitrust concerns, shot down the deal. (AP Photo/Jessica Hill, File) INDIANAPOLIS (AP) -- Major health insurers Aetna and Humana called off their $34 billion combination after a federal judge, citing concerns about prices and benefits, rejected the deal. The announcement Tuesday comes several days after another federal judge shot down a tie-up between two other massive insurers. Blue Cross-Blue Shield carrier Anthem Inc. is attempting to buy Cigna Corp. for $48 billion. Anthem is appealing that decision. Aetna, the nation's third largest insurer, had announced its bid for Humana in 2015. The deal would have given Aetna the opportunity to significantly expand its presence in Medicare Advantage coverage, which involves privately run versions of the federal Medicare program for people who are over 65 or disabled. But Aetna's attempt to gobble up the nation's fifth largest health insurer brought in the Department of Justice, which sued last summer to block that deal and the Anthem-Cigna combination. Regulators worried, in particular, about how the Aetna-Humana deal would affect consumer choices and competition in the fast-growing market for Medicare Advantage plans. U.S. District Judge John Bates wrote in the decision last month that neither new competition nor plans to shed some of the combined company's businesses would be enough to ease antitrust concerns. Federal regulation would likely be "insufficient to prevent the merged firm from raising prices or reducing benefits," Bates ruled. Aetna Chairman and CEO Mark Bertolini said in a company release Tuesday that "the current environment makes it too challenging to continue pursuing the transaction." Humana is entitled to a $1 billion breakup fee, which would amount to about $630 million after taxes. The Louisville, Kentucky, insurer says it will announce its 2017 forecast and provide an update on its strategic plan after markets close Tuesday. The two deals blocked in federal courts would have melded the nation's five largest insurers into three, with UnitedHealth Group Inc. currently the biggest. The insurers have argued that growing through acquisitions would allow them to better negotiate prices with pharmaceutical companies, hospitals and doctor groups that also are merging and growing larger. They also expect to cut expenses and add more customers, which helps them spread out the cost of investing in technology to manage and improve care. Insurers have also said that combining would help them stabilize their business on the Affordable Care Act's public insurance exchanges. But the American Medical Association said last week, after the Anthem-Cigna deal was shot down, that a merger would have created a health care behemoth too large to regulate and with too much control over the lives of consumers. Shares of Hartford, Connecticut-based Aetna Inc. climbed $1.46 to $123.51 late Tuesday morning, while broader indexes slipped. Humana Inc. was down 61 cents to $206.09.


Patent
UnitedHealth Group Inc. | Date: 2016-03-31

Computer program products, methods, systems, apparatus, and computing entities are provided for sessions with participants and providers. For example, in one embodiment, a provider can interact with multiple participants to conduct interactive treatment sessions. Further, a participant can interact with multiple providers to conduct interactive treatment sessions. For the interactive treatment sessions, motion data and video data of the participant can be simultaneously displayed to the provider.


Patent
UnitedHealth Group Inc. | Date: 2013-06-07

Computer program products, methods, systems, apparatus, and computing entities are provided for sessions with participants and providers. For example, in one embodiment, a provider can interact with multiple participants to conduct interactive treatment sessions. Further, a participant can interact with multiple providers to conduct interactive treatment sessions. For the interactive treatment sessions, motion data and video data of the participant can be simultaneously displayed to the provider.


Consumer healthcare decisions are facilitated using systems, methods and computer program products configured to generate healthcare path recommendations based a consumer engagement with a consumer interface in which consumer-reported information related to a consumer health condition is received and used to generate healthcare path recommendations. The healthcare path recommendations are customized for the consumer based on the consumers personalized information including the consumers engagement with the consumer interface. The customized healthcare paths include treatment options for addressing the health of the consumer and may include cost-effective providers.


Patent
UnitedHealth Group Inc. | Date: 2013-02-25

Data is obtained from medical service providers. The data includes at least a plurality of available medical service appointments and pricing information. An inquiry for a medical service appointment is received from a user. A number of available medical service appointments are selected based on the inquiry and are then presented to the user. Prices for the available medical service appointments may be included and may be calculated based on current healthcare benefit plan information for the user. In response to a received purchase indication, one of the presented medical service appointments are purchased for the user.


Patent
UnitedHealth Group Inc. | Date: 2015-11-10

Systems and methods for intelligently routing a member of an organization to a single point-of-contact within an optimized, secure network to address all the members healthcare needs are described. The disclosed intelligent routing configurations transform and process, in real-time, vast amounts of member data to generate specialized effort scores specific to each members household. The effort scores, among other things, are used to determine an appropriate tier within the organization to route the member, and its account file containing real-time member and household level data.


Patent
UnitedHealth Group Inc. | Date: 2014-05-19

Healthcare costs accumulated across a plurality of claims systems are managed using a centralized accumulator, which receives cost accumulator data for adjudicated claims from multiple sending claim systems. An accumulator record type is identified from the cost accumulator data and used to generate a cross-reference record. The record type includes an adjudicated claim. A routing message is generated for at least one receiving claim system according to the identified accumulator record type, the cost accumulator data received from the sending claim system, and an identity of the at least one receiving claim system. In response to sending the routing message to the receiving claim system, an acknowledgement is received, which is used to update the cross-reference record by the processor.


Disclosed embodiments include methods and systems for creating and utilizing derived medical records. In accordance with one or more embodiments, a derived medical record system may utilize one or more derived medical records to improve insight into patient health, identify future risk factors, and improve claim processing efficiency. In some examples, the derived medical record system may further provide derived medical records based on healthcare data stored in structured and unstructured data sources.


Patent
UnitedHealth Group Inc. | Date: 2014-03-14

A method for directing inquiries to available subject matter experts includes storing an expert database in memory and defining presence states to describe present attributes of each subject matter expert with respect to a number of resource elements. Inquiries are directed to the experts, and response histograms are populated based on whether a response was obtained in a given presence state. The response histograms describe or define a response probability for each subject matter expert, as a function of the corresponding present attributes for each of the resource elements.


MINNETONKA, Minn.--(BUSINESS WIRE)--UnitedHealth Group (NYSE:UNH) was the top-ranking company in the insurance and managed care sector for FORTUNE’s 2017 “World’s Most Admired Companies” list. This is the seventh consecutive year UnitedHealth Group has been No. 1 in this sector. The company ranked No. 1 in eight key attribute categories – innovation, people management, use of corporate assets, social responsibility, quality of management, financial soundness, long-term investment, and quality of products and services. Stephen J. Hemsley, CEO of UnitedHealth Group, said: “This honor is a testament to the dedication and hard work of the more than 230,000 people of UnitedHealth Group, Optum and UnitedHealthcare. UnitedHealth Group employees are dedicated to our values – integrity, compassion, innovation, relationships and performance – and to delivering high-quality health care products and services to the people we are privileged to serve.” To learn how UnitedHealth Group is helping to build healthier communities, visit www.unitedhealthgroup.com/SocialResponsibility.aspx. To see how the company is helping to make health care simpler and more responsive, visit www.unitedhealthgroup.com/builtforbetterhealth. Since 1997, FORTUNE has collaborated with Korn Ferry Hay Group, a global management consulting firm, to identify, select and rank the World’s Most Admired Companies based on the business practices, innovative spirit and social responsibility that make companies that are chosen for the list both highly regarded and successful. FORTUNE’s “Most Admired Companies” list is considered a definitive “report card” on corporate reputations. For more information on how the rankings are determined, view the full methodology on Korn Ferry Hay Group’s website. UnitedHealth Group (NYSE:UNH) is a diversified health and well-being company dedicated to helping people live healthier lives and helping make the health system work better for everyone. UnitedHealth Group offers a broad spectrum of products and services through two distinct platforms: UnitedHealthcare, which provides health care coverage and benefits services; and Optum, which provides information and technology-enabled health services. For more information, visit UnitedHealth Group at www.unitedhealthgroup.com or follow @UnitedHealthGrp on Twitter. Click here to subscribe to Mobile Alerts for UnitedHealth Group.

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