$13 BILLION: UNITEDHEALTH GROUP ACQUIRES CHANGE HEALTHCAREby John G. Baresky on 01/08/21
UnitedHealth Group Escalates Its Healthcare Data Analytics Capabilities With Change Healthcare Buyout
UnitedHealth Group will integrate Change Healthcare into its OptumInsight business group. OptumInsight is devoted to healthcare data analytics and technology aligned with clinical and financial applications.
Change Healthcare is a compact and successful data management innovator that is purely focused on the healthcare industry
Change Healthcare was founded in 2016 and is based in Nashville, Tennessee. Its 2019 revenue was $3.3 billion. Its scope of work encompasses clinical information and revenue and cycle management solutions that span patients and payers.
This includes data from pharmacies, healthcare provider organizations (hospitals, health systems, medical practice groups, etc.),various channel partners plus commercial and government medical and prescription benefit plans. It also offers IT solutions that optimize the management of medical imaging applications.
UnitedHealth Group is the largest healthcare insurance corporation in the United States
United Health Group (commonly referred to as "United Healthcare", "UHC" or "UHG") was founded in 1998. Its 2019 revenue was $242 billion. The addition of Change Healthcare catapults its ability to manage data across its business model that includes:
- Commercial healthcare insurance (employers, union groups etc.)
- Dental benefits
- Immediate care clinics
- Mail order pharmacy, retail pharmacy, specialty pharmacy
- Medicaid plans
- Medicare plans
- Pharmacy benefit management (PBM)
- Surgical centers
- Vision benefits
By fortifying OptumInsights with Change Healthcare, it will function as UnitedHealth Group's center of excellence that will account for multiple aspects of billing, clinical and commercial healthcare data analytics, financial management, forecasting and other aspects of profitable risk management enterprise.
United Healthcare’s primary competitors are:
- Aetna (CVS/Aetna - NYSE: CVS)
- Anthem and all other Blue Cross Blue Shield organizations nationwide
- Centene Corporation (NYSE: CNC)
- Cigna/ExpressScripts (NYSE: CI)
- Humana (NYSE: HUM)
- Intermountain Healthcare (privately held)
- Kaiser Permanente (privately held)
UnitedHealth Group's investment is an ideal strategic move as the company continues to diversity its business model as a payer and provider organization.