Optum

Health at Scale is a healthcare machine intelligence company that uses proprietary advances in artificial intelligence and machine learning to optimize care delivery for individuals by empowering at-risk payers, employers and providers. Founded by machine learning and clinical faculty from MIT, Harvard, Stanford and U-Michigan, the company’s mission is to bring precision delivery to healthcare through personalized and predictive algorithms that match individuals to the next best action in real-time and when needed most -- whether it’s the ideal choice of treatment, an early intervention, or the right provider. Health at Scale’s machine intelligence is deployed at scale in real operational settings, including with some of the largest payers in the country, across millions of lives driving better health outcomes, access and affordability for its customers. The company's software solutions service a broad range of use cases: provider navigation and network design, early targeted prediction and prevention of adverse outcomes, optimized treatment planning; and fraud, waste and abuse prevention.

Optum is a healthcare system that designs to connect people, places, and ideas across the healthcare ecosystem to create personalized healthcare. They provide medication, healthcare financial services, and guidance along with technology and services to health plan providers.

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 Minnesota-based Optum provides a range of healthcare solutions, including in-person primary care, specialty care, pharmacy assistance, and financial healthcare services. The company, which operates in-person primary care clinics across 15 states through Optum Care, entered the telehealth space in April 2021 with the launch of Optum Virtual Care throughout all 50 states. The telehealth service comprises specialized virtual care, home care, mental healthcare, and integrated physical health. 
 
 
 Optum partners with hospitals, health plans, life sciences companies, state and local governments, and more than 53,000 physicians and 1,450 clinics in the US as of April 2021. In addition, the company has served 99 million individuals as of March 2021. Optum was founded in 2011 by merging the existing pharmacy and care delivery services of UnitedHealth Group (the second largest national healthcare insurer in the US). 
 
 
 The holding company previously partnered with telehealth providers Teladoc, Amwell, and Doctor on Demand to offer virtual care services to its members. UnitedHealth is building out its own telehealth offering via the newly launched Optum Virtual Care service, which will be made available to the insurer’s membership base of 50 million (as of March 2021).
 
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Optum is looking to hire top tech talent

Optum Ventures

Membership-based, non-insurance healthcare companies helping maintain a steady state of well being.

Preventive Healthcare

Platforms offer a subscription-based or B2B-sponsored, evidence-based program for managing a specific long-term health condition.

DPCs offer value-based primary and preventive care services addressing whole-person (social, mental, physical) needs for a fixed monthly or annual fee paid by either the patient, insurance provider, or employer.

Companies offer B2B and D2C evidence-based treatments delivered via software programs to prevent and manage a variety of chronic conditions.

Tools that collect and analyze real-time patient data that supports healthcare providers with clinical decisions,  improves patient outcomes, and reduces medical errors.

Companies offer independent physician practices and hospitals with the tools (patient engagement, care coordination, administrative services) to help manage and improve clinical health outcomes of a defined group of individuals or large populations.

Platforms are used to track and gather patient health-related information via either a connected device or at-home test kits to detect the early onset of disease and identify any abnormalities in readings—but do not include a treatment plan.

More important now than ever, telehealth will long outlast the pandemic that drove its growth.

Telehealth

Real-time collection of patients’ health-related data using any remote patient monitoring device combined with general telemedicine services to reduce readmission rates.

A platform that facilitates the transmission of patient data to different locations for further evaluation and interpretation by medical specialists.

A digital platform that offers specialty care services to address the specific needs of a patient or demographic, including consultations where patients are generally reluctant to meet practitioners face-to-face.

Primary care through virtual consultations for general health-related concerns using a digital platform or mobile app.

Companies developing B2B software solutions for patient engagement, care navigation, practice management, and electronic health records integration to facilitate telehealth services for healthcare providers.

Companies that use GenAI as a core part of their product offering for Telehealth

Redefining hospital care with the comfort of home

Hospital-at-Home

Digital platforms that connect patients with in-person medical care providers in the comfort of their homes and support care delivery

Platforms enabling healthcare providers to order in-home therapies, durable medical equipment, and provide virtual acute care services

Companies offering a full-stack of in-home medical services including health evaluations, virtual and in-person visits for a variety of needs, and care coordination by leveraging data analytics

Platforms providing accessible lab testing solutions for a range of conditions, allowing patients to conveniently perform tests in their own homes

Digital pharmacies that deliver prescription medications directly to patients' homes and platforms that help track and manage medication adherence

Solutions enabling hospitals to establish hospital-at-home programs and providing workflow management tools for home care providers

ANALYST_QUICK_TAKE

INCUMBENTS_PRESENT

<div>
 
 UnitedHealth has unveiled plans to shut down its Optum Virtual Care Business, a piece of news that has been widely speculated in the media. The termination was communicated to staff on April 18, with a few contracts continuing until July. The company has yet to make the plan public. 
 Additionally, an executive reshuffling at Optum Home &amp; Community and the Care Transitions sector will see Harrison Frist depart from his current role this summer, remaining momentarily in an advisory capacity. Heather Jarrett, who currently occupies the role of senior vice president of government clinical programs at UnitedHealth Group, is set to replace him.
 The company's home-based health care division, run under the Landmark Health banner, has also reduced its management ranks across the 37 states where it has operations. Even though precise data is not yet available, over 370 personnel, including health service directors, senior operations managers, ambassadors, and care coordinators, have reportedly lost their jobs at Landmark Health.
 
</div> Analyst QuickTake: 
 Recently, UnitedHealth Group has had several issues that have likely significantly contributed to the downsizing initiative. In an earnings call this week, the Group announced a loss of USD 1.4 billion for <a href="https: 
//www.unitedhealthgroup.com/content/dam/UHG/PDF/investors/2024/UNH-Q1-2024-Release.pdf"> Q1 2024 </a> , primarily driven by foreign exchange charges (amounting to <a href="https: 
//www.bloomberg.com/news/articles/2023-12-29/unitedhealth-to-take-7-billion-charge-for-sale-of-brazil-unit"> USD 7 billion </a> ) associated with the sale of the company’s Brazilian operations and the impact of the company’s cyber-attack. While the cyber-attack only targeted UnitedHealth’s Change Healthcare, which provides revenue and payment cycle management solutions, the entire group and providers felt the effects.

Optum

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