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    UnitedHealthcare: Empowering Health Benefits 2Q'2024

    UnitedHealthcare: Empowering Health Benefits 2Q'2024

    F4 months ago 285

    UnitedHealthcare offers comprehensive health benefits for employers and individuals. They focus on affordability, innovative plan designs, and improved health outcomes. This includes employer-sponsored plans, Medicare Advantage, and specialized programs for underserved populations, aiming to create sustainable and effective healthcare solutions across the U.S.

    UnitedHealthcare: Empowering Health Benefits 2Q'2024 - Page 1
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    UnitedHealthcare Employer & Individual Overview
UnitedHealthcare
Employer & Individual
Almost half of the U.S. population, or nearly 156 million Americans, receive health benefits 
through employers. An additional 21 million people obtain coverage on the individual 
market, with ACA exchange participation nearly doubling since 2020.
UnitedHealthcare Employer & Individual provides employer-sponsored health benefits, 
as well as individual and family plans, through a portfolio of products. 
Our offerings span employer and individual medical plans, specialty benefits such as vision, 
dental, hearing and financial protection coverages, and international plans and services. 
This combination helps deliver value to employers and makes UnitedHealthcare a crucial 
part of improving the health and well-being of the people and communities we serve. 
UnitedHealthcare’s domestic commercial plans have added more than 3.1 million new 
consumers in the past three years and have helped employers reduce the total cost of 
care by $7 billion. 
IC24. 
Driving affordability for consumers 
and employers 
Health care costs are a top concern for the people we 
serve. UnitedHealthcare works to minimize financial 
burdens through innovative health plan offerings, 
financial incentives and compelling product bundling, 
while driving better health outcomes.
Our most innovative, technology-driven health plans
continue to see strong growth by offering no 
deductibles alongside intuitive digital experiences that 
provide clear, upfront cost and coverage information. 
These are among our fastest-growing commercial 
products, with 1 in 5 of our large account customers 
offering them to their employees in 2024. We expect 
half of new national accounts to offer these plans to 
their customers in 2025. 
Approximately 75% of consumers in these plans spend 
less than $500 out of pocket annually. Costs to 
treat several chronic conditions — such as mental 
health and mood disorders, back pain, diabetes and 
migraines — are lower than traditional plans, and 
people have higher rates of annual physician visits 
and preventive screenings. Cost transparency is 
one reason 9 out of 10 people re-enroll in these 
plans year after year.
This consumer-centric model has been a proving 
ground to inform innovative benefit offerings in 
other parts of our business. 
>29.7M
consumers served in the U.S. by 
UnitedHealthcare Employer & Individual
We also provide employers with greater flexibility 
and cost-saving opportunities through level-funded 
plans, which offer all the financial protections of a 
fully insured plan with the lower cost of self-funding. 
Our level-funded offerings are proving increasingly 
popular among employers looking for the right balance 
between fully insured and self-funded arrangements. 
UnitedHealthcare Employer & Individual Highlights
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    UnitedHealthcare Employer & Individual Highlights
Delivering better clinical outcomes 
By analyzing clinical and claims data alongside other 
factors, we help create customized plan designs and 
proactive interventions for employers that more 
effectively close gaps in care, increase enrollment in 
clinical programs and reduce the total cost of care. 
>53M
people served by UnitedHealthcare in 
specialty benefits, including dental, vision, 
hearing and financial protection plans
We provide employers with resources and customized 
support programs to manage chronic diseases, 
including diabetes, chronic obstructive pulmonary 
disease, heart disease, kidney disease and cancer. For 
example, people with type 2 diabetes have access to 
zero-cost medication and care to help them better 
manage glucose levels and more effectively control 
their condition. Those with congenital heart disease 
benefit from best-in-the-nation quality that reduces 
hospital length-of-stay by 40%. And breast cancer 
patients in our cancer care program are 18% less likely 
to be admitted to the hospital.
Our Complex Health Advocacy program has supported 
approximately 350,000 families through reduced 
administrative and clinical barriers, with specific 
attention paid to children with special needs. 
These families are often high users of care and in 
underserved populations, facing challenges such 
as sickle cell anemia and rare genetic diseases. 
The program’s dedicated single point of contact has 
led to a 94% satisfaction rate, an 89% issue resolution 
rate, and better health outcomes. 
Streamlining the consumer experience
We are focused on solving fundamental problems 
and meeting consumer expectations for choice, 
predictability and value in health care.
In 2024, we launched a program to employers that 
better integrates the full scope of their benefit 
offerings to drive engagement among their employees 
and help relieve administrative burden. Employers 
can choose from a variety of programs to customize 
their experience to best fit the needs of their 
employee population. 
Additionally, our care advocates are helping people 
navigate the health system by providing support 
for everything from preventive care to managing a 
complex or chronic condition. 
92%
satisfaction rating for our customer care 
advocacy programs
Integrated member data gives our advocates a 
complete picture of each consumer, allowing them to 
help people make more informed choices and enroll in 
relevant support programs. Our enhanced customer 
care advocacy resources help people stay in network, 
assist with hospital discharge planning and support, 
evaluate treatment and medication options based on 
coverage considerations, and more. Our integrated 
approach to medical and pharmacy benefits allows 
our advocates to direct consumers to lower-cost drug 
alternatives, saving an average of $60 per 30-day 
prescription fill among participating individuals. 
Expanding our service areas
We grew our individual exchange offerings in 2024, 
driven by strong retention of our existing membership 
and expanded growth among consumers across the 
country. We remain dedicated to providing access to 
more consumers through geographic expansion and 
by developing consumer-centric offerings.
We are making strategic investments to better meet 
the needs of underserved populations through 
customized benefit designs, marketing campaigns 
and community engagement initiatives to attract and 
fulfill the needs of the unique individuals we serve. 
And we continue to explore clinical programs to 
address health disparities, including diabetes education
and nutrition planning.
In 2025, our individual and family plan offerings 
will reach 30 states, with continued emphasis on 
differentiated products and pricing competitiveness 
within existing markets.
IC24.
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    UnitedHealthcare Medicare & Retirement Overview
UnitedHealthcare
Medicare & Retirement
UnitedHealthcare Medicare & Retirement serves nearly 13.8 million consumers. 
Our plans span Medicare Advantage, Medicare Part D, Medicare Supplement and 
group retiree services. 
Our easy-to-use, affordable plans are supported by exceptional customer service, 
delivering outstanding value to consumers and making UnitedHealthcare a trusted 
partner for the people we serve. 
IC24. 
The value of Medicare Advantage
Medicare Advantage is now the preferred choice of 
older adults due to the quality, access and affordability 
of care delivered, including additional wellness and 
supplemental benefits such as dental, vision and 
hearing. Compared with people enrolled in Medicare 
fee-for-service, Medicare Advantage members save 
more than $2,000 per year, receive additional benefits, 
and have a 43% lower rate of avoidable hospitalizations. 
As a result, 95% of Medicare Advantage members are 
satisfied with the quality of care they receive. 
Medicare Advantage serves a diverse, lower-income and 
clinically complex older population. Older adults with 
chronic conditions are more likely to choose Medicare 
Advantage, and more than half of Medicare Advantage 
members have an annual income of $25,000 or less. 
Medicare Advantage enrollment among minorities has 
more than doubled since 2013 and now makes up over 
30% of Medicare Advantage membership, including 
65% of Latino and 64% of Black older adults.
In addition to providing value to a diverse group of 
older adults, Medicare Advantage also reduces costs 
for the broader health system. Medicare Advantage 
costs taxpayers less than Medicare fee-for-service, 
even before considering the additional benefits and 
reduced costs that older adults receive. 
Maintaining stable, valued benefits
The value of Medicare Advantage to older adults is 
more important than ever before. UnitedHealthcare 
provides durable and affordable plans supported by 
exceptional customer service and the largest national 
provider network. In 2025, 94% of Medicare eligibles 
will have access to a $0 premium UnitedHealthcare 
Medicare Advantage plan, and the UnitedHealthcare 
Medicare Advantage formulary will cover more of 
the most-used Tier 1 prescriptions than any other 
national carrier.
We are also providing stability to older adults by 
maintaining broad access to $0 preventive care, 
all-in-one coverage for prescription drugs, and valued 
extras such as dental and vision benefits and free 
membership at a national network of gyms and 
fitness locations. 
UnitedHealthcare offers an expanding portfolio of 
Medicare Advantage products designed to meet 
the specific and unique needs of every consumer. 
UnitedHealthcare also offers products tailored to 
people with certain chronic conditions or various 
levels of special needs. Nearly 75% of people with 
chronic conditions will have access to a special needs 
plan in 2025, up from 43% in 2024, providing more 
people with lower cost of care and prescription 
savings. UnitedHealthcare is well-positioned to provide 
integrated product offerings and serve more people 
in the special needs market. 
UnitedHealthcare Medicare & Retirement Highlights
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    UnitedHealthcare Medicare & Retirement Highlights
Investing in consumer-centric experiences 
Older adults increasingly expect consumer-friendly 
digital resources to simplify and personalize their 
health care experience. We are investing in product 
innovations and capabilities that allow us to provide 
simple, coordinated and personalized consumer 
experiences.
Understanding consumer preferences allows us to 
tailor their experiences with the right message at the 
right time via the right channel — whether that’s finding 
the right doctor, filling a prescription or receiving a flu 
shot reminder. We can now deliver a personalized path 
that guides people through their health care journey. 
One person may prefer to receive correspondence in 
English in the mail, while another prefers Spanish via text. 
We continue to invest in experiences that provide 
more value to consumers and make it easier to engage 
with their benefits, including solutions that help people 
pay for and access care. 
Nearly 7 million people in Medicare Advantage use an 
integrated card that combines the member ID with 
payment technology to purchase food, pay utility bills, 
spend earned rewards and get the most value from 
their benefits. In 2025, we will expand card access 
to group retiree Medicare Advantage members, 
while integrating new features to drive engagement, 
satisfaction and benefit use. 
>100M
projected card transactions in 2024 
Our innovative transportation experience helps 
mobility-challenged older adults access care, allowing 
them to schedule rides to medical appointments 
with one call to UnitedHealthcare. Today, more than 
2.1 million Medicare Advantage members have 
access to our transportation platform. 
3.8M 
rides provided in 2024
Supporting high-quality, value-based care 
Today, over 80% of UnitedHealthcare Medicare 
Advantage consumers participate in value-based care 
arrangements. People in value-based care plans with 
Optum Health receive higher-quality care and achieve 
better health outcomes compared to Medicare fee-forservice. We are focused on identifying opportunities 
for continued growth in value-based care with Optum 
across markets, plan types and populations. 
Home care is essential to delivering value-based care 
focused on detecting disease earlier and identifying 
unmet social needs. In partnership with Optum, our 
HouseCalls program provided one-on-one, in-home 
clinical assessments to more than 2.8 million patients in 
2024. It allows advanced-practice clinicians to identify 
and address gaps in care, ensuring patients receive 
important health screenings and connecting them with 
needed care. We expect to screen more than 1.5 million 
patients for social needs in 2024.
>3.3M
projected gaps in care to be closed 
through HouseCalls in 2024
Additionally, we are building deeper clinical models 
designed to deliver specialized home-based medical 
care to some of our sickest and most vulnerable 
members. The Optum at Home model provides 
UnitedHealthcare Medicare Advantage members with 
a care navigator who works with the existing care team 
to help arrange care, coordinate services and address 
social needs — all at no additional cost to the member. 
UnitedHealthcare members with the most challenging 
health conditions receive an additional layer of support 
through home-based medical care that integrates 
medical, behavioral, social, palliative and urgent care. 
IC24.
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    UnitedHealthcare Community & State Overview
IC24. 
UnitedHealthcare
Community & State
Medicaid is the largest health benefits program in the nation, serving a highly diverse 
population, including roughly 50% of U.S. children, with a projected spend of more 
than $1.2 trillion by 2030. 
UnitedHealthcare Community & State offers diversified health care benefit products 
and services that provide care for 7.5 million people, many of whom are economically 
disadvantaged, medically underserved and without access to employer-funded health 
care coverage. 
The value of managed Medicaid 
We work with states and community partners to 
support Medicaid and dually eligible beneficiaries 
and to create a more sustainable care system. By 
leveraging enterprise strengths and tailoring locally, 
we create innovative solutions that improve access 
and quality of care, while addressing core health 
needs and inequities across populations. For example, 
80% of our health plans placed first or second in their 
state for the 2024 NCQA Health Plan Rankings.
32
states and the District of Columbia 
served by UnitedHealthcare 
Community & State
We serve people across 32 states and the District of 
Columbia, and our value proposition is resonating 
with our members and state partners. We have a 
strong and consistently improving member NPS. 
We have a robust pipeline of both reprocurements 
and new business, providing diverse pathways for 
growth. For example, more than 45% of the total 
Medicaid spend nationally is not currently in a 
managed care program, representing an opportunity 
to deliver better care and outcomes for people. 
Caring for individuals with complex conditions 
Individuals with complex conditions benefit from our 
high-touch models that integrate medical, behavioral, 
pharmacy and social care management based on 
a comprehensive view of each person’s needs. In 
partnership with Optum, our clinicians work face-toface with patients to develop care plans and coordinate 
care across channels and care teams. Optum engages 
more than 80% of our members in Dual Special 
Needs Plans through in-home visits, collaborating in 
the care for those who are hospitalized, facilitating 
communication with primary care physicians and 
supporting caregivers. Our coordinated benefits 
and health services not only reduce adverse effects 
and keep care under one roof, but also drive quality 
outcomes around patient and caregiver satisfaction 
and total cost of care.
This starts with our care managers using data-driven 
tools to build person-centered care plans supported 
by wraparound 24/7 access to virtual care. Expanding 
beyond direct consumer support, we empower 
caregivers to reduce burnout and help the people 
they care for remain in their homes.
UnitedHealthcare Community & State Highlights
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    UnitedHealthcare Community & State Highlights
For example, in 2025, we are expanding our shared 
access capability, a digital experience that equips 
caregivers with personalized access to their loved one’s 
critical health plan information and resources. This 
combination of tailored solutions and industry-leading 
partnerships enables people with complex health 
needs to remain safely in their communities. 
Addressing social drivers of health
UnitedHealthcare, in collaboration with our partners, 
uses a proprietary approach to identify and address 
health-related social needs, such as food security, 
housing stability and access to health care. We 
use health and social data with input from consumers, 
physicians and community partners, and apply 
predictive analytics to identify health disparities 
and connect people to community resources to 
close gaps.
This year, we deployed capabilities on our member 
portal, allowing people to self-identify needs and 
locate community-based assistance. By the end of the 
year, we are on track to screen more than 7.5 million 
UnitedHealthcare consumers for health-related social 
needs and close gaps for 70% of individuals we’ve 
referred to services. 
We actively partner with community-based 
organizations to expand capacity for critical healthrelated social services. Food insecurity is one of the 
most prevalent needs across our members. To 
address this challenge, UnitedHealthcare has 
referred more than 265,000 people to food-related 
community resources, including government food 
programs, food delivery services and local food banks. 
To help combat housing insecurity and drive better 
health outcomes, we provide personalized housing 
navigation, invest in housing capacity and integrate
health and social service systems. We are also breaking 
down traditional barriers to accessing primary care 
and mental health services. For example, we are 
partnering to improve pediatric health outcomes by 
providing 1 million students with school-based access 
to virtual mental health services.
We’re also expanding our impact through a first-ofits-kind initiative announced this year that allows us 
to seamlessly share social screening data between 
UnitedHealthcare and many care providers. With a 
more comprehensive view of each person’s social 
needs, care providers can deliver highly tailored plans 
to address clinical and social needs.
Advancing program design 
and administration 
We work to improve how consumers experience 
public programs by collaborating with our partners 
to influence program designs that ensure access 
to equitable, sustainable, efficient and effective 
delivery of services. 
7.5M
people served by UnitedHealthcare 
Community & State Medicaid and 
Dual Special Needs Plans
Using experiences and data from across our offerings, 
we identify best practices and lessons learned in 
program design from state to state. We layer in a 
deep, market-based understanding of state priorities, 
infrastructure and population needs to identify 
market-specific opportunities. For example, we have 
worked extensively with some customers to transition 
their existing offerings to integrated special needs 
plans. We have worked collaboratively with them to 
develop a path to enhanced long-term services and 
supports management to drive better outcomes and 
experiences for consumers. 
We also actively analyze and share our real-time 
experience data to identify emerging trends, 
inform programmatic opportunities and ensure 
appropriateness of funding. That broad base of 
experience, combined with robust data, provides 
critical credibility, enabling more productive 
collaboration with our state and national partners.
IC24.
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    UnitedHealthcare: Empowering Health Benefits 2Q'2024

    • 2. UnitedHealthcare Employer & Individual Overview UnitedHealthcare Employer & Individual Almost half of the U.S. population, or nearly 156 million Americans, receive health benefits through employers. An additional 21 million people obtain coverage on the individual market, with ACA exchange participation nearly doubling since 2020. UnitedHealthcare Employer & Individual provides employer-sponsored health benefits, as well as individual and family plans, through a portfolio of products. Our offerings span employer and individual medical plans, specialty benefits such as vision, dental, hearing and financial protection coverages, and international plans and services. This combination helps deliver value to employers and makes UnitedHealthcare a crucial part of improving the health and well-being of the people and communities we serve. UnitedHealthcare’s domestic commercial plans have added more than 3.1 million new consumers in the past three years and have helped employers reduce the total cost of care by $7 billion. IC24. Driving affordability for consumers and employers Health care costs are a top concern for the people we serve. UnitedHealthcare works to minimize financial burdens through innovative health plan offerings, financial incentives and compelling product bundling, while driving better health outcomes. Our most innovative, technology-driven health plans continue to see strong growth by offering no deductibles alongside intuitive digital experiences that provide clear, upfront cost and coverage information. These are among our fastest-growing commercial products, with 1 in 5 of our large account customers offering them to their employees in 2024. We expect half of new national accounts to offer these plans to their customers in 2025. Approximately 75% of consumers in these plans spend less than $500 out of pocket annually. Costs to treat several chronic conditions — such as mental health and mood disorders, back pain, diabetes and migraines — are lower than traditional plans, and people have higher rates of annual physician visits and preventive screenings. Cost transparency is one reason 9 out of 10 people re-enroll in these plans year after year. This consumer-centric model has been a proving ground to inform innovative benefit offerings in other parts of our business. >29.7M consumers served in the U.S. by UnitedHealthcare Employer & Individual We also provide employers with greater flexibility and cost-saving opportunities through level-funded plans, which offer all the financial protections of a fully insured plan with the lower cost of self-funding. Our level-funded offerings are proving increasingly popular among employers looking for the right balance between fully insured and self-funded arrangements. UnitedHealthcare Employer & Individual Highlights
    • 3. UnitedHealthcare Employer & Individual Highlights Delivering better clinical outcomes By analyzing clinical and claims data alongside other factors, we help create customized plan designs and proactive interventions for employers that more effectively close gaps in care, increase enrollment in clinical programs and reduce the total cost of care. >53M people served by UnitedHealthcare in specialty benefits, including dental, vision, hearing and financial protection plans We provide employers with resources and customized support programs to manage chronic diseases, including diabetes, chronic obstructive pulmonary disease, heart disease, kidney disease and cancer. For example, people with type 2 diabetes have access to zero-cost medication and care to help them better manage glucose levels and more effectively control their condition. Those with congenital heart disease benefit from best-in-the-nation quality that reduces hospital length-of-stay by 40%. And breast cancer patients in our cancer care program are 18% less likely to be admitted to the hospital. Our Complex Health Advocacy program has supported approximately 350,000 families through reduced administrative and clinical barriers, with specific attention paid to children with special needs. These families are often high users of care and in underserved populations, facing challenges such as sickle cell anemia and rare genetic diseases. The program’s dedicated single point of contact has led to a 94% satisfaction rate, an 89% issue resolution rate, and better health outcomes. Streamlining the consumer experience We are focused on solving fundamental problems and meeting consumer expectations for choice, predictability and value in health care. In 2024, we launched a program to employers that better integrates the full scope of their benefit offerings to drive engagement among their employees and help relieve administrative burden. Employers can choose from a variety of programs to customize their experience to best fit the needs of their employee population. Additionally, our care advocates are helping people navigate the health system by providing support for everything from preventive care to managing a complex or chronic condition. 92% satisfaction rating for our customer care advocacy programs Integrated member data gives our advocates a complete picture of each consumer, allowing them to help people make more informed choices and enroll in relevant support programs. Our enhanced customer care advocacy resources help people stay in network, assist with hospital discharge planning and support, evaluate treatment and medication options based on coverage considerations, and more. Our integrated approach to medical and pharmacy benefits allows our advocates to direct consumers to lower-cost drug alternatives, saving an average of $60 per 30-day prescription fill among participating individuals. Expanding our service areas We grew our individual exchange offerings in 2024, driven by strong retention of our existing membership and expanded growth among consumers across the country. We remain dedicated to providing access to more consumers through geographic expansion and by developing consumer-centric offerings. We are making strategic investments to better meet the needs of underserved populations through customized benefit designs, marketing campaigns and community engagement initiatives to attract and fulfill the needs of the unique individuals we serve. And we continue to explore clinical programs to address health disparities, including diabetes education and nutrition planning. In 2025, our individual and family plan offerings will reach 30 states, with continued emphasis on differentiated products and pricing competitiveness within existing markets. IC24.
    • 4. UnitedHealthcare Medicare & Retirement Overview UnitedHealthcare Medicare & Retirement UnitedHealthcare Medicare & Retirement serves nearly 13.8 million consumers. Our plans span Medicare Advantage, Medicare Part D, Medicare Supplement and group retiree services. Our easy-to-use, affordable plans are supported by exceptional customer service, delivering outstanding value to consumers and making UnitedHealthcare a trusted partner for the people we serve. IC24. The value of Medicare Advantage Medicare Advantage is now the preferred choice of older adults due to the quality, access and affordability of care delivered, including additional wellness and supplemental benefits such as dental, vision and hearing. Compared with people enrolled in Medicare fee-for-service, Medicare Advantage members save more than $2,000 per year, receive additional benefits, and have a 43% lower rate of avoidable hospitalizations. As a result, 95% of Medicare Advantage members are satisfied with the quality of care they receive. Medicare Advantage serves a diverse, lower-income and clinically complex older population. Older adults with chronic conditions are more likely to choose Medicare Advantage, and more than half of Medicare Advantage members have an annual income of $25,000 or less. Medicare Advantage enrollment among minorities has more than doubled since 2013 and now makes up over 30% of Medicare Advantage membership, including 65% of Latino and 64% of Black older adults. In addition to providing value to a diverse group of older adults, Medicare Advantage also reduces costs for the broader health system. Medicare Advantage costs taxpayers less than Medicare fee-for-service, even before considering the additional benefits and reduced costs that older adults receive. Maintaining stable, valued benefits The value of Medicare Advantage to older adults is more important than ever before. UnitedHealthcare provides durable and affordable plans supported by exceptional customer service and the largest national provider network. In 2025, 94% of Medicare eligibles will have access to a $0 premium UnitedHealthcare Medicare Advantage plan, and the UnitedHealthcare Medicare Advantage formulary will cover more of the most-used Tier 1 prescriptions than any other national carrier. We are also providing stability to older adults by maintaining broad access to $0 preventive care, all-in-one coverage for prescription drugs, and valued extras such as dental and vision benefits and free membership at a national network of gyms and fitness locations. UnitedHealthcare offers an expanding portfolio of Medicare Advantage products designed to meet the specific and unique needs of every consumer. UnitedHealthcare also offers products tailored to people with certain chronic conditions or various levels of special needs. Nearly 75% of people with chronic conditions will have access to a special needs plan in 2025, up from 43% in 2024, providing more people with lower cost of care and prescription savings. UnitedHealthcare is well-positioned to provide integrated product offerings and serve more people in the special needs market. UnitedHealthcare Medicare & Retirement Highlights
    • 5. UnitedHealthcare Medicare & Retirement Highlights Investing in consumer-centric experiences Older adults increasingly expect consumer-friendly digital resources to simplify and personalize their health care experience. We are investing in product innovations and capabilities that allow us to provide simple, coordinated and personalized consumer experiences. Understanding consumer preferences allows us to tailor their experiences with the right message at the right time via the right channel — whether that’s finding the right doctor, filling a prescription or receiving a flu shot reminder. We can now deliver a personalized path that guides people through their health care journey. One person may prefer to receive correspondence in English in the mail, while another prefers Spanish via text. We continue to invest in experiences that provide more value to consumers and make it easier to engage with their benefits, including solutions that help people pay for and access care. Nearly 7 million people in Medicare Advantage use an integrated card that combines the member ID with payment technology to purchase food, pay utility bills, spend earned rewards and get the most value from their benefits. In 2025, we will expand card access to group retiree Medicare Advantage members, while integrating new features to drive engagement, satisfaction and benefit use. >100M projected card transactions in 2024 Our innovative transportation experience helps mobility-challenged older adults access care, allowing them to schedule rides to medical appointments with one call to UnitedHealthcare. Today, more than 2.1 million Medicare Advantage members have access to our transportation platform. 3.8M rides provided in 2024 Supporting high-quality, value-based care Today, over 80% of UnitedHealthcare Medicare Advantage consumers participate in value-based care arrangements. People in value-based care plans with Optum Health receive higher-quality care and achieve better health outcomes compared to Medicare fee-forservice. We are focused on identifying opportunities for continued growth in value-based care with Optum across markets, plan types and populations. Home care is essential to delivering value-based care focused on detecting disease earlier and identifying unmet social needs. In partnership with Optum, our HouseCalls program provided one-on-one, in-home clinical assessments to more than 2.8 million patients in 2024. It allows advanced-practice clinicians to identify and address gaps in care, ensuring patients receive important health screenings and connecting them with needed care. We expect to screen more than 1.5 million patients for social needs in 2024. >3.3M projected gaps in care to be closed through HouseCalls in 2024 Additionally, we are building deeper clinical models designed to deliver specialized home-based medical care to some of our sickest and most vulnerable members. The Optum at Home model provides UnitedHealthcare Medicare Advantage members with a care navigator who works with the existing care team to help arrange care, coordinate services and address social needs — all at no additional cost to the member. UnitedHealthcare members with the most challenging health conditions receive an additional layer of support through home-based medical care that integrates medical, behavioral, social, palliative and urgent care. IC24.
    • 6. UnitedHealthcare Community & State Overview IC24. UnitedHealthcare Community & State Medicaid is the largest health benefits program in the nation, serving a highly diverse population, including roughly 50% of U.S. children, with a projected spend of more than $1.2 trillion by 2030. UnitedHealthcare Community & State offers diversified health care benefit products and services that provide care for 7.5 million people, many of whom are economically disadvantaged, medically underserved and without access to employer-funded health care coverage. The value of managed Medicaid We work with states and community partners to support Medicaid and dually eligible beneficiaries and to create a more sustainable care system. By leveraging enterprise strengths and tailoring locally, we create innovative solutions that improve access and quality of care, while addressing core health needs and inequities across populations. For example, 80% of our health plans placed first or second in their state for the 2024 NCQA Health Plan Rankings. 32 states and the District of Columbia served by UnitedHealthcare Community & State We serve people across 32 states and the District of Columbia, and our value proposition is resonating with our members and state partners. We have a strong and consistently improving member NPS. We have a robust pipeline of both reprocurements and new business, providing diverse pathways for growth. For example, more than 45% of the total Medicaid spend nationally is not currently in a managed care program, representing an opportunity to deliver better care and outcomes for people. Caring for individuals with complex conditions Individuals with complex conditions benefit from our high-touch models that integrate medical, behavioral, pharmacy and social care management based on a comprehensive view of each person’s needs. In partnership with Optum, our clinicians work face-toface with patients to develop care plans and coordinate care across channels and care teams. Optum engages more than 80% of our members in Dual Special Needs Plans through in-home visits, collaborating in the care for those who are hospitalized, facilitating communication with primary care physicians and supporting caregivers. Our coordinated benefits and health services not only reduce adverse effects and keep care under one roof, but also drive quality outcomes around patient and caregiver satisfaction and total cost of care. This starts with our care managers using data-driven tools to build person-centered care plans supported by wraparound 24/7 access to virtual care. Expanding beyond direct consumer support, we empower caregivers to reduce burnout and help the people they care for remain in their homes. UnitedHealthcare Community & State Highlights
    • 7. UnitedHealthcare Community & State Highlights For example, in 2025, we are expanding our shared access capability, a digital experience that equips caregivers with personalized access to their loved one’s critical health plan information and resources. This combination of tailored solutions and industry-leading partnerships enables people with complex health needs to remain safely in their communities. Addressing social drivers of health UnitedHealthcare, in collaboration with our partners, uses a proprietary approach to identify and address health-related social needs, such as food security, housing stability and access to health care. We use health and social data with input from consumers, physicians and community partners, and apply predictive analytics to identify health disparities and connect people to community resources to close gaps. This year, we deployed capabilities on our member portal, allowing people to self-identify needs and locate community-based assistance. By the end of the year, we are on track to screen more than 7.5 million UnitedHealthcare consumers for health-related social needs and close gaps for 70% of individuals we’ve referred to services. We actively partner with community-based organizations to expand capacity for critical healthrelated social services. Food insecurity is one of the most prevalent needs across our members. To address this challenge, UnitedHealthcare has referred more than 265,000 people to food-related community resources, including government food programs, food delivery services and local food banks. To help combat housing insecurity and drive better health outcomes, we provide personalized housing navigation, invest in housing capacity and integrate health and social service systems. We are also breaking down traditional barriers to accessing primary care and mental health services. For example, we are partnering to improve pediatric health outcomes by providing 1 million students with school-based access to virtual mental health services. We’re also expanding our impact through a first-ofits-kind initiative announced this year that allows us to seamlessly share social screening data between UnitedHealthcare and many care providers. With a more comprehensive view of each person’s social needs, care providers can deliver highly tailored plans to address clinical and social needs. Advancing program design and administration We work to improve how consumers experience public programs by collaborating with our partners to influence program designs that ensure access to equitable, sustainable, efficient and effective delivery of services. 7.5M people served by UnitedHealthcare Community & State Medicaid and Dual Special Needs Plans Using experiences and data from across our offerings, we identify best practices and lessons learned in program design from state to state. We layer in a deep, market-based understanding of state priorities, infrastructure and population needs to identify market-specific opportunities. For example, we have worked extensively with some customers to transition their existing offerings to integrated special needs plans. We have worked collaboratively with them to develop a path to enhanced long-term services and supports management to drive better outcomes and experiences for consumers. We also actively analyze and share our real-time experience data to identify emerging trends, inform programmatic opportunities and ensure appropriateness of funding. That broad base of experience, combined with robust data, provides critical credibility, enabling more productive collaboration with our state and national partners. IC24.


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