1 in 10 US Doctors Affiliated With UnitedHealth Group

After major acquisitions, UnitedHealth Group has ambitions to further consolidate the health care market, raising antitrust issues.
Poetra.RH/Shutterstock
Updated:
0:00

With acquisitions of hospital groups, home health care networks and tech companies driving relentless expansion, colossal health insurer UnitedHealth Group now employs a staggering 10 percent of all American physicians—that is 90,000 doctors across the country in its networks.

On track eclipse $400 billion in revenue next year as it serves 90 percent of the overall health insurance market in the U.S., 52 million patients call UnitedHealth’s behemoth operation their medical home. But while revenue and share prices climb ever higher, some experts are questioning: with fewer competitors, will costs and options suffer for patients?

Mega-Mergers Raise Mega Eyebrows

UnitedHealth Group, already the nation’s largest private health insurer and one of the world’s 10 largest companies overall, has spent over $41 billion in the past 18 years acquiring at least 25 companies across health care sectors. These mega-mergers have raised antitrust concerns from regulators and lawmakers about potential harms to market competition, though legal challenges have been mostly overcome with some concessions.

Recent major acquisitions include last year’s $5.4 billion purchase of home health care provider LHC Group, as well as the controversial $8 billion merger with health care IT firm Change Healthcare—completed only after UnitedHealth divested its claims editing unit amid Department of Justice antitrust violation charges.

Story continues below advertisement

Additional 2022 buys include:
  • Refresh Mental Health, a network of more than 300 outpatient sites across 37 states
  • Houston’s 500+ physician Kelsey-Seybold specialty group
  • The 30-location Atrius Health independent physician network
  • Houston Medicare insurer KS Plan Administrators covering 41,000 beneficiaries
Most recently, in September 2023, UnitedHealth’s proposed $3.3 billion takeover of home and personal care provider Amedisys also faced antitrust scrutiny before ultimately being approved.

Company Now Reaches 1 in 5 Medicare Beneficiaries

During its investor meeting this week, UnitedHealth Group projected its Medicare Advantage enrollment will rise by nearly 500,000 in 2024. Meanwhile, Medicaid enrollment is estimated to fall by 100,000-200,000 people, as a now-expired pandemic coverage rule gets reversed.

UnitedHealthcare currently serves one in five Medicare beneficiaries nationwide—close to 13.7 million seniors.

Beyond insurance offerings, UnitedHealth’s Optum health services unit directly enables care for 103 million patients through owned physician groups, outpatient clinics and surgery centers providing primary, specialty and urgent treatment.

A.C. Dahnke
A.C. Dahnke
Author
A.C. Dahnke is a freelance writer and editor residing in California. She has covered community journalism and health care news for nearly a decade, winning a California Newspaper Publishers Award for her work.
Related Topics