Healthcare Innovation January 16, 2025
The insurance giant and Optum parent is forecasting a 2025 medical care ratio roughly a point above last year’s 85.5 percent.
The volume-coding-payments tussle between hospital operators and insurance companies shows no signs of abating in 2025. And based on the fourth-quarter results and 2025 outlook of UnitedHealth Group Inc., it appears providers have the upper hand for now.
The leaders of Minnesota-based UnitedHealth Group, parent of UnitedHealthcare, said on Jan. 16 that the company’s medical care ratio, the share of premiums used to pay for medical expenses, finished 2024 at 85.5 percent, 40 basis points higher than analysts had expected. The company’s fourth-quarter MCR came in at more than 87 percent and CEO Andrew Witty and his team are...
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