UnitedHealth's Optum Issues Drove More than Half of Outlook Cut -- Market Talk

Dow Jones

2025/04/17

1026 ET - An estimated 55% of UnitedHealth Group's guidance cut was driven by margin pressure in the company's OptumHealth business, Mizuho analysts say in a research note. That pressure is coming from changes in patient profiles and probably challenges to coding that stem from the second year of phasing in for a Medicare V28 risk adjuster model, the analysts say. OptumHealth's operating profit declined 15% while revenue came down 5%, driven by revisions to legacy customer contracts and member profile factors, they say. UnitedHealth reports that unexpected profile changes for OptumHealth members weighed on planned 2025 reimbursements. UnitedHealth tumbles 20%. (dean.seal@wsj.com)

(END) Dow Jones Newswires

April 17, 2025 10:27 ET (14:27 GMT)

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That pressure is coming from changes in patient profiles and probably challenges to coding that stem from the second year of phasing in for a Medicare V28 risk adjuster model, the analysts say. OptumHealth's operating profit declined 15% while revenue came down 5%, driven by revisions to legacy customer contracts and member profile factors, they say. UnitedHealth reports that unexpected profile changes for OptumHealth members weighed on planned 2025 reimbursements. UnitedHealth tumbles 20%. 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That pressure is coming from changes in patient profiles and probably challenges to coding that stem from the second year of phasing in for a Medicare V28 risk adjuster model, the analysts say. OptumHealth's operating profit declined 15% while revenue came down 5%, driven by revisions to legacy customer contracts and member profile factors, they say. UnitedHealth reports that unexpected profile changes for OptumHealth members weighed on planned 2025 reimbursements. UnitedHealth tumbles 20%. (dean.seal@wsj.com) \n\n\n  (END) Dow Jones Newswires\n\n\n  April 17, 2025 10:27 ET (14:27 GMT)\n\n\n  Copyright (c) 2025 Dow Jones & Company, Inc.","kind":"highlight","is_publish_news":true,"is_publish_highlight":false,"is_publish_live":false,"is_publish_wemedia":null,"editions":null,"column":"","sentiment":"-1","news_tag":"","news_rank":0,"symbols":[],"gpt_button":0,"need_auth":true,"code":"91000000","status":"200"}}}