An expensive increase in the activity of patients with the advantage of Medicare and the lowest income than expected of a cohort of new members of the value -based care plan led to UnitedHealth Group Inc. to publish disappointing results of the first quarter and the need to reduce its prognosis for all 2025.
Talking with analysts later Profit reportsThe Andrew Witty CEO and his team said they were surprised by the number of ma used the medical system earlier this year. Tim Noel, CEO from Unitedhealthcare, said the growth of the activity was twice what his team had expected, even seeking preventive attention.
«That in itself is not really the trend driver, but it is the monitoring attention that is more than we have anticipated,» said Noel. «That constitutes specialized visits, medical specialist visits, as well as some other outpatient services.»
A key factor in increasing activity, said Noel E Witty, are MA financing cuts in recent years that have stimulated insurers to increase their group rates.
«That is now promoting a different behavior of the group members and that is what we have collected in this area,» Witty said. «We need to do a better job to predict and anticipate the effects of second and third order when they come, but they are direct consequences of this transition.»
In attention based on value, that United Houses in their Optum Health Division, executives were surprised earlier this year due to the low reimbursement levels of many new members because they had not regularly committed themselves to their previous plans. Those lower profiles, Witty said, were unexpected «and probably do not reflect their real health status.»
