OptumCare
OptumCare, a subsidiary of UnitedHealth Group's Optum, delivers primary, specialty, urgent, surgical, virtual, and pharmacy care to 20+ million people across 20+ U.S. states through thousands of locations and 100+ insurance network partnerships.
- Company typePrivate
- Founded-
- HeadquartersEden Prairie, United States
- Headcount5,001–10,000
- GTM typeB2B
- OfferingServices
What OptumCare does
OptumCare is the care-delivery arm of Optum, Inc., a private subsidiary of UnitedHealth Group (NYSE: UNH), providing primary, specialty, urgent, surgical, geriatric, pediatric, chronic-condition, and virtual/telehealth care to more than 20 million people. It operates thousands of physical locations across 20+ U.S. states, supported by a network of 300+ surgical centers and insights from 600+ clinicians behind the scenes, with data-driven personalized care plans as the underlying operating model.
The platform is integrated with Optum Rx (pharmacy benefit management), Home Delivery Pharmacy, Specialty Pharmacy, Infusion Pharmacy, Frontier Therapies for rare diseases, and acquired pharmacy brands divvyDOSE (pre-sorted home delivery) and Genoa Healthcare (mental health and complex-condition pharmacy). An HSA financial services offering extends the platform into health-benefit account management, and an Optum Rx mobile app on iOS and Android supports refill, order tracking, and billing.
The business model is network-anchored: over 100 insurance companies have selected Optum doctors as in-network providers, generating patient access through insurance reimbursements and employer-sponsored health plans rather than direct consumer pricing. Distribution is multi-channel — physical sites, telehealth, patient portal, and pharmacy delivery — with customer segments spanning adults over 65, adults under 65, pediatrics, men's and women's health, community centers, and Medicare support programs. The company is headquartered in Eden Prairie, Minnesota, with 10,000+ employees, and is governed within the Optum enterprise alongside named leaders such as Chief Administrative Officer – Pacific Northwest Lisa Williams and COO Paul Balthazor.
OptumCare firmographics
Firmographics- Name
- OptumCare
- Legal name
- Optum, Inc.
- Website
- https://optumcare.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 5,001–10,000 employees
- Short description
- OptumCare, a subsidiary of UnitedHealth Group's Optum, delivers primary, specialty, urgent, surgical, virtual, and pharmacy care to 20+ million people across 20+ U.S. states through thousands of locations and 100+ insurance network partnerships.
- Ownership category
- akta.pro rank
OptumCare industry classification
Industry- Product category
- Integrated Healthcare Services
- NAICS
- Offices of Physicians (62111), Offices of Physicians (6211)
- SIC
- Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Services-Home Health Care Services (8082)
- akta.pro primary industry
- Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)
Keywords
Where OptumCare is headquartered
LocationHeadquarters
- HQ city
- Eden Prairie
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
OptumCare business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain
Revenue model
- Healthcare Services Delivery: OptumCare generates revenue by providing healthcare services through its network of doctors and specialists. Revenue comes from insurance reimbursements, patient payments, and arrangements with health insurance companies that include Optum providers in their networks. The company serves over 20 million people trusting Optum with their care.
- Pharmacy Services: Multiple pharmacy service lines including Home Delivery Pharmacy, Specialty Pharmacy, Infusion Pharmacy, and mental health medication management through Genoa Healthcare. Revenue generated through prescription fulfillment and pharmacy benefit management.
- Health Benefit Accounts: Financial services including HSA (Health Savings Account) management, offering accounts to help save and pay for healthcare expenses.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Insurance-based healthcare services |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels6 records
OptumCare product offering
Product offeringCore offering
OptumCare operates an integrated healthcare delivery network providing primary care, specialty care, urgent care, virtual/telehealth care, chronic condition care, surgical care, geriatric and pediatric services through thousands of locations across more than 20 U.S. states. It also offers pharmacy benefit management and dispensing services through Optum Rx and affiliated pharmacy brands (Home Delivery, Specialty, Infusion, Frontier Therapies, divvyDOSE, Genoa Healthcare) along with Health Savings Account (HSA) management. Care is reimbursed primarily through partnerships with over 100 insurance companies and serves more than 20 million people.
Product overview
Optum is a multi-segment health care platform offering healthcare services, financial services (HSA accounts), and pharmacy services. The healthcare division provides primary care, specialty care, urgent care, virtual/telehealth care, chronic condition care, and surgical care through a network of over 300 surgical centers. The pharmacy division includes Home Delivery Pharmacy, Specialty Pharmacy, Infusion Pharmacy, and Frontier Therapies, alongside acquired brands divvyDOSE (pre-sorted medication delivery) and Genoa Healthcare (mental health pharmacy). Optum Rx serves as the pharmacy benefit management sub-brand, with a companion mobile app available on iOS and Android. The platform serves over 20 million people and partners with over 100 insurance companies, with care available at thousands of locations across multiple states.
Differentiator
Problem solved
Functional benefit
Brands
- Optum Rx: Pharmacy insurance benefits and medication services
- Genoa Healthcare
- divvyDOSE
- Frontier Therapies
- OptumCare
Products and services
- Primary Care & Internal Medicine Primary care physician services focused on listening to and partnering with patients to help them reach personal health goals; serves adult patients across all OptumCare markets.
- Specialty Care
- Urgent Care
- Virtual & Telehealth Care
- Chronic Condition Care
- Surgical Care
- Geriatric Medicine
- Pediatric Care
- Home Delivery Pharmacy
- Specialty Pharmacy
- Infusion Pharmacy
- Frontier Therapies
- Optum Rx (Pharmacy Benefit Management)
- divvyDOSE
- Genoa Healthcare
- HSA (Health Savings Account)
Quantifiable outcome
- 20+ million people trust Optum with their care
- +4 more outcomes
Companies that use OptumCare
Customer profileNamed customers1 record
Segments6 records
Ideal customer profiles2 records
OptumCare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
OptumCare partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core.
- divvyDOSEcoredivvyDOSE is a medication delivery service that pre-sorts medications by day and time and delivers them to patients' homes, integrated as part of Optum's pharmacy services offering to improve medication adherence and convenience for patients.
- Genoa HealthcarecoreGenoa Healthcare is a behavioral health and complex care pharmacy that manages medications for mental health and complex conditions, operating as part of Optum's integrated pharmacy services network.
- Optum RxcoreOptum Rx is the pharmacy benefit management subsidiary providing home delivery and specialty pharmacy services for people with pharmacy insurance benefits through Optum Rx, integrated into the broader OptumCare ecosystem.
- 100+ Insurance CompaniescoreOver 100 insurance companies have selected Optum doctors to be part of their provider networks, allowing members of these insurance plans to access OptumCare services. This creates broad market distribution through existing insurance relationships.
Scale indicators5 records
Recent moves6 records
Expansion highlights5 records
OptumCare competitors and assessment
Company assessmentBroad incumbents
- HCA Healthcare: Largest U.S. for-profit hospital operator with extensive ambulatory and physician network. Less focused on value-based primary care than OptumCare, but competes for the same patient volume, specialist referrals, and ambulatory surgical centers.
- Centene Corporation: Large managed care insurer focused on Medicaid, Marketplace, and Medicare, increasingly building provider services capabilities. Comparable to OptumCare in payer-provider integration ambition and population health orientation.
- Elevance Health (Carelon): Large diversified insurer building Carelon as a health services arm spanning care delivery, pharmacy, and care management. Comparable to Optum as a broader parent of services like OptumCare, though OptumCare is more focused on owned-clinic primary care delivery.
- Tenet Healthcare (Conifer): Multi-state hospital and ambulatory care operator including USPI surgical centers and physician services. Overlaps with OptumCare on surgical center networks, ambulatory care, and physician practice operations across multiple states.
Emerging players
- DaVita: Specialty care provider (kidney care) with integrated nephrology practice and value-based contracting capabilities. Comparable in operating risk-bearing specialty practices and chronic-condition care, though narrower in scope than OptumCare.
- Walgreens Boots Alliance (VillageMD): Retail pharmacy and primary care delivery via VillageMD, with co-located clinics and chronic-care focus. Comparable to OptumCare's pharmacy + primary care integration model, though materially smaller in scale.
- Amazon (One Medical): Tech-enabled primary care platform with a membership model and broad payer alignment post-Amazon acquisition. Competes with OptumCare for tech-savvy, value-based primary care patients and employer-sponsored populations.
Direct peers
- Humana (CenterWell): Major Medicare Advantage insurer that has built a senior-focused primary care delivery arm (CenterWell/Conviva) with hundreds of clinics. Closely matches OptumCare's value-based primary care, geriatric focus, and insurance-aligned care delivery model.
- Kaiser Permanente: Largest integrated payer-provider in the U.S., combining an insurance plan with a multi-specialty physician network, hospitals, and pharmacy. Directly comparable to OptumCare's integrated care and insurance-network model, and often cited as the canonical value-based care operator.
- CVS Health (Aetna, Oak Street Health, Signify Health): Integrated payer (Aetna) with retail pharmacy, PBM (Caremark), and a growing value-based primary care footprint (Oak Street Health). Overlaps with OptumCare on primary care delivery, insurance alignment, and pharmacy/PBM integration.
Market position
Strengths4 records
Competitive moat6 records
Key risks1 record
Key highlights6 records
Customer concentration
OptumCare social profiles
Digital presenceOptumCare financial estimates
Financial estimateRevenue estimate
Valuation estimate
OptumCare leadership team
Management profileNumber of profiles
Profiles2 records
OptumCare subsidiaries and ownership
Company hierarchySubsidiaries4 records
OptumCare funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
OptumCare M&A and investment
M&A and investmentM&A2 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about OptumCare
What does OptumCare do?
OptumCare operates an integrated healthcare delivery network providing primary care, specialty care, urgent care, virtual/telehealth care, chronic condition care, surgical care, geriatric and pediatric services through thousands of locations across more than 20 U.S. states. It also offers pharmacy benefit management and dispensing services through Optum Rx and affiliated pharmacy brands (Home Delivery, Specialty, Infusion, Frontier Therapies, divvyDOSE, Genoa Healthcare) along with Health Savings Account (HSA) management. Care is reimbursed primarily through partnerships with over 100 insurance companies and serves more than 20 million people.
Is OptumCare a public or private company?
OptumCare is a private company. It is classified as corporate owned and is currently operating.
When was OptumCare founded?
OptumCare was founded in -1. It employs 5,001 to 10,000 people.
Where is OptumCare based?
OptumCare is headquartered in Eden Prairie, United States, in the North America region.
How does OptumCare make money?
Three revenue lines are on record. Healthcare Services Delivery is the primary driver. The others are pharmacy Services and health Benefit Accounts.
Who are OptumCare's main competitors?
Broad incumbents on record are HCA Healthcare, Centene Corporation, Elevance Health (Carelon) and Tenet Healthcare (Conifer). Emerging players are DaVita, Walgreens Boots Alliance (VillageMD) and Amazon (One Medical). Direct peers are Humana (CenterWell), Kaiser Permanente and CVS Health (Aetna, Oak Street Health, Signify Health).
Does OptumCare have an API?
No public API is recorded for OptumCare.
What industry is OptumCare in?
OptumCare's product category is Integrated Healthcare Services. Its primary akta.pro industry code is HLAFAGAF, Value-Based Primary Care Organizations (Risk-Bearing). Its NAICS code is 62111 and its SIC code is 8011.