OptumCare

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.

Name

OptumCare

Legal name

Optum, Inc.

Website

https://optumcare.com

Company type

Private

Operating status

Operating

Headcount range

11–50 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

Headquarters

HQ city

Ladera Ranch

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. 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.
2. 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.
3. Health Benefit Accounts: Financial services including HSA (Health Savings Account) management, offering accounts to help save and pay for healthcare expenses.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core 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

Named customers1 record

Segments6 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Four partnerships are on record, tiered core.

• divvyDOSEcoreOthersdivvyDOSE 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 HealthcarecoreOthersGenoa 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 RxcoreOthersOptum 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 CompaniescoreChannel Partner/ Reseller/ DistributorOver 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

Broad 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

• Xx.com/optum
• Facebookfacebook.com/OptumCare
• LinkedInlinkedin.com/company/optumcare-medical-group
• Instagraminstagram.com/optum/?hl=en

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about OptumCare