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VizualStocks APIOperating KPI and segment definitions available for Unitedhealth Group (UNH) through the VizualStocks API.
Period-end members in U.S. employer and individual health plans for which the customer funds medical claims while UnitedHealthcare provides administration and related services for a fee. Unlike risk-based membership, the employer or plan sponsor retains the insurance risk.
feeBasedCommercialDomesticIndividualsServedUnitedHealth Group revenue from investment returns and other income outside premiums, product sales and service fees. It includes results from the investment portfolios supporting regulated insurance operations and can also reflect valuation or other non-core items.
investmentAndOtherIncomePeriod-end members served by UnitedHealthcare through state Medicaid and related government-sponsored health plans for lower-income and medically complex populations. The count is membership, not visits or claims processed during the quarter.
medicaidIndividualsServedPeriod-end members enrolled in UnitedHealthcare's private Medicare Advantage plans, including certain programs serving complex populations that are also reflected in Medicaid. It measures covered lives, not health-care encounters.
medicareAdvantageIndividualsServedPeriod-end members in UnitedHealthcare standardized Medicare Supplement plans, which help cover deductibles, coinsurance and other costs not paid by Original Medicare. It is separate from Medicare Advantage membership.
medicareSupplementStandardizedIndividualsServedApproximate period-end number of people reached by Optum Health's care-delivery, value-based care and health-services businesses. The figure is reported in millions by UnitedHealth Group and is broader than patients in fully accountable value-based arrangements.
optumHealthConsumersServedEarnings from Optum Health's care-delivery, value-based care and health-services businesses after the operating costs assigned to the segment. Results can be affected by medical-cost trends because Optum assumes clinical and financial accountability in some arrangements.
optumHealthOperatingIncomeRevenue from Optum Health's physician-led care delivery, value-based care and other health services. It includes patient service fees and premium-like payments under arrangements where Optum stands ready to manage or provide care.
optumHealthRevenueEarnings from Optum Insight's health technology, analytics, advisory consulting and managed-services businesses after assigned operating costs. The segment includes Change Healthcare and, beginning in 2026, recast Optum financial-services activity.
optumInsightOperatingIncomeRevenue from health-system software and information products, analytics, consulting and managed-services outsourcing, including the Change Healthcare portfolio. Beginning in 2026, UnitedHealth also recast Optum financial services into this segment.
optumInsightRevenueEarnings from Optum Rx after the costs of pharmacy-benefit administration, pharmaceutical products, specialty and home-delivery pharmacy and related clinical services. Script volume, drug mix and specialty-pharmacy activity are important drivers.
optumPharmacyServicesOperatingIncomeRevenue from Optum Rx pharmacy-benefit and clinical services plus pharmaceuticals dispensed through retail networks, home delivery, specialty and community pharmacies. Product revenue is generally recognized gross when prescriptions are dispensed, so it includes drug cost as well as fees and copayments.
optumPharmacyServicesRevenueLegacy duplicate of UnitedHealth Group's Investment and Other Income series in the current dataset, not a distinct residual revenue category. It should not be added to premiums, products, services and investment income when reconstructing consolidated revenue.
otherRevenueRevenue from health-benefit and value-based care arrangements in which UnitedHealth receives a generally fixed per-member payment and assumes responsibility for medical and administrative costs. It is recognized while eligible members are entitled to coverage or care.
premiumsRevenueRevenue primarily from pharmaceuticals dispensed through Optum Rx's retail network, home-delivery, specialty and community pharmacies. It includes drug cost net of rebates, dispensing fees and customer copayments and is recognized when prescriptions are filled.
productsRevenuePeriod-end members in fully insured U.S. employer and individual health plans for which UnitedHealthcare receives premiums and assumes the risk of medical and administrative costs. This contrasts with fee-based plans funded by the customer.
riskBasedCommercialDomesticIndividualsServedRevenue from Optum patient care, technology, analytics, consulting, managed services and pharmacy administration, plus fees for administering self-funded employer health plans. Unlike premiums, the self-funded customer generally retains the underlying medical-cost risk.
servicesRevenueDespite its identifier, this series currently contains the period-end population served by UnitedHealth Group's South American businesses held for sale, not total global commercial membership. It should not be combined with domestic commercial counts without correcting the field mapping.
totalCommercialGlobalIndividualsServedCombined revenue of Optum Health, Optum Insight and Optum Rx after eliminating transactions among those businesses. It captures UnitedHealth Group's care-delivery, health-technology and pharmacy-services platform, including sales to UnitedHealthcare that are eliminated at the consolidated-company level.
totalOptumRevenuePeriod-end total medical membership served by UnitedHealthcare, combining risk-based and fee-based commercial members with Medicare Advantage, Medicaid and standardized Medicare Supplement. Stand-alone Medicare Part D and the separately listed South American businesses are excluded.
totalUnitedHealthcareDomesticMedicalCommercialGlobalIndividualsServedEarnings from UnitedHealthcare's commercial, Medicare and Medicaid health-benefit businesses after medical costs and assigned operating expenses. It reflects both pricing and enrollment decisions and the cost of care used by members.
unitedHealthcareOperatingIncomeRevenue from UnitedHealthcare's employer and individual commercial plans, Medicare offerings and state Medicaid programs. It includes risk-based premiums and fees for administering self-funded plans, while Optum care, technology and pharmacy revenue is reported separately.
unitedHealthcareRevenue