{"id":353931,"date":"2025-11-04T01:53:29","date_gmt":"2025-11-04T01:53:29","guid":{"rendered":"https:\/\/www.europesays.com\/us\/353931\/"},"modified":"2025-11-04T01:53:29","modified_gmt":"2025-11-04T01:53:29","slug":"unitedhealth-pays-optum-physicians-17-more-than-outside-providers","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/353931\/","title":{"rendered":"UnitedHealth pays Optum physicians 17% more than outside providers"},"content":{"rendered":"<p class=\"author-bio\">Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70.<\/p>\n<p>UnitedHealth Group pays its own physician practices much more than it pays competing practices, a new study finds, reinforcing <a href=\"https:\/\/www.statnews.com\/2024\/11\/25\/unitedhealth-higher-payments-optum-providers-converts-expenses-to-profits\/\" rel=\"nofollow noopener\" target=\"_blank\">STAT\u2019s own analysis<\/a> on the subject and presenting fresh evidence that the conglomerate may be skirting a rule designed to curb health insurer profits.\u00a0<\/p>\n<p>UnitedHealth\u2019s insurance arm, UnitedHealthcare, pays practices under its UnitedHealth-owned Optum umbrella 17% more on average for common services than it pays non-Optum practices in the same region, according to <a href=\"https:\/\/urldefense.com\/v3\/__https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2025.00155__;!!BspMT6SJLSDJ!NOl2TmaOop8BqwoRK73rj8a2E9KB3jToNfkFQ2hW7lcRbKowYXYly76tIMiMkk0jExV_Lgnr6O94wnAHEuBHoM0f6U2uIA%24\" target=\"_blank\" rel=\"noopener nofollow\">the study<\/a>, published today in Health Affairs. In areas where its insurance arm has a large market share, it pays Optum practices 61% more.\u00a0<\/p>\n<p>The study\u2019s lead author, Daniel Arnold, said his research was inspired in part by STAT\u2019s reporting from last year, which found that UnitedHealthcare paid 13 of 16 Optum practices more than others in the same market, ranging from as little as 3% more to 111% more. UnitedHealth paid the other 3 practices less than the market average. UnitedHealth paid roughly two times the market average for some common services, STAT found.<\/p>\n<p class=\"restricted-text\">STAT+ Exclusive Story<\/p>\n<p class=\"restricted-login\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t<img decoding=\"async\" class=\"restricted-content-breaker-bg\" src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/06\/stat-plus-breaker-bg.png\" alt=\"STAT+\"\/><\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n\t\t\t\t\t\t<img decoding=\"async\" class=\"stat-plus-logo\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/stat-plus-logo-white.svg\" alt=\"STAT+\"\/><br \/>\n\t\t\t\t\t<\/a><\/p>\n<p>\t\t\t\tThis article is exclusive to STAT+ subscribers<br \/>\n\t\t\t\tUnlock this article \u2014 plus daily market-moving biopharma analysis \u2014 by subscribing to STAT+.<\/p>\n<p class=\"restricted-content-breaker-wrapper-cta mobile\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta mobile\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t\t\t\tIndividual plans<\/p>\n<p>\t\t\t\t\t\tGroup plans<\/p>\n<p>\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button view-all\" data-stat-paywall-cta=\"breaker view all plans\" aria-label=\"View All Plans\" rel=\"nofollow noopener\" target=\"_blank\">View All Plans<\/a><\/p>\n<p class=\"restricted-content-text\">\n\t\t\t\t\t\tTo read the rest of this story subscribe to STAT+.\t\t\t\t\t<\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button restricted-button\" data-stat-paywall-cta=\"breaker subscribe cta 1\" rel=\"nofollow noopener\" target=\"_blank\">Subscribe<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70. UnitedHealth Group pays&hellip;\n","protected":false},"author":3,"featured_media":353932,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[210,1141,3168,1142,17668,153,1183,154,67,132,68],"class_list":{"0":"post-353931","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-care","8":"tag-health","9":"tag-health-care","10":"tag-health-insurance","11":"tag-healthcare","12":"tag-physicians","13":"tag-policy","14":"tag-research","15":"tag-stat","16":"tag-united-states","17":"tag-unitedstates","18":"tag-us"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/115488935788680638","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/353931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=353931"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/353931\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/353932"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=353931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=353931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=353931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}