United Healthcare Buys Helios Workman’s Comp PBM and Their Other Related Businesses

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Here’s another purchase, CMS Sanctions Cigna-No More Selling Any New Medicare Advantage Policies Until Algo Problems Denying Medical Coverage and Prescription Denials Are Fixed

Helios has some big contracts as well, such as the US Post Office and Southwest Airlines to name a couple.  As a claimant, you get set upPatients Who Pay “Cash” When Filling Prescriptions Are Now Called “Outliers, Pharmacists Required to Fix Outliers as They Show Up As Non Medication Adherence Compliant With 5 Star Systems Full of Flawed Data…

“Four years ago, we began our predictive analytics program by calculating an individual risk score to measure the potential of a claim becoming a high-cost pharmacy claim. Our clinical services team of pharmacists and nurses used these risk scores to prioritize claim intervention efforts following a needs-based triage approach that combined the numbers from the algorithms with the experience of the clinician.”

With owning more and more clinics, I could guess in time you will be referred to Optum owned urgent care centers as well.  Some states are blanketed with them already with the purchase of MedExpress, who’s buying up more private practices all the time. 

Optum clinics Holdings, New Subsidiary Incorporated In 2015 Raises Over 36 Million (Exchange of Shares) From Investors Unknown-Form D Used to Maintain Secrecy Of Who They Are For Now…

In addition, if you need some infusion drugs, there’s probably another Optum subsidiary that will pay you a visit at home.

OptumRX (United Healthcare) Buys Home Infusion Company AxelaCare-Using Algorithms To Determine Your Care With Being Financed By A “Too Big to Fail” US Health Insurance Company…

Have you ever noticed the investments in low income housing from United?

United Healthcare Expands Into More Low Income Housing Investments, This Time in Austin - They Want Your Rent Check Too-Subsidiary Watch

Notice this cozy arrangement with HHS and Optum Labs where HHS didn’t even use their own FDA agency Sentinel program that does the same thing.  Do read some of my links above and you might be surprised on what’s going on in plain sight around you.  United has just under 400 subsidiaries all involved in many types of business and is not just an insurance company.  BD 


UnitedHealth Group Inc.'s acquisition of workers compensation pharmacy benefit manager Helios will help the health insurer grow by expanding its offerings in the pharmaceutical space, an analyst says.

OptumRx Inc., UnitedHealth's PBM unit, acquired Helios on Jan. 15, spokespeople for the companies confirmed Wednesday.

While terms of the deal were not disclosed, Bloomberg reported it could be worth up to $1.7 billion.

Helios was established effective August 2014 following the merger of two workers comp PBMs, Progressive Medical Inc. and PMSI Inc.

http://www.businessinsurance.com/article/20160127/NEWS08/160129835/optumrx-acquires-workers-comp-specialist-pbm-helios

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