Health Insurance in Virginia

HMO Profile

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UNITEDHEALTHCARE OF WISCONSIN, INC.

Company Information

  • Company Providing Plan:UnitedHealth Group
  • Address:9800 HEALTH CARE LANE MN006-W500
    MINNETONKA MN 55343
  • Telephone :414-443-4000
  • Website:WWW.UHC.COM
2021
Number of Enrollees: 67,560
PMPM: $1,016
Number of Physicians: 363,840
NCQA Accreditation:

*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.

Coverage Areas

Counties

Alleghany, Amelia, Amherst, Appamattox, Arlington, Augusta, Bland, Botetout, Buchanan, Chesterfield, Clarke, Craig, Dickenson, Fairfax, Floyd, Franklin, Frederick, Grayson, Goochland, Hanover, Henrico, James City, Lee, Loudon, Montgomery, Powhatan, Prince William, Roanoke, Rockbridge, Russell, Scott, Smyth, Tazewell, Warren, Washington, Wise, Wythe, York

Cities

Bristol, Buena Vista, Chesapeake, Colonial Heights, Covington, Fairfax, Falls Church, Hampton, Lexington, Manassas, Manassas Park, Newport News, Norfolk, Norton, Petersburg, Portsmouth, Radford, Richmond, Roanoke, Salem, Staunton, Suffolk, Virginia Beach, Waynesboro, Williamsburg, Winchester

Information provided by HMOs to State Corporation Commission Bureau of Insurance.

Administrative Data

2021 2020 2019 2018 2017
Number of Enrollees 67,560 53,361 40,173 31,712 NA
PMPM $1,016 $1,016 $978 $931 NA
Medical Cost Ratio 81% 78% 80% 79% NA
Administrative Ratio 11% 13% 12% 13% NA
Profit/Loss Ratio 9% 9% 9% 8% NA
Number of Physicians 363,840 298,677 257,626 240,865 NA

*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.

Financial Data

2021 2020 2019 2018 2017
Premiums Earned $802,867,074 $623,952,797 $454,774,387 $337,816,369 NA
Income $653,102,139 $604,195,825 $498,646,274 $383,830,969 NA
Net Worth $1,215,249,461 $1,107,156,858 $1,042,309,102 $833,400,784 NA

*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.

Performance

Access/Availability of Care
Info
Adult Access To Preventive/Ambulatory Health Services 2021 Plan State Avg Nat Avg 90th Pctl.
Adult Access To Preventive/Ambulatory Health Services Year Plan State Avg. Natl. Avg. 90th Pctl.
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Alcohol and Other Drug Dependence Treatment 2021 Plan State Avg Nat Avg 90th Pctl.
Alcohol and Other Drug Dependence Treatment Year Plan State Avg. Natl. Avg. 90th Pctl.
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Prenatal and Postpartum Care 2021 Plan State Avg Nat Avg 90th Pctl.
Prenatal and Postpartum Care Year Plan State Avg. Natl. Avg. 90th Pctl.
Behavioral Health
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Adherence to Antipsychotic Medications for Individuals with Schizophrenia 2021 Plan State Avg Nat Avg 90th Pctl.
Adherence to Antipsychotic Medications for Individuals with Schizophrenia Year Plan State Avg. Natl. Avg. 90th Pctl.
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Antidepressant Medication Management 2021 Plan State Avg Nat Avg 90th Pctl.
Antidepressant Medication Management Year Plan State Avg. Natl. Avg. 90th Pctl.
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Attention-Deficit/Hyperactivity Disorder (ADHD) Medication 2021 Plan State Avg Nat Avg 90th Pctl.
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence 2021 Plan State Avg Nat Avg 90th Pctl.
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Follow-Up After Emergency Department Visit for Mental Illness 2021 Plan State Avg Nat Avg 90th Pctl.
Follow-Up After Emergency Department Visit for Mental Illness Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Follow-up After Hospitalization For Mental Illness 2021 Plan State Avg Nat Avg 90th Pctl.
Follow-up After Hospitalization For Mental Illness Year Plan State Avg. Natl. Avg. 90th Pctl.
Effectiveness of Care
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Asthma Medication Ratio 2021 Plan State Avg Nat Avg 90th Pctl.
Asthma Medication Ratio Year Plan State Avg. Natl. Avg. 90th Pctl.
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Cardiovascular Disease Management 2021 Plan State Avg Nat Avg 90th Pctl.
Cardiovascular Disease Management Year Plan State Avg. Natl. Avg. 90th Pctl.
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Cervical Cancer Screening 2021 Plan State Avg Nat Avg 90th Pctl.
Cervical Cancer Screening Year Plan State Avg. Natl. Avg. 90th Pctl.
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Common Childhood Illnesses 2021 Plan State Avg Nat Avg 90th Pctl.
Common Childhood Illnesses Year Plan State Avg. Natl. Avg. 90th Pctl.
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Diabetes Care and Management 2021 Plan State Avg Nat Avg 90th Pctl.
Diabetes Care and Management Year Plan State Avg. Natl. Avg. 90th Pctl.
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Immunizations 2021 Plan State Avg Nat Avg 90th Pctl.
Immunizations Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Pharmacotherapy of COPD Exacerbation 2021 Plan State Avg Nat Avg 90th Pctl.
Pharmacotherapy of COPD Exacerbation Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Preventive Care 2021 Plan State Avg Nat Avg 90th Pctl.
Preventive Care Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Spirometry Testing 2021 Plan State Avg Nat Avg 90th Pctl.
Spirometry Testing Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Statin Therapy 2021 Plan State Avg Nat Avg 90th Pctl.
Statin Therapy Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Weight Assessment and Counseling 2021 Plan State Avg Nat Avg 90th Pctl.
Weight Assessment and Counseling Year Plan State Avg. Natl. Avg. 90th Pctl.
Health Plan Stability/Descriptive
Info
Administrative Data 2021 Plan State Avg Nat Avg 90th Pctl.
Administrative Data Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Financial Data 2021 Plan State Avg Nat Avg 90th Pctl.
Financial Data Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Years in Business 2021 Plan State Avg Nat Avg 90th Pctl.
Years in Business Year Plan State Avg. Natl. Avg. 90th Pctl.
Member Satisfaction
Info
Member Satisfaction 2021 Plan State Avg Nat Avg 90th Pctl.
Member Satisfaction Year Plan State Avg. Natl. Avg. 90th Pctl.
Overuse/Appropriateness
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Antipsychotics 2021 Plan State Avg Nat Avg 90th Pctl.
Antipsychotics Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Cervical Cancer Screening in Adolescent Females 2021 Plan State Avg Nat Avg 90th Pctl.
Cervical Cancer Screening in Adolescent Females Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Lower Back Pain 2021 Plan State Avg Nat Avg 90th Pctl.
Lower Back Pain Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Respiratory 2021 Plan State Avg Nat Avg 90th Pctl.
Respiratory Year Plan State Avg. Natl. Avg. 90th Pctl.
Info
Use of Opiods 2021 Plan State Avg Nat Avg 90th Pctl.
Use of Opiods Year Plan State Avg. Natl. Avg. 90th Pctl.
Risk Adjusted Utilization
Info
Acute Hospital Utilization Rate 2021 Plan State Avg Nat Avg 90th Pctl.
Acute Hospital Utilization Rate Year Plan State Avg. Natl. Avg. 90th Pctl.
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Emergency Department Utilization 2021 Plan State Avg Nat Avg 90th Pctl.
Emergency Department Utilization Year Plan State Avg. Natl. Avg. 90th Pctl.
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Plan All-Cause Readmissions 2021 Plan State Avg Nat Avg 90th Pctl.
Plan All-Cause Readmissions Year Plan State Avg. Natl. Avg. 90th Pctl.
Utilization
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Antibiotic Utilization 2021 Plan State Avg Nat Avg 90th Pctl.
Antibiotic Utilization Year Plan State Avg. Natl. Avg. 90th Pctl.
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Mental Health Utilization 2021 Plan State Avg Nat Avg 90th Pctl.
Mental Health Utilization Year Plan State Avg. Natl. Avg. 90th Pctl.
2021 data updated on: 07/02/2024