Unitedhealth Group
UnitedHealth Group Inc. is a for-profit American-based healthcare institution located in Minnetonka, Minnesota. UnitedHealth Group Inc. ranked fifth in the list of fortune 500 ranks in 2018’s list of largest United States companies by revenue collection. UnitedHealth Group offers their esteemed clients with insurance products, as well as healthcare products. 2017 results indicated that UnitedHealth Group became the largest healthcare institution across the world measured by revenue which was 201 billion USD. UnitedHealth Group runs additional companies offering services to about 115 million customers by the end of 2016 financial year.
Proposed Strategic PlanMedicare and Medicaid
Medicare denotes the Federal government supported health insurance targeting individuals aged 65 years and above. Qudrat-Ullah, and Tsasis, (2017) argues that a young person suffering a permanent kidney disease might also be enrolled for the insurance. Since Medicare covers most if not all costs of treatment, then, UnitedHealth Group Inc. would incur an influx in the number of patients served aged 65 years or older seeking medical attention.
Patients over 65 years who seek services from UnitedHealth Group Inc. would get prepayment for their inpatient hospital care, hospice care, skilled nursing requirements and part of home-based care. However, the beneficiaries ought to pay a monthly premium in order to get covered, as the money would be used to pay for medical costs and pay medical practitioners who offer medical services within UnitedHealth Group Inc. the facility sells drugs, and the increased Medicare payer from 50% to 70%, then the Medicare would cater for most if not all of the prescription drugs for patients they handle. Patients who choose UnitedHealth Group Inc. as their primary healthcare and dispensing chemist would benefit from the increased disbursement.
Professional Turnover
An increase in turnover rates from 5% to 10% annually might result in detrimental impacts on UnitedHealth Group Inc.’s healthcare staff, patients and the hospital in general. According to Wolper, (2014), the firm would incur additional contingent staffing costs. It is estimated that the turnover in a facility like UnitedHealth Group Inc. consumes two to three times the normal pay of a regular personnel in the facility. The 10% turnover affects the direct costs within the facility as it impairs delivery of key services to the patients.
Directs costs associated with turnover in UnitedHealth Group Inc. include recruitment, training and orientation, plus additional costs incurred terminating the workers’ contract. According to Qudrat-Ullah, and Tsasis, (2017), indirect costs incurred by the healthcare facility include diminished productivity, pressure on the remaining staff, and owing that more staff turnover looms. The overall healthcare outcomes of the patients reduce. UnitedHealth Group Inc. might resort to travel, contract or agency nurses to deliver services to the facility replacing the practitioners who quit.
A 10% annual turnover rate results into acute shortage of the staff needed to perform core duties to the institution, which affects patient outcomes and satisfaction. Patients attended by satisfied nurses would translate the same satisfaction, leading to improved healthcare outcomes. However, patients attended by dissatisfied medical staff or those who intended to quit their jobs complained of poor health outcomes. A 10% turnover rate is associated with high mortality rate in healthcare facilities. Patient infection while undergoing treatment would increase by over 30% under such high turnover rates, (Wolper, 2014).
Demand for Services
An increase in demand for healthcare services by 20% would be treated like other markets by UnitedHealth Group Inc. the facility might increase the cost of key services rendered, while maintaining the quality of healthcare services. The high turnover rate already left a deficit that ought to get filled by new recruits to handle the current number of patients. However, an influx by 20% means that UnitedHealth Group Inc. would be under a severe threat to their operations.
Projected income statement
Quarterly Income Statement (values in 000's) |
|
|
|
|
Quarter: |
3rd |
2nd |
1st |
4th |
Quarter Ending: |
9/30/2018 |
6/30/2018 |
3/31/2018 |
12/31/2017 |
Total Revenue |
$56,556,000 |
$56,086,000 |
$55,188,000 |
$52,061,000 |
Cost of Revenue |
$36,158,000 |
$36,427,000 |
$35,863,000 |
$33,207,000 |
Gross Profit |
$20,398,000 |
$19,659,000 |
$19,325,000 |
$18,854,000 |
Operating Expenses |
|
|
|
|
Research and Development |
$0 |
$0 |
$0 |
$0 |
Sales, General and Admin. |
$0 |
$0 |
$0 |
$0 |
Non-Recurring Items |
$0 |
$0 |
$0 |
$0 |
Other Operating Items |
$15,808,000 |
$15,455,000 |
$15,272,000 |
$14,877,000 |
Operating Income |
$4,590,000 |
$4,204,000 |
$4,053,000 |
$3,977,000 |
Add'l income/expense items |
$0 |
$0 |
$0 |
$0 |
Earnings Before Interest and Tax |
$4,590,000 |
$4,204,000 |
$4,053,000 |
$3,977,000 |
Interest Expense |
$353,000 |
$344,000 |
$329,000 |
$308,000 |
Earnings Before Tax |
$4,237,000 |
$3,860,000 |
$3,724,000 |
$3,669,000 |
Income Tax |
$953,000 |
$850,000 |
$800,000 |
($52,000) |
Minority Interest |
($96,000) |
($88,000) |
($88,000) |
($104,000) |
Equity Earnings/Loss Unconsolidated Subsidiary |
$0 |
$0 |
$0 |
$0 |
Net Income-Cont. Operations |
$3,284,000 |
$3,010,000 |
$2,924,000 |
$3,721,000 |
Net Income |
$3,188,000 |
$2,922,000 |
$2,836,000 |
$3,617,000 |
Net Income Applicable to Common Shareholders |
$3,188,000 |
$2,922,000 |
$2,836,000 |
$3,617,000 |
Project balance sheet
Quarterly Balance sheet (values in 000's) |
|
|
|
|
Quarter: |
3rd |
2nd |
1st |
4th |
Quarter Ending: |
9/30/2018 |
6/30/2018 |
3/31/2018 |
12/31/2017 |
Current Assets |
|
|
|
|
Cash and Cash Equivalents |
$10,263,000 |
$18,368,000 |
$18,243,000 |
$11,981,000 |
Short-Term Investments |
$3,586,000 |
$3,492,000 |
$3,798,000 |
$3,509,000 |
Net Receivables |
$18,262,000 |
$17,646,000 |
$18,290,000 |
$15,830,000 |
Inventory |
$0 |
$0 |
$0 |
$0 |
Other Current Assets |
$0 |
$0 |
$0 |
$0 |
Total Current Assets |
$0 |
$0 |
$0 |
$0 |
Long-Term Assets |
|
|
|
|
Long-Term Investments |
$31,929,000 |
$31,237,000 |
$29,441,000 |
$28,341,000 |
Fixed Assets |
$8,042,000 |
$7,906,000 |
$8,144,000 |
$7,013,000 |
Goodwill |
$58,703,000 |
$56,271,000 |
$56,850,000 |
$54,556,000 |
Intangible Assets |
$9,498,000 |
$8,680,000 |
$9,033,000 |
$8,489,000 |
Other Assets |
$10,804,000 |
$11,011,000 |
$11,770,000 |
$9,339,000 |
Deferred Asset Charges |
$0 |
$0 |
$0 |
$0 |
Total Assets |
$151,087,000 |
$154,611,000 |
$155,569,000 |
$139,058,000 |
Current Liabilities |
|
|
|
|
Accounts Payable |
$38,841,000 |
$36,866,000 |
$37,799,000 |
$33,051,000 |
Short-Term Debt / Current Portion of Long-Term Debt |
$1,500,000 |
$2,959,000 |
$7,379,000 |
$2,857,000 |
Other Current Liabilities |
$0 |
$0 |
$0 |
$0 |
Total Current Liabilities |
$0 |
$0 |
$0 |
$0 |
Long-Term Debt |
$33,553,000 |
$35,055,000 |
$35,585,000 |
$31,692,000 |
Other Liabilities |
$19,506,000 |
$20,745,000 |
$20,363,000 |
$17,842,000 |
Deferred Liability Charges |
$4,822,000 |
$9,323,000 |
$9,896,000 |
$4,451,000 |
Misc. Stocks |
$1,769,000 |
$1,839,000 |
$1,890,000 |
$2,189,000 |
Minority Interest |
$2,586,000 |
$2,490,000 |
$2,483,000 |
$2,057,000 |
Total Liabilities |
$101,077,000 |
$106,318,000 |
$108,016,000 |
$91,282,000 |
Stock Holders’ Equity |
|
|
|
|
Common Stocks |
$10,000 |
$10,000 |
$10,000 |
$10,000 |
Capital Surplus |
$0 |
$0 |
$0 |
$1,703,000 |
Retained Earnings |
$54,386,000 |
$52,363,000 |
$50,494,000 |
$48,730,000 |
Treasury Stock |
$0 |
$0 |
$0 |
$0 |
Other Equity |
($4,386,000) |
($4,080,000) |
($2,951,000) |
($2,667,000) |
Total Equity |
$50,010,000 |
$48,293,000 |
$47,553,000 |
$47,776,000 |
Total Liabilities & Equity |
$151,087,000 |
$154,611,000 |
$155,569,000 |
$139,058,000 |
Projected financial requirements
An increase in Medicare change from 50% to 70% and Medicaid from 5% to 10% means that UnitedHealth Group Inc. must have resources that meet the growing demands. It is projected that from Medicare and Medicaid the institution requires a budget increment by $30,300,000 to expand its operations to meet the growing demands. The annual professional turnover rates increment from 5% to 10% would also hinder basic operations from taking place. The healthcare facility requires about $ 20,000,000 to recruit, train and equip new staff who would replace the outgoing staff. Staffing costs would rise because the institution would experience more employee turnovers. Increased services by 20% in a year requires a reinstitution of the key operations to meet the growing demands. The healthcare facility currently serves over 11 million customers, which means that the number would rise by almost 3 million. The 20% increment in customer
Financial sources
The total budget intended to meet the three key changes that took place at UnitedHealth Group Inc.
Medicare and Medicaid |
$30,300,000 |
10% Turnover |
$20,000,000 |
20% Increase in Demand for Services |
$10,000,000 |
Total budget |
$60,300,000 |
The UnitedHealth Group Inc. requires an additional budget of $ 60,300,000 to accommodate its growing demands. Penner, (2014) adds that the firm has two alternatives of sourcing the funds needed to meet the needs of the institution. With the money at hand, UnitedHealth Group Inc. would be able to efficiently offer quality services to patient with little or no challenges.
Strategic planDecision making process
Accurate decision making in healthcare might become overwhelming due to the complexity of the issues involved in the day to day operations. Profit generation is the primary reason for the healthcare facility being in operation. The cost of healthcare ought to get addressed as it determines the growth of service delivery in healthcare. UnitedHealth Group Inc. must work with other stakeholders to reduce the costs of medical services. A long-term focus is essential in all decision making processes. The healthcare facility must also aim at reducing expenditure as it would translate to their patients.
UnitedHealth Group Inc. must handle their practitioners like business partners so as to make them feel secure. Acknowledging the efforts of practitioners reduces turnover rates by a big margin. The doctors must be involved in key decision making processes and management activities. The presence of the physicians in the board meetings makes them feel part of the facility and promote their success.
Revenue growth rate
According to Ward, (2015), the UnitedHealth Group Inc. must reason beyond Medicare. Millions of patients are under the Federal insurance Medicare and Medicaid but still there are many patients that are self or privately insured. Being that UnitedHealth Group Inc. offers medical insurance among other services, they ought to think beyond what they expect. Making use of alternatives keeps the facility planned ahead, and thus increase profit making potential while reducing the financial risks.
Turnover rate capacity
With the funding in place, UnitedHealth Group Inc.’s human resource intends to work on improving talent acquisition among its existing staff. Wolper, (2014) argued that other than seeking medics to fill positions, they ought to develop and improve talents. The newly hired staff must fit the institution’s mission, values and vision. The major areas of concern for the new recruits include patient satisfaction, morale, safety of the staff and patients and quality services.
Assessing the behavior of all staff would let UnitedHealth Group Inc. understand the skillset of each candidate. According to Herkimer, (2017), the hiring process gets improved depending on the behavioral competencies desired from them. The weaknesses and strengths of each staff might be compared with the industry requirements. The organizational expectations and abilities of the recruits creates a gap that must be filled if quality services are to be delivered to the patients.
In summary, UnitedHealth Group Inc. is a healthcare facility offering medical services to Americans, and other patients across the globe. The 10% turnover affects the direct costs within the facility as it impairs delivery of key services to the patients. The UnitedHealth Group Inc. requires an additional budget of $ 60,300,000 to accommodate its growing demands. The firm has two alternatives of sourcing the funds needed to meet the needs of the institution.
References:Herkimer, A. G. (2017). Understanding health care budgeting. Rockville, Md: Aspen.
In Qudrat-Ullah, H., & In Tsasis, P. (2017). Innovative healthcare systems for the 21st century.
Penner, S. J. (2014). Introduction to health care economics & financial management: Fundamental concepts with practical applications. Philadelphia: Lippincott Williams & Wilkins.
Ward, W. J. (2015). Health care budgeting and financial management for non-financial managers. Westport, Conn: Auburn House.
Wolper, L. F. (2014). Health care administration: Planning, implementing, and managing organized delivery systems. Sudbury, MA: Jones and Bartlett Publishers.