Evaluating the right healthcare companies can be a tedious task. Though the raw elements remain consistent, some of the crucial factors include productive employees, unique selling points, excellent market reputation, and effective management.
This extremely lucrative industry can play an instrumental role in transforming the internal working of healthcare. The leaders in the healthcare sector have learned to combine these diverse elements in the right ratios to thrive in the modern marketplace. As the companies adopted new regulations and added new partners in pharmaceutical and biotech mergers-and-acquisitions spree, some chosen few in this sector have adapted to these dynamic changes and made a place for themselves in Fortune 500.
These health-care behemoths rode to change the healthcare sector exponentially. We have combined a list of some of the most Reputable Healthcare Companies. Let’s start by taking a peek at the factors to consider:
Factors to Consider While Choosing the Right Healthcare Plan
With a multitude of programs in the market, you need to be careful in choosing the right plan according to your needs and requirements. Some of the primary factors one should look for are coverage options and providers.
Here are some key factors which can help you in making a calculated decision for your company.
- Coverage Fundamentals
This is the first and foremost thing which you should consider while choosing a plan. Scrutinize whether the program offers minimum essential coverage. You also need to be sure that there are no uncertain terms with your insurance provider.
The premium cost of employees is the next important factor which you should consider. It is the necessary amount which a policyholder has to pay to the insurance provider for the sum assured whether or not he uses the medical services. They can be divided on the basis of time, i.e. monthly, quarterly, half-yearly or yearly.
The only thing which you need to be cautious about is that premiums are paid monthly, and you will be at risk of losing your coverage if you stop making payments.
- Waiting periods or pre-existing conditions:
You need to be careful in checking whether the pre-existing diseases would be covered under the health insurance policy or not. Also, you need to understand intricate details as to what does the waiting period for these pre-existing disease cover.
You need to know the deductibles which you might have to pay before the health provider would pay for the costs. You need to find a percentage of costs a healthcare provider would pay if one needs to take the services of a doctor. Some of the healthcare plans even have lifetime limits on the total amount which a health insurance provider is willing to pay.
- Coverage of Medicines:
Every insurance company has their list of medicines they can cover under the plan. If the drugs are not under the coverage policy, the policyholder will have to take up a lengthy and time-consuming process to take coverage.
This will then give you an idea of your current medicines and comparing it with plan’s formulary to understand out of pocket expenses associated with them. Let’s delve a little deeper into the companies that are making a mark in this new-age arena of Health-Care Technology.
Founded in San Francisco in 1833, this health care corporation has emerged as an industry leader in delivering medical and pharmaceutical products.
They have captured the market from institutional providers to retail pharmacies in North America and internationally. Apart from that, they are leading suppliers to hospitals, health systems and more. They also hold expertise in providing innovative health solutions for pharmaceuticals and biotech manufacturers.
Furthermore, they deliver a wide range of healthcare products, equipment, technology, and other related services to non- hospital markets including surgery centers, home health care businesses and extended care facilities.
Based out of the US, they aim to distribute pharmaceutical products and medical supplies globally. They have used the technology to the fullest to simplify their workings. It started with an early adopter of technologies like pharmacy robotics, barcode scanning for distribution, RFID tags and more.
For the last fiscal year 2017, McKesson reported total earnings of $67 million with annual revenue of USD$208.357 billion. This was seen as an exponential increase of over 5.0% over the previous fiscal cycle. In the year 2018, McKesson’s shares traded at over $142 per share and its market capitalization was valued at over $24.3 billion in October 2018. Currently, McKesson is ranked at number 6 on the Fortune 500 rankings of the largest United States corporations. It is the fourth largest pharmacy chain from the perspective of total revenue.
UnitedHealth Group is a renowned health and well-being company headquartered in the United States. Their motto is to help people live healthier lives. Founded in 1974, UnitedHealth Group is committed to introducing services, products and innovative approaches that can promote healthier populations and improve personal health in local communities.
Their core areas of capabilities include advanced technology, clinical expertise and health and data information which uniquely enable them to keep pace with the evolving needs of health care industry. They have been serving consumers and clients through two diverse platforms which include:
- United Healthcare
Through these two platforms, the group has been offering health services and benefits to people residing in all 50 states in the US. Also, more than 130 other countries have been generating revenue of over $201 billion.
They intend to address the biggest challenges in health care while ensuring that patients always remain at the center of their quality and reliable healthcare services.
Apart from that, they hold immense experience and knowledge in organizing health care resources to serve the specific needs of local markets. They have also helped connect participants in health care by allowing a variety of interactions at an enormous scale. Their unique skills include collecting, analyzing and managing data from reliable sources to translate into actionable information.
In the year 2017, UnitedHealth completed the acquisition of Rally Health Inc, DaVita Medical Group and Banmédica which have played an instrumental role in their increased share of revenue.
3. CVS Health
CVS Health is one of the renowned American retail healthcare companies and a retail pharmacy headquartered in Rhode Island in Woonsocket was established in the year 1964 as a chain of beauty and health aid stores. Their services are extended to include Digital Services, Clinical Services, Specialty Pharmacy, and Pharmacy Benefit Management.
To expand their operations and facilitate growth, the company set out to join The Melville Corporation, which managed a string of retail businesses.
They look to provide a comprehensive range of affordable and quality health services that are within reach economically and physically. Also, they strive to reinvent pharmacy to help people on their path to better health. They are committed to delivering innovative solutions that create more accessible, simpler experience for patients, customers and caregivers.
In the year 2018, CVS Health’s revenue growth was about 4.1%, and they generated over $184.7 billion. This, out of other healthcare companies, gradually scaled its prescription volumes, pharmacy benefit management products rollout, and pharmacy network.
Presently, it is ranked at 7th on the Fortune 500 and 17th on the Fortune Global 500 list.
One cannot miss AmerisourceBergen while talking about healthcare companies. This leading American drug wholesale company was founded in the year 2001 from the merger of AmeriSource and Bergen Brunswig.
Bergen and AmeriSource were both reputed pharmaceutical distributors which covered different geographies but served similar markets. Their merger led the company to create a strong presence that geared toward helping hospitals, regional retail chain pharmacies, clinics, independent community pharmacies, and other alternate care facilities.
It inherited more than 100 years of excellence in wholesale distribution and pharmaceutical sourcing. Since then, they have succeeded in making a mark in drug distribution and related services which were designed to improve patient outcomes reduce costs and distribute a line of generic pharmaceuticals.
They have a great chain of health care providers throughout the US including health systems and acute care hospitals, retail chain pharmacies, physicians, clinics, mail order facilities, and other assisted living and skilled nursing centers.
Undoubtedly, it is a leading pharmaceutical distributor with nine distribution centers in Canada, four specialty centers in the US. AmerisourceBergen is handling about 20% of all of the pharmaceuticals sold and distributed throughout the country. Currently, it is ranked 12th on the Fortune 500 list for 2018 with over $153 billion in annual revenue. Recently, this health care company has been acquired by H. D. Smith who is one of the largest privately held national pharmaceutical wholesalers in the US.
Cardinal Health, Inc. is a renowned health care services company and the 14th highest revenue generating company in the United States. It is headquartered in Dublin, Ohio. Specializing in the distribution of medical products and pharmaceuticals, the company is serving more than 100,000 locations across the world.
Founded in the year 1971 by Robert Walter, the company was initially into food wholesaling. But in 1979, it stepped ahead to acquire Bailey Drug Company and began wholesaling drugs under the name of Cardinal Distribution, Incorporated. They help hospitals, pharmacies, clinical laboratories, physician offices, and ambulatory surgery centers. Their motto is patient care while improving quality, enhancing efficiency and reducing costs.
Cardinal Health, Inc. operates the nation’s biggest network of radio pharmacies. They aim at providing services and medical products to prestigious medical institutions all over the world. In the year 2017, they announced the plan to acquire leading patient product from Medtronic for $6.1 billion. The acquisition was funded with a combination of $4.5 billion in existing cash and borrowings under our existing credit arrangements and in new senior unsecured notes.
Headquartered in St. Louis, Missouri, this notorious corporation is an American Fortune 100 company which was established in the year 1986. They stand at 25th position in terms of total revenue.
It is one of the largest pharmacy benefit management (PBM) organization in the US. Some of its areas of expertise in integrated pharmacy benefit management services include home delivery pharmacy services, network-pharmacy claims processing, specialty pharmacy benefit management, and drug data analysis services.
Apart from that, the company also offers pharmacy benefit management services for workers’ compensation insurance programs. This program is accredited by URAC which is the nation’s largest accrediting body for pharmacy benefit management companies. Its own automated pharmacies dispense chronic and long-term medications for diabetes and heart-related diseases directly to the members by home delivery.
Recently, this year, it announced that Cigna would buy Express Scripts in $ 67 billion deal. This will be another major attainment for the company in terms of revenue and growth.
This reputable American health insurance company occupies one of the top positions in reputable healthcare companies in the USA. Founded in the 1940s, it is one of the largest for-profit managed healthcare companies. It strives at delivering a number of innovative health benefit solutions through a broad portfolio of integrated health care plans and related services. They also hold expertise in providing a wide range of specialty products and long-term care insurance.
Headquartered in Indianapolis, Indiana, Anthem, Inc. is a licensee of the Blue Cross and Blue Shield Association serving members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.
They also offer a comprehensive range of individual and family insurance plans at affordable prices.
Anthem’s revenue increase of 5.8 % year-over-year was driven by revenue growth across all segments. Its commercial and specialty business revenue grew by 5.3% and government business grew by over 6.2%.
Based in Oakland, California, US, founded in 1945 by Henry J Kaiser and Sidney Garfield, Kaiser Permanente is a leading managed care consortium. It is divided into three distinct interdependent group of entities which were Kaiser Foundation Hospitals; Regional Permanente Medical Groups and Kaiser Foundation Health Plan, Inc. (KFHP) and its regional operating subsidiaries. It operates in eight states namely Hawaii, Washington, Oregon, California, Colorado, Maryland, Virginia, Georgia and the District of Columbia. It has emerged out to be the largest managed care organization in the US.
According to statistics, last year, Kaiser Permanente had 208,975 employees, 21,275 physicians, 54,072 nurses, 11.7 million health plan members, 720 medical facilities and 39 medical centers. The company has reported a $3.8 billion net income on $72.7 billion in operating revenues.
KFHP has made a mark in the healthcare industry as one of the largest not-for-profit organizations in the United States.
Founded in 1853 in Hartford, CT, Aetna is an American managed health care company, which sells traditional and consumer-directed health care insurance plans and related services. Some of it includes pharmaceutical, medical, dental, behavioral health, long-term care, and disability plans. Aetna was ranked at position 49 in the 2018 Fortune 500 list of the largest United States corporations by total revenue.
Aetna strives to provide extended benefits, services, and products to individuals, employers, health care professionals and producers.
Aetna offers health care, dental, pharmacy, disability, group life, and long-term care insurance and employee benefits, primarily through employer-paid (fully or partly) insurance and benefit programs and through Medicare. Some of the statistics are as follows:
- 1 million medical members
- 3 million dental members
- 3 million pharmacy benefit management services members
- 609 million group insurance members
- An estimated 1,200,000 health-care professionals
- 695,971+ primary care doctors and specialists
- 5,712 hospitals
Based in Louisville, Kentucky, Humana Inc. is a for-profit American health insurance company. As of 2014 Humana had over 13 million customers in the U.S., reported 2013 revenue of US$41.3 billion, and had 51,600 employees.
In 2018, the company ranked 56 on the Fortune 500 list, which made it the highest ranked (by revenues) company based in Kentucky.
Humana has over 45 years of expertise in the health care industry. It is one of those healthcare companies that has embraced the dynamics of changing the industry and kept pace with adopting new technological ways. They offer health insurance coverage and other such services to individuals, government-sponsored plans and employer groups. Their primary goal is to control the working costs and advance consumerism while making consumer focused plans.
If you don’t know where to start from, keep this list in your mind; you must evaluate the pros and cons and make the right decision while choosing the correct pick for oneself. One needs to be rest assured of the kind of services these businesses provide and whether they can fulfill your requirements.
Not all healthcare companies able to cater to specific needs.
Don’t rush into choosing hastily. Chart out your priority services before you plan to approach healthcare companies. It will also be immensely helpful if you draw a rough sketch of how much you are planning to spend.
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