Business Segments · Premiums
Optum — Premiums
UnitedHealth Group Optum — Premiums decreased by 6.2% to $4.58B in Q1 2026 compared to the prior quarter. Year-over-year, this metric declined by 8.9%, from $5.02B to $4.58B. Over 4 years (FY 2021 to FY 2025), Optum — Premiums shows an upward trend with a 9.4% CAGR. This decline may warrant attention — for this metric, higher values are generally preferred.
Analysis
StatementSegment
CategoryGrowth
SignalHigher is better
VolatilityStable
First reportedQ1 2013
Last reportedQ1 2026May 5, 2026
Rolls up toNet premiums earned
How to read this metric
An increase suggests growth in risk-based care arrangements and market share in managed health services.
Detailed definition
Represents the total revenue generated from insurance-like risk-bearing contracts within the Optum health services segme...
Peer comparison
Comparable to premium revenue lines in other diversified healthcare services or managed care organizations.
Metric ID:
unh_segment_optum_premiumsHistorical Data
20 periods
| Q2 '21 | Q3 '21 | Q4 '21 | Q1 '22 | Q2 '22 | Q3 '22 | Q4 '22 | Q1 '23 | Q2 '23 | Q3 '23 | Q4 '23 | Q1 '24 | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Value | $3.38B | $3.62B | $3.93B | $4.13B | $4.53B | $5.12B | $4.6B | $5.33B | $5.43B | $5.63B | $5.39B | $5.7B | $5.95B | $5.82B | $5.35B | $5.02B | $4.89B | $5.06B | $4.88B | $4.58B |
| QoQ Change | — | +7.3% | +8.4% | +5.2% | +9.6% | +13.0% | -10.1% | +15.9% | +1.9% | +3.7% | -4.3% | +5.7% | +4.4% | -2.2% | -8.1% | -6.1% | -2.7% | +3.5% | -3.5% | -6.2% |
| YoY Change | — | — | — | — | +34.2% | +41.2% | +17.1% | +28.9% | +19.9% | +10.0% | +17.3% | +6.9% | +9.6% | +3.3% | -0.8% | -11.8% | -17.8% | -13.1% | -8.8% | -8.9% |
Range$3.38B – $5.95B
CAGR+6.6%
Avg YoY Growth+7.9%
Median YoY Growth+8.2%
Current Streak2 quarters decline
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Frequently Asked Questions
- What is UnitedHealth Group's optum — premiums?
- UnitedHealth Group (UNH) reported optum — premiums of $4.58B in Q1 2026.
- How has UnitedHealth Group's optum — premiums changed year-over-year?
- UnitedHealth Group's optum — premiums decreased by 8.9% year-over-year, from $5.02B to $4.58B.
- What is the long-term trend for UnitedHealth Group's optum — premiums?
- Over 4 years (2021 to 2025), UnitedHealth Group's optum — premiums has grown at a 9.4% compound annual growth rate (CAGR), from $13.85B to $19.84B.
- What does optum — premiums mean?
- Total revenue earned from insurance risk-bearing contracts within the Optum segment.