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Wednesday, April 17, 2019

UnitedHealth: DaVita Medical Deal ‘Progressing’ On Path To Close

UnitedHealth Group’s effort to acquire DaVita Medical Group has dragged on longer than expected for an acquisitive healthcare company known for closing transactions on time and with little regulatory hassle.
But there appears to be little concern from UnitedHealth executives who provided an update Tuesday on the $4.3 billion acquisition during an 80-minute call to discuss first quarter earnings with Wall Street analysts.
“We are progressing toward the close of the DaVita Medical Group transaction and we look forward to adding more markets, more doctors, and clinical staff serving more patients,” UnitedHealth CEO David Wichmann told analysts.
The acquisition of DaVita, first announced in December of 2017, has yet to close even after UnitedHealth and DaVita amended their original purchase agreement to lower the price of the large operator of clinics and doctor practices to help win approval of the deal from the Federal Trade Commission.
The transaction was originally expected to close in 2018, but that changed after the acquisition price fell by about $600 million from $4.9 billion.  And in a regulatory filing last year, DaVita said it expected to close the transaction “in the first quarter of 2019.”
Once it closes, UnitedHealth’s Optum medical care provider business will gain a large network of nearly 300 medical clinics that treat more than 1.7 million patients annually, the companies have said.
“It is a critical part of the strategy that we have around reinventing health care delivery to access more markets and at the same time then go much deeper into those markets to make them work much more effectively,” Wichmann said. “At this stage, we have a clear path to approval in closing of the transaction, but unfortunately, we cannot comment on further details or timing at this stage. We are working through a couple of matters that remain.”
The deal is among a growing number of transactions sweeping the healthcare industry to put providers of medical care under the same umbrella as health insurance companies. Pharmacy giant CVS Health last year bought Aetna, the nation’s third-largest health insurer, insurer Humana has been signing deals with multiple providers including drugstore giant Walgreens Boots Alliance, and big Blue Cross and Blue Shield plans are investing in primary care providers.
DaVita Medical Group is a subsidiary of DaVita Inc., which is a large provider of kidney care and dialysis services across the U.S. UnitedHealth is not acquiring the kidney care centers. The DaVita operations sold to Optum include urgent care centers, surgery centers and medical clinics with primary care doctors and specialists in California, Colorado, Florida, Nevada, New Mexico and Washington State.
The addition of the DaVita operations would add to an already growing national network of medical care providers under the Optum umbrella, executives have said.
“OptumCare’s vision for care is to create a leading value-based patient centric physician health care system in the United States and we will do this through local markets,” Dr. Wyatt Decker, CEO of OptumHealth, who joined the company earlier this year from the Mayo Clinic, told analysts Tuesday.
We’re already in 36 markets,” Decker added. “And if you include our MedExpress and ambulatory surgical centers, it would be 60 markets. We have 38,000 employed in affiliate physicians, and this will continue to grow organically as well as inorganically.”

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