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In 1974, Richard Tyagi Burke founded Charter Med Incorporated, a Minnetonka, Minnesota-based privately held company.

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In March 2007, United Health Group signed a definitive agreement to acquire Sierra Health Services Inc. Sierra provided health benefits and services to 310,000 members in Nevada and another 320,000 people in senior and government programs throughout the United States.

As a condition of approval from the Department of Justice, United Health Group was required to divest its individual Secure Horizons Medicare Advantage HMO plans in Clark and Nye Counties, which represent approximately 25,000 members.

In 1996, United Health Care acquired Health Wise of America, which operated HMOs in Arkansas, Maryland, Kentucky and Tennessee.

Optum Bank started operating on July 21, 2003, in Salt Lake City, Utah, as a Utah state-chartered industrial loan corporation.

On January 13, 2009, Ingenix announced an agreement with the New York State attorney settling the probe into the independence of the health pricing database.