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Aetna Inc. SWOT & PESTLE Analysis

ID : 52120253| May 2018


Business Sector :Managed Health care

Operating Geography :North America, United States

About Aetna Inc. :

Aetna Inc. is one of America's largest diversified health care benefits company, serving an estimated 37.9 million people. The Company was founded in 1853 and headquartered in Hartford, CT. Aetna offers a wide range of products to its customers ranging from traditional health insurance plans, voluntary health insurance plans to customer directed health insurance plans and services related to health care such as medical, pharmacy, dental, behavioral health, long term care, disability plans, Supplement plans, workers' compensation administrative services and health information technology (“HIT”) products and services. They have a wide range of customers including employer groups, individuals, college students, workers, healthcare providers, governmental units, labor groups, expatriates etc. The company mainly caters to 3 basic segments including health care, insurance & pension plans. Aetna Inc. is currently ranked #43 among the Fortune 50 companies in the 2017 Fortune 500 list. The stocks of the company are listed on the New York stock exchange for trading. Aetna unloaded its domestic group life insurance, group disability insurance and absence management businesses to Hartford Life and Accident Insurance Company (“HLAIC”) in Nov, 2017 primarily for gaining on taxes. The Company employs approximately 47,950 employees at December 31, 2017.

Aetna's mission statement reads "Aetna is dedicated to helping people achieve health and financial security by providing easy access to safe, cost-effective, high-quality health care and protecting their finances against health-related risks." The healthcare giants USP or unique selling point lies in being the leading health insurance provider with over 160 years of heritage in healthcare space.

Aetna Inc. Revenue :

US $ 60,535 million (FY ending 31st Dec 2017)

Competitive Analysis of Aetna Inc.

The SWOT analysis of Aetna Inc. is as follows:
1. Strong market positioning
2. Cost advantages due to size
3. Strong all pervasive next generation provider network
1. Overdependence on domestic markets
2. Cost Structure of products
3. Aetna bails out on all ACA marketplaces in 2018
1. Proposed acquisition by CVS Health can multiply strengths
2. Expansion into emerging economies
1. Regulatory issues causing business uncertainty.
2. Stiff Competition by existing and new entrants
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Detailed SWOT Analysis of Aetna Inc.



1. Strong market positioning: One of the most recognizable names in the industry, Aetna Inc. is the third largest insurer in the U.S.A. offering dental, disability and prescription coverage along with general health insurance. It is the leading health financing platform with targeted tailored solutions to improve people's health and wellness. The Company has a 9.9% market share and medical membership totaling 22.2 million as of Dec, 2017. Over 70% of the Fortune 100 employ Aetna for their health insurance services. It is currently the 3rd largest publicly traded managed care organization. Aetna members are projected to use approximately 225m Adjusted Rx in 2017 and serves a record 44.6M (Unique members include Group Insurance) Unique Members. It has a world class consumer health and engagement model with innovation plan offerings. Aetna is the 2nd largest group Medicare Company and one of the fastest growing Medicare franchises. It has enrolled the biggest percentage of Medicare Advantage customers in 4+ star plans amongst publicly-traded competitors. This healthcare behemoth houses best-in-class next generation capabilities which include top notch digital and analytics capabilities, suite of clinical decision support assets and ramified across-the-board provider network.

2. Cost advantages due to size: Aetna Inc. believes in providing quality care at a low cost. Their health system is about saving money and keeping people healthy. They work with doctors and hospitals to align the economic incentives for everyone to stay healthy.CMS (Centers for Medicare & Medicaid Services)awarded4 (out of 5) Star Rating in 2017, for Aetna's Medicare Advantage PPOplans for helping members stay satisfied with their plans (97% of survey respondents said they were very satisfied with their plan), stay healthy and manage their long term health issues. 17.3 million retirees have chosen to stay with this plan since its launch in 1997 as it provides great cost savings to them. Aetna's Medicare Advantage plans provide a lot of added benefits not provided by Original Medicare.

3. Strong all pervasive next generation provider network: In the domestic markets, Aetna has very strong networking base. As per factsheet of Aetna Inc. it has alliance with over one million professionals in the industry. Its strong clinical assets include over 5200 nurses, over 300 doctors on staff, with a reach to over five million doctors, and specialists and covers more than 5700 hospitals nationwide.Aetna's vast provider network include 1.3 million participating health care providers, 7 lacs primary care specialist physicians. The healthcare giant operates on a high touch, high tech member service model with a huge global network of providers with a strong focus on improving consumer health and engagement. Its holistic consumer focus is a well-knit fabric of managing risk, servicing members and unwavering clinical focus.


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