COMPANY PROFILE -Aetna Inc.
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 companies, 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, behavioural 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 was 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 received their first "Best Individual International Healthcare Provider" honour from the UK Health & Protection Awards in 2021. As of 2023, there are more than 47,950 people working for Aetna.
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 170 years of heritage in healthcare space.
Aetna Inc. Revenue :
US $ 85.33 billion - FY ending 31st Dec 2022 (y-o-y growth of 3.8%)
US $82.2 billion - FY ending 31st Dec 2021
Competitive Analysis of Aetna Inc.
The SWOT analysis of Aetna Inc. is as follows:
Strengths | Weaknesses |
1. Provides diverse health insurance plans and services
2. Known for innovation across its products and services
3. Acquisition by CSV health has strengthened the brand
4. Strong market positioning
5. Strong all pervasive next generation provider network
| 1. Overdependence on domestic markets
2. Cost structure of products
3. Complaints registered by customers against the company is higher
|
Opportunities | Threats |
1. Leverage digitalization to improve services
2. Offer personalized services to the customers
3. 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.
Strength
1. Provides diverse health insurance plans and services: Aetna is one of the oldest health insurers available in the US. The company started in 1853 and in 1951, it started providing its first major medical coverage policies. Aetna is one of the largest health insurance providers in the US and was acquired by CVS Health Corp. in 2017. Aetna offers both individual health insurance and group health insurance. The health plans of Aetna include various options like medical plans, Medicare plans and ancillary plans. There are various medical plans like PPO, HMO, Indemnity, EPO etc. Medicare plans include group Medicare and individual Medicare plans. Ancillary plans include dental, vision, supplemental and pharmacy etc. Services provided by the company include the Aetna healthcare app, various plans for different industries and different business sizes, care management, wellness management platform etc. These diverse services provided by the company make it one of the largest health insurance providers in the country.
2. Known for innovation across its products and services: Being a company with more than 170 years of history, Aetna has proven capability of innovation. This innovation is all set continue after the acquisition of the company by CVS health. Aetna was the first to support the new diabetes screening guidelines set by the American diabetes association. Aetna was the first to follow the new mammogram screening guidelines issued by the American cancer society and National Cancer institute. Aetna also funded a program to raise awareness among women about the risk of heart disease. Aetna also became the first company to announce a health savings account. It is recognized as one of the America’s most community minded companies. Such achievements have been achieved due to the innovation driven at the company. The innovation driven services are likely to continue even more after the group has joined CVS health.
The remaining section under "Strength" is available only in the 'Complete Report' on purchase.
Weakness
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Opportunity
This section is available only in the 'Complete Report' on purchase.
Threat
This section is available only in the 'Complete Report' on purchase.
The PESTLE/PESTEL analysis for Aetna is presented below:
Political | Economical |
1. Growing public policy influence in health care insurance | 1. High inflation rates and Covid-19 have increased the medical costs
2. The APRA enhanced premium subsidy is expiring this year
|
Social | Technological |
1. Healthy individuals less likely to opt for insurance under new laws
2. Awareness about health insurance has increased after covid-19
| 1. Digital technologies to foster innovation in health care insurance
2. Blockchain having a strong potential in health insurance industry
|
Legal | Environmental |
1. Regulations such as Affordable Care Act (ACA) or Obamacare changing market dynamics
2. Antitrust regulations bring uncertainty to consolidation deals
3. Data and privacy regulations are changing across the world
| 1. Focusing on environmental sustainability principles |
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Detailed Pestle Analysis of Aetna Inc.
Political
1. Growing public policy influence in health care insurance: Increasing federal and state policy proposals and changes are increasingly influencing the business performance and operations of health care insurers. The policy influence is seen in areas beyond the Affordable Care Act (ACA). Medicare and Medicaid Services’ (CMS) MA payment-rate updates, risk-adjustment changes, and health plan ratings are some other business critical areas which is having consequences on the sector. The regulatory frameworks are also changing and being revised in order to keep up with the changing business scenarios. So, in this evolving public policy scenarios, the insurance sector may face new regulations in the coming years.
The remaining section under "Political" is available only in the 'Complete Report' on purchase.
Economic
This section is available only in the 'Complete Report' on purchase.
Social
This section is available only in the 'Complete Report' on purchase.
Technological
This section is available only in the 'Complete Report' on purchase.
Legal
This section is available only in the 'Complete Report' on purchase.
Environmental
This section is available only in the 'Complete Report' on purchase.
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TABLE OF CONTENTS
DELIVERY AND FORMAT
WHY CHOOSE US?
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References used in Aetna Inc. SWOT & PESTLE Analysis Report
1. Aetna employers’ organization - https://www.aetna.com/employers-organizations.html
2. About Aetna - https://www.aetna.com/about-us/aetna-history.html#tab_content_section_responsivegrid_88256254_responsivegrid_tabs_link_tabs_7
3. Health payer intelligence - https://healthpayerintelligence.com/news/top-5-largest-health-insurers-in-the-us-by-national-market-share#:~:text=Aetna%20kept%20its%2011%20percent%20market%20share%20in,membership%2C%20as%20of%20the%20fourth%20quarter%20of%202020.
4. Wikipedia - https://en.wikipedia.org/wiki/Aetna
The detailed complete set of references are available on request in the 'Complete report' on purchase.
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