Competitor Analysis: Humana Healthcare and AETNA

1. Kaiser Permanente starting in 1945 when Sydney Garfield and Henry Kaiser came together to form the healthcare system still used today. During the Industrial Revolution, many workers were found to have healthcare needs and not all were insured. In collaboration to help these members, Kaiser and Garfield created a system in which employers paid a set monthly premium and physicians joined a prepaid group practice in efforts to ensure care for all employees. This evolved Kaiser Permanente into the healthcare giant it is now.

To guarantee that its members receive appropriate, high level quality care in a cost-effective manner, each managed care organization (MCO) tailors its networks according to the characteristics of the providers, consumers, and competitors in a specific market. Other considerations for creating the network are the managed care organization's own goals for quality, accessibility, cost savings, and member satisfaction. Strategic planning for networks is a continuing process. In addition to an initial evaluation of its markets and goals, the managed care organization must periodically reevaluate its target markets and objectives. After reviewing the markets, then the organization must

USAA Savings Bank has been around for a long time believe it or not. In 1922 USAA was originally founded in San Antonio, Texas when 25 Army officers decided to come together and insure each other’s automobiles. William Garrison was USAA’s first elected president. Shortly after that USAA’s first employee was Harold Dunton, who was hired as a general manager. Major Walter Moore purchased the first automobile insurance policy for $114.74 and became USAA’s first member. Two years later in 1924 USAA printed their first credo. The company motto was “Service to the Services.” 1928 was the year that USAA started advertising 8,000 active component service members

Health insurance is a coverage that takes care of the cost of a family or individual’s medical expenses by either reimbursing customers or paying them directly. Health insurance is important because it helps people to be able to receive and afford the health care that they need. Aetna is a health insurance company that sells insurance for things such as medical and dental coverage to prospective customers. In the past few weeks, Aetna tried to merge with another health insurance company, Humana Inc., to reduce the insurance exchanges as well as cancel a planned expansion.

The first association that has 71,000 members and was established in 1928 is AHIMA (American Health Information Management Association). They offer an array of memberships from student to new graduate, active, premier and emeritus. Since we are students, I chose the student category. The membership for a student is $49 a year and CE fee of $50. There is a note that an addition $10 CE fee for each additional credential. Membership gives you access to a wide range of benefits such as access to the Journal AHIMA digital edition, Career assist Job bank, Mentor program, Resource connect, free webinars, apprenticeship programs, as well as all of their certifications. Their website is www.ahima.org (Links to an external site.)Links to an external

Aetna is a healthcare plan provider that is strongly based on their core set of beliefs that reflect who they are as an organization. Their core values of; integrity, excellence, inspiration, and caring is driven by the people they serve. Aetna has used these

Aetna responded to North Texas’ demand for $2.7M in underpayments by offering increase to all fixed and percentage commercial rates by 0.8% for one-year. Based on Aetna’s projection of volume for North Texas, it determined that North Texas would recover the full amount of its alleged damages during that period. However, because North Texas believed that Aetna was greatly overstating the likely business volume, the parties were not able to agree on a fixed time period for the temporary rate increase. Ultimately, the parties agreed that the temporary rate increase would last for whatever period of time was necessary for North Texas to actually recover additional payments of $2.7M.

GE Healthcare is a unit of the wider General Electric Company. It has a global orientation, employing more than 46, 000 staff committed to serving healthcare professionals and patients in over 100 countries. It is headquartered in the United Kingdom (UK)-the first GE business segment outside the United States. It has a turnover of approximately $ 17 billion. The headquarters hosts GE healthcare corporate offices as well as finance, sales, global sourcing departments, X-Ray marketing, manufacturing, design and shipping. The finance and sales departments at the headquarters handle GE Healthcare’s high level decisions, but each modality often has its own similar

Other health insurance companies include Aetna (AET), Humana (HUM), and Cigna (CI). UnitedHealth Group expanded its footprint in international markets. Through its global segment, UnitedHealth Group provides health benefits and associated services to 4 million people, mainly in Brazil. It provides its services in more than 125 countries around the world.

Humana, Inc. is a health insurance company from Louisville, Kentucky that started in 1961 by Lawyers Wendell Cherry and David A. Jones, Sr. Humana started as a nursing home where it later become the largest nursing home company in the nation. After the nursing homes they soon began to purchase hospitals entirely for expansion. The name of the company changed to Humana, Inc. two years later. Cherry and Jones continued to expand by purchasing other companies. In 1984, the company began focusing on Health Insurance where it remains to focus on even today. Since 2014, Humana has had over 13 million customers and over 52,000, and a revenue of $41.3 billion that was reported in 2013.

United Healthcare assesses that it services approximately 70 million Americans . Its entire system spans 676,287 physicians and health care professionals, 80,000 dentists and 5,190 hospitals, whilst their pharmaceutical management provides more affordable drugs to 13 million people.

It was in 1977 that the United Healthcare United Health group was founded by Richard Burke. The headquarters of the company are in Minnetonka, Minnesota. This organization works towards the betterment of people's health, it help them in living a healthy life by providing them with the kind of health care that would be best for them. The main focus of United Healthcare which is a major division of the United Health group is to provide the people with better health benefits and coverage.

There are many different forms of competition among health care organizations. Some of them are the prices of services, different co-pays someone will have to pay out of pocket, lower premiums, they have to be competitive in the quality of the service in which they perform daily. The health care competition is being advertised every day. The competitive nature of business cause them to reach out to the community. The health care industry has to fight for the approval of the community, the government, the insurance companies, the pharmaceutical companies and of course the stake holders as well as future investors.

In all industries, competition among businesses has long been encouraged as a mechanism to increase value for patients. In other words, competition ensures the provision of better products and services to satisfy the needs of customers (Glover & Rivers, 2009). In the health care industry, competition has an impact on many relational perspectives. There have been several studies examining the relationships between competition and quality of health care, competition and health care system costs, and competition and patient satisfaction. Some elements of competition in health care are price, quality, convenience, and superior products and

One tool that can help an organization to understand its competitive positioning is the BCG Matrix. This matrix is based on the product life cycle theory and is typically used to help organizations make decisions about what products or services should be given priority over scarce resources (VBM, 2012). In analyzing Jackson's portfolio it is important to bear in mind that not all services are going to be in any one category. With a hospital this large and diversified, there will be things in which it is especially strong and things in which it is especially