Module 2 : Understanding The Healthcare Environment

986 Words Aug 16th, 2015 4 Pages
Module 2 – Understanding the Healthcare Environment Aetna is one of the largest health insurance companies in the United States; with more than $58 billion in revenue and servicing more than 46 million people, they are a leading provider of medical, pharmacy, dental, behavioral health, and group life just to name a few (Aetna, 2015b). The core business for Aetna in 2014 was commercial managed care and health insurance products in the United States. This paper will focus on Aetna and provide a detailed SWOT analysis. In addition, key goals that can be used for strategic planning with be discussed along with defining Aetna’s competencies and competitive advantages.
Aenta’s strength in the healthcare industry is based on its diverse product portfolio of services offered. Aetna is positioned at number forty nine on the Fortune 500 list, only behind UnitedHealth Group and Anthem as the largest health insurers (Fortune, 2015). Strongly positioned at number three, Aetna is a leading force in the healthcare industry. Additionally, as a market leader, Aetna has forged partnerships with many providers signing multiple ACO (Accountable Care Organizations) contracts and increasing membership to more than 3 million for the same group (Aetna, 2015b). Aetna also has a large investment in Healthagen which employees the Triple Aim approach to healthcare; improving quality of care and the patient experience while reducing medical costs (Healthagen, n.d.).…

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