presentation_ strategic planning wellpoint.ppt
DESCRIPTION
TRANSCRIPT
WellPoint“We continue to improve our cost structure… not willing to give up
margin for membership” -
Chairman/CEO
Research Methods
• SEC Filings of Discussed Companies and Firms
• Questionaire to WellPoint employee random sample
• Secondary Data from accredited News Sources
• Personal Interview w/ Anthem Executive Director
• Industry Data provided by: NASDAQ, S&P 500, and New York Stock Exchange
• WellPoint Press Releases/Corporate Website
A Leader is Born…
Year2004
28 million members makes WellPoint #1!
Wellchoice New Jersey
Meridian Resource Co.
Anthem Behavioral Health
WellPoint Worker’s Compensation Managed Care
Services
Golden West Dental & Vision
AdminaStar Federal
WellPoint Pharmacy Mgmt
Health Management Corp.
Lumenos
WellPoint Dental Services
HealthLinkEmpire BCBS (New York)
WellPoint Behavioral Health
HealthCoreBCBS of Wisconsin
United Government Services
Anthem VisionBCBS of Missouri
UniCareAnthem Prescription Mgmt
BCBS of Georgia
PrecisonRXAnthem Life Insurance Co.
Blue Cross of California
OneNation Benefit Administrators
Anthem DentalAnthem BCBS
1 - 10 insured
areWellPoint members
?
Did you Know?
34 Million Strong!
In Recent Times…
WellPoint’s Objectives
• Seek to insure the uninsured
• Pursue new markets • Grow National Accounts• EPS 2Q of 2006 = $1.14
($4.63 for year)• Lower SGA associated
costs• Think Big… Act Local• Economics of Scale
The Industry
The Healthcare
Industryis the largest
employer. 1-9
Americans!
Did you Know?
• 21.9% Annual Growth• Public Opinion
Increasing
Health Insurance Industry “SnapShot”
New Market Entrants• Credibility essential• Too expensive to compete
nationally• Economics of Scale will force
entityto be more expensive
Supplier Power• Generic drug
options is forcing name brands to lower costs
• General Healthcare rising but at a lower rate.
• Physicals/Hospitals also in highly competitive industries. Prefer strategic partnerships
• Hospital Consolidations limit options, raising costs.
Buyer Power
• Generally based on employers’ choice
• Cost is increased w/o group participation
• Several Markets bordering monopoly
Substitute Products• Comparable Options
Available• Health Savings
Account• Self Insure• Government Aid• Do without
Competitive Rivalry
• Strong industry rivals• Industry growth based
on acquisition• Product offerings
similar• Shareholder
expectations
United Health Care
Cigna
WellPoint
Aetna
High Profit Margin
Low Profit Margin
Low Products & Services
High Products & Services
FierceCompetition
Key Business
Core Competencies
Blue Cross/Blue Shield
Specialty Plans
Bundle Packages
‘Cross Selling’
Economics of Scale
Proactive Solutions
• Highly leveraged by large cash flow
• Lowest Potential CostMedicare Plan D
• Lawsuits• Spikes in health care
costs• Competitors more efficient
• 45 million uninsured• National Employee
Accounts• Acquisitions of smaller
firms• Capitalize on competitors
dissatisfied customers
ThreatsOpportunities
• High cost of SGA• Synergy of previous
mergers not optimized• “non-core” investments
may distract management• Untimely physician
payments
• Strong bargaining power • Wide array of products• Strong brand recognition• BCBS provider for 14
states• Economics of Scale
WeaknessesStrengths
Strategic Results
NationalAccounts
WellChoice Acquisition
1.5 million new
members in 2005
Uninsured Americans
Specialty Programs
753,000 new members in
2005
Shareholder Value Promised
Earnings
Recommendations
• Pursue National Accounts that can add an additional 115 million members.
• Medicare Plan D Awareness program targeted from the 40 million eligible.
• Advertise Blue Value Access Plan to ensure Baby Boomer membership.
• Avoid non-core business investments• Lower SGA costs associated from mergers. Lack
of synergy could easily be the ‘hole in the boat”. • Acquire Blue Cross/Blue Shields if financially
able. 1/3 of all Insured are BCBS customers.