Anthem, Inc. is a health benefits company. As of March 31, 2017, the company had 40.6 million medical members through its affiliated health plans. The company operates in the US. The company is an independent licensee of the Blue Cross and Blue Shield Association (BCBSA), an association of independent health benefit plans. It provides services to its members as the Blue Cross licensee for California and as the Blue Cross and Blue Shield (BCBS), licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as BCBS in 10 New York City metropolitan and surrounding counties, and as Blue Cross or BCBS in selected upstate counties), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, DC) and Wisconsin. In a majority of these service areas, Anthem does business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Georgia, and Empire Blue Cross Blue Shield or Empire Blue Cross (in its New York service areas).
Through Amerigroup, the company conducts business in Florida, Georgia, Iowa, Kansas, Louisiana, Maryland, Nevada, New Jersey, New Mexico, New York, Tennessee, Texas, and Washington. In addition, Anthem conducts business through its Simply Healthcare Holdings subsidiary in Florida. It also serves customers throughout the country as HealthLink, UniCare (including a non-risk arrangement with Massachusetts), and in certain Arizona, California, Nevada and Virginia markets through its CareMore Health Group subsidiary. The company is licensed to conduct insurance operations in all 50 states through its subsidiaries. The company operates through three segments: Government Business; Commercial and Specialty Business; and Other.
The Government Business segment includes Medicare and Medicaid businesses, National Government Services (NGS), and services provided to the Federal Government in connection with the Federal Employee Program (FEP). Medicare business includes services such as Medicare Advantage, Medicare Part D, and Medicare Supplement. Medicaid business includes the company's managed care alternatives through publicly funded health care programs, including Medicaid; Temporary Assistance for Needy Family programs (TANF); programs for seniors and people with disabilities (SPD); programs for long-term services and support (LTSS); Children’s Health Insurance Programs (CHIP); and ACA-related Medicaid expansion programs. National Government Services (NGS) acts as a Medicare contractor for the federal government in several regions across the US.
In FY2016, the Government Business segment reported revenues of $45,477.7 million, which accounted for 54% of the company's total revenue. The Commercial and Specialty Business segment includes local group, national accounts, individuals and specialty businesses. Business units in the Commercial and Specialty Business segment offer fully-insured health products and provide an array of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs and other administrative services. It also provides an array of specialty and other insurance products and services such as dental, vision, life and disability insurance benefits, radiology benefit management and analytics-driven personal health care guidance.
In FY2016, the Commercial and Specialty Business segment reported revenues of $38,692.1 million, which accounted for 46% of the company's total revenue. The Other segment of Anthem includes other businesses that do not meet the quantitative thresholds for an operating segment as well as corporate expenses not allocated to the other reportable segments. In FY2016, the Other segment reported revenues of $24.2 million. Both Commercial and Specialty Business, and Government Business segments offer a mix of managed care products, including preferred provider organizations (PPOs), health maintenance organizations (HMOs), traditional indemnity benefits and point-of-service (POS) plans, and a variety of hybrid benefit plans including consumer-driven health plans (CDHPs), hospital only and limited benefit products.
Scope of the Report
- About the Company - Historical Details, Current Ownership Structure and basic overview of Anthem, Inc. in terms of revenue, net income, and operating income.
- Financials - Details about Anthem, Inc. listing status, annual financial reports (for the past 5 years), key financial highlights and region wise and category wise breakdown of their net revenue.
- Products / Services - Listing of the company’s entire portfolio along with description of individual products / services providing a clear picture of their target audience.
- Company SWOT Analysis - Outlines Anthem, Inc.’s strengths, weaknesses, and opportunities and threats facing the company.
- Recent Developments - Showcases Anthem, Inc.’s recent developments including mergers, acquisitions, partnerships, collaborations, new product launches, investment and divestment plans.
- Strategic Evaluation - Provides an overview of Anthem, Inc.’s corporate goals and strategic initiatives and evaluates their outcomes along with outlining any persisting legal issues and outlook of our in-house analyst panel on the particular company.
- Technology Landscape - Details how the company allocates its IT budget across the core areas of its business, CIO/CTO Profile, Key IT Initiatives and Deals undertaken buy the company at present along with outlook.
Key Questions Answered
- What domain does Anthem, Inc. operate and what are key points about it?
- What is the product / service portfolio of Anthem, Inc.?
- How has Anthem, Inc. performed financially from the 2013?
- How does Anthem, Inc. rank among its peers in terms of revenue and market share?
- What are Anthem, Inc. strengths and weaknesses and what opportunities and threats does it face?
- What are Anthem, Inc.’s main growth strategies and how successful has the company been at implementing them?
- What is the in-house technical capability of Anthem, Inc.? Where does it procure / outsource it?
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1. About the Company
1.1 History and Basic Facts
1.2 Ownership Structure and Key Executives
1.3 Head Office
1.4 Other Locations & Subsidiaries
1.5 List of Competitors
1.6 Employee Count & Distribution
2.1 Company Type (Listed / Unlisted)
2.2 Annual Statements
2.3 Key Financial Highlights
2.4 Region-wise Breakdown
3. Product / Services
4. SWOT Analysis
4.1 SWOT Overview
5. Recent Developments
5.1 Mergers & Acquisitions
5.2 Partnerships, Collaborations & Joint Ventures
5.3 New Product Launches
5.4 Business Expansion / Divestment
6. Strategic Evaluation
6.1 Corporate Strategy
6.2 Legal Issues
6.3 Analyst Outlook
7. Technology Landscape
7.1.1 Industry Snapshot
7.1.2 IT Spend
7.1.3 Key Information Technology Trends
7.2.1 IT Overview
7.2.2 Key IT Technologies
7.2.3 Recent IT Initiatives
7.2.4 IT Outsourcing Engagements
7.2.5 Key IT Management
7.2.6 CIO/CTO Profile
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Fig.1: Company Snapshot
Fig.2: Locations Listing on Map
Table.1: Ownership Structure
Table.2: List of Competitors
Table.3: Annual Statements
Table.4: Key Financial Highlights
Table.5: Region-wise Breakdown
Table.6: Product/Services Overview
Table.7: Mergers & Acquisitions
Table.8: Partnerships, Collaborations & Joint Ventures
Table.9: New Product Launches
Table.10: Business Expansion / Divestment
Table 11: IT Budgets
Table 12: Key IT Management (CIO / CTO)
Table 13: IT Deals undertaken in the past years