WellCare Health Plans, Inc. PESTEL & Environment Analysis

Strategic Management Essays, Term Papers & Presentations

WellCare Health Plans, Inc. PESTEL analysis is a strategic tool to analyze the macro environment of the organization. PESTEL stands for - Political, Economic, Social, Technological, Environmental & Legal factors that impact the macro environment of WellCare Health Plans, Inc..

Changes in the macro-environment factors can have a direct impact on not only the WellCare Health Plans, Inc. but also can impact other players in the Health Care Plans. The macro-environment factors can impact the Porter Five Forces that shape strategy and competitive landscape. They can impact individual firm’s competitive advantage or overall profitability levels of the Healthcare industry.

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PESTEL analysis provides great detail about operating challenges WellCare Health Plans, Inc. will face in prevalent macro environment other than competitive forces. For example an Industry may be highly profitable with a strong growth trajectory but it won't be any good for WellCare Health Plans, Inc. if it is situated in unstable political environment.

Spanish oil giant Repsol had to face a similar instance. It started an above average profitability operations in Argentina and made strong returns in 5-7 years. But the business was later expropriated by the Left Wing government. So the decade long profits didn’t materialize in the end.

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Political Factors that Impact WellCare Health Plans, Inc.

Political factors play a significant role in determining the factors that can impact WellCare Health Plans, Inc.'s long term profitability in a certain country or market. WellCare Health Plans, Inc. is operating in Health Care Plans in more than dozen countries and expose itself to different types of political environment and political system risks. The achieve success in such a dynamic Health Care Plans industry across various countries is to diversify the systematic risks of political environment. WellCare Health Plans, Inc. can closely analyze the following factors before entering or investing in a certain market-

  • Political stability and importance of Health Care Plans sector in the country's economy.
  • Risk of military invasion
  • Level of corruption - especially levels of regulation in Healthcare sector.
  • Bureaucracy and interference in Health Care Plans industry by government.
  • Legal framework for contract enforcement
  • Intellectual property protection
  • Trade regulations & tariffs related to Healthcare
  • Favored trading partners
  • Anti-trust laws related to Health Care Plans
  • Pricing regulations – Are there any pricing regulatory mechanism for Healthcare
  • Taxation - tax rates and incentives
  • Wage legislation - minimum wage and overtime
  • Work week regulations in Health Care Plans
  • Mandatory employee benefits
  • Industrial safety regulations in the Healthcare sector.
  • Product labeling and other requirements in Health Care Plans

Economic Factors that Impact WellCare Health Plans, Inc.

The Macro environment factors such as – inflation rate, savings rate, interest rate, foreign exchange rate and economic cycle determine the aggregate demand and aggregate investment in an economy. While micro environment factors such as competition norms impact the competitive advantage of the firm. WellCare Health Plans, Inc. can use country’s economic factor such as growth rate, inflation & industry’s economic indicators such as Health Care Plans industry growth rate, consumer spending etc to forecast the growth trajectory of not only --sectoryname-- sector but also that of the organization. Economic factors that WellCare Health Plans, Inc. should consider while conducting PESTEL analysis are -

  • Type of economic system in countries of operation – what type of economic system there is and how stable it is.
  • Government intervention in the free market and related Healthcare
  • Exchange rates & stability of host country currency.
  • Efficiency of financial markets – Does WellCare Health Plans, Inc. needs to raise capital in local market?
  • Infrastructure quality in Health Care Plans industry
  • Comparative advantages of host country and Healthcare sector in the particular country.  
  • Skill level of workforce in Health Care Plans industry.
  • Education level in the economy
  • Labor costs and productivity in the economy
  • Business cycle stage (e.g. prosperity, recession, recovery)
  • Economic growth rate
  • Discretionary income
  • Unemployment rate
  • Inflation rate
  • Interest rates

Social Factors that Impact WellCare Health Plans, Inc.

Society’s culture and way of doing things impact the culture of an organization in an environment. Shared beliefs and attitudes of the population play a great role in how marketers at WellCare Health Plans, Inc. will understand the customers of a given market and how they design the marketing message for Health Care Plans industry consumers. Social factors that leadership of WellCare Health Plans, Inc. should analyze for PESTEL analysis are -  

  • Demographics and skill level of the population
  • Class structure, hierarchy and power structure in the society.
  • Education level as well as education standard in the WellCare Health Plans, Inc. ’s industry
  • Culture (gender roles, social conventions etc.)
  • Entrepreneurial spirit and broader nature of the society. Some societies encourage entrepreneurship while some don’t.
  • Attitudes (health, environmental consciousness, etc.)
  • Leisure interests

Technological Factors that Impact WellCare Health Plans, Inc.

Technology is fast disrupting various industries across the board. Transportation industry is a good case to illustrate this point. Over the last 5 years the industry has been transforming really fast, not even giving chance to the established players to cope with the changes. Taxi industry is now dominated by players like Uber and Lyft. Car industry is fast moving toward automation led by technology firm such as Google & manufacturing is disrupted by Tesla, which has stated an electronic car revolution.

A firm should not only do technological analysis of the industry but also the speed at which technology disrupts that industry. Slow speed will give more time while fast speed of technological disruption may give a firm little time to cope and be profitable. Technology analysis involves understanding the following impacts -

  • Recent technological developments by WellCare Health Plans, Inc. competitors
  • Technology's impact on product offering
  • Impact on cost structure in Health Care Plans industry
  • Impact on value chain structure in Healthcare sector
  • Rate of technological diffusion

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Environmental Factors that Impact WellCare Health Plans, Inc.

Different markets have different norms or environmental standards which can impact the profitability of an organization in those markets. Even within a country often states can have different environmental laws and liability laws. For example in United States – Texas and Florida have different liability clauses in case of mishaps or environmental disaster. Similarly a lot of European countries give healthy tax breaks to companies that operate in the renewable sector.

Before entering new markets or starting a new business in existing market the firm should carefully evaluate the environmental standards that are required to operate in those markets. Some of the environmental factors that a firm should consider beforehand are -

  • Weather
  • Climate change
  • Laws regulating environment pollution
  • Air and water pollution regulations in Health Care Plans industry
  • Recycling
  • Waste management in Healthcare sector
  • Attitudes toward “green” or ecological products
  • Endangered species
  • Attitudes toward and support for renewable energy

Legal Factors that Impact WellCare Health Plans, Inc.

In number of countries, the legal framework and institutions are not robust enough to protect the intellectual property rights of an organization. A firm should carefully evaluate before entering such markets as it can lead to theft of organization’s secret sauce thus the overall competitive edge. Some of the legal factors that WellCare Health Plans, Inc. leadership should consider while entering a new market are -

  • Anti-trust law in Health Care Plans industry and overall in the country.
  • Discrimination law
  • Copyright, patents / Intellectual property law
  • Consumer protection and e-commerce
  • Employment law
  • Health and safety law
  • Data Protection

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