×




Blue Shield of California Net Present Value (NPV) / MBA Resources

Introduction to Net Present Value (NPV) - What is Net Present Value (NPV) ? How it impacts financial decisions regarding project management?

NPV solution for Blue Shield of California case study


At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. Blue Shield of California case study is a Harvard Business School (HBR) case study written by Matthew Saucedo, Robert Chess. The Blue Shield of California (referred as “Shield Blue” from here on) case study provides evaluation & decision scenario in field of Leadership & Managing People. It also touches upon business topics such as - Value proposition, Personnel policies.

The net present value (NPV) of an investment proposal is the present value of the proposal’s net cash flows less the proposal’s initial cash outflow. If a project’s NPV is greater than or equal to zero, the project should be accepted.

NPV = Present Value of Future Cash Flows LESS Project’s Initial Investment






Case Description of Blue Shield of California Case Study


Blue Shield of California follows CEO Paul Markovich as he navigates the challenges of running one of the largest not-for-profit health care insurers in the United States. The case begins with a history of health insurance in the US, beginning in the 1870s and working through the origination of modern day health care in the 1920s. It then analyzes the modern day industry before diving into the challenges faced by Blue Shield of California today. The case examines the potential advantages and disadvantages of acting as a not-for-profit health insurer and compares the model to for-profit insurers. Then, the case moves into a discussion on challenges and dilemmas facing the insurer today. Can affordable care organizations be the key to Blue Shield's ability to compete with HMOs, such as Kaiser? The case then discusses how Blue Shield prepared to enter the California exchange, as well as how the organization considered shifts in its business model to account for an influx of new customers. Finally, the case finishes with two industry-wide questions. First, are Medicare and Medicaid the key to growth in an increasingly competitive environment? Second, given the high level of industry consolidation, how big should Blue Shield of California be to effectively offer services to all of it's members, but still provide high quality care?


Case Authors : Matthew Saucedo, Robert Chess

Topic : Leadership & Managing People

Related Areas : Personnel policies




Calculating Net Present Value (NPV) at 6% for Blue Shield of California Case Study


Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 6 %
Discounted
Cash Flows
Year 0 (10006119) -10006119 - -
Year 1 3443548 -6562571 3443548 0.9434 3248630
Year 2 3955550 -2607021 7399098 0.89 3520425
Year 3 3972719 1365698 11371817 0.8396 3335571
Year 4 3245808 4611506 14617625 0.7921 2570984
TOTAL 14617625 12675611




The Net Present Value at 6% discount rate is 2669492

In isolation the NPV number doesn't mean much but put in right context then it is one of the best method to evaluate project returns. In this article we will cover -

Different methods of capital budgeting


What is NPV & Formula of NPV,
How it is calculated,
How to use NPV number for project evaluation, and
Scenario Planning given risks and management priorities.




Capital Budgeting Approaches

Methods of Capital Budgeting


There are four types of capital budgeting techniques that are widely used in the corporate world –

1. Payback Period
2. Net Present Value
3. Internal Rate of Return
4. Profitability Index

Apart from the Payback period method which is an additive method, rest of the methods are based on Discounted Cash Flow technique. Even though cash flow can be calculated based on the nature of the project, for the simplicity of the article we are assuming that all the expected cash flows are realized at the end of the year.

Discounted Cash Flow approaches provide a more objective basis for evaluating and selecting investment projects. They take into consideration both –

1. Timing of the expected cash flows – stockholders of Shield Blue have higher preference for cash returns over 4-5 years rather than 10-15 years given the nature of the volatility in the industry.
2. Magnitude of both incoming and outgoing cash flows – Projects can be capital intensive, time intensive, or both. Shield Blue shareholders have preference for diversified projects investment rather than prospective high income from a single capital intensive project.






Formula and Steps to Calculate Net Present Value (NPV) of Blue Shield of California

NPV = Net Cash In Flowt1 / (1+r)t1 + Net Cash In Flowt2 / (1+r)t2 + … Net Cash In Flowtn / (1+r)tn
Less Net Cash Out Flowt0 / (1+r)t0

Where t = time period, in this case year 1, year 2 and so on.
r = discount rate or return that could be earned using other safe proposition such as fixed deposit or treasury bond rate. Net Cash In Flow – What the firm will get each year.
Net Cash Out Flow – What the firm needs to invest initially in the project.

Step 1 – Understand the nature of the project and calculate cash flow for each year.
Step 2 – Discount those cash flow based on the discount rate.
Step 3 – Add all the discounted cash flow.
Step 4 – Selection of the project

Why Leadership & Managing People Managers need to know Financial Tools such as Net Present Value (NPV)?

In our daily workplace we often come across people and colleagues who are just focused on their core competency and targets they have to deliver. For example marketing managers at Shield Blue often design programs whose objective is to drive brand awareness and customer reach. But how that 30 point increase in brand awareness or 10 point increase in customer touch points will result into shareholders’ value is not specified.

To overcome such scenarios managers at Shield Blue needs to not only know the financial aspect of project management but also needs to have tools to integrate them into part of the project development and monitoring plan.

Calculating Net Present Value (NPV) at 15%

After working through various assumptions we reached a conclusion that risk is far higher than 6%. In a reasonably stable industry with weak competition - 15% discount rate can be a good benchmark.



Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 15 %
Discounted
Cash Flows
Year 0 (10006119) -10006119 - -
Year 1 3443548 -6562571 3443548 0.8696 2994390
Year 2 3955550 -2607021 7399098 0.7561 2990964
Year 3 3972719 1365698 11371817 0.6575 2612127
Year 4 3245808 4611506 14617625 0.5718 1855801
TOTAL 10453282


The Net NPV after 4 years is 447163

(10453282 - 10006119 )








Calculating Net Present Value (NPV) at 20%


If the risk component is high in the industry then we should go for a higher hurdle rate / discount rate of 20%.

Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 20 %
Discounted
Cash Flows
Year 0 (10006119) -10006119 - -
Year 1 3443548 -6562571 3443548 0.8333 2869623
Year 2 3955550 -2607021 7399098 0.6944 2746910
Year 3 3972719 1365698 11371817 0.5787 2299027
Year 4 3245808 4611506 14617625 0.4823 1565301
TOTAL 9480861


The Net NPV after 4 years is -525258

At 20% discount rate the NPV is negative (9480861 - 10006119 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Shield Blue to discount cash flow at lower discount rates such as 15%.





Acceptance Criteria of a Project based on NPV

Simplest Approach – If the investment project of Shield Blue has a NPV value higher than Zero then finance managers at Shield Blue can ACCEPT the project, otherwise they can reject the project. This means that project will deliver higher returns over the period of time than any alternate investment strategy.

In theory if the required rate of return or discount rate is chosen correctly by finance managers at Shield Blue, then the stock price of the Shield Blue should change by same amount of the NPV. In real world we know that share price also reflects various other factors that can be related to both macro and micro environment.

In the same vein – accepting the project with zero NPV should result in stagnant share price. Finance managers use discount rates as a measure of risk components in the project execution process.

Sensitivity Analysis

Project selection is often a far more complex decision than just choosing it based on the NPV number. Finance managers at Shield Blue should conduct a sensitivity analysis to better understand not only the inherent risk of the projects but also how those risks can be either factored in or mitigated during the project execution. Sensitivity analysis helps in –

What are the uncertainties surrounding the project Initial Cash Outlay (ICO’s). ICO’s often have several different components such as land, machinery, building, and other equipment.

What will be a multi year spillover effect of various taxation regulations.

What are the key aspects of the projects that need to be monitored, refined, and retuned for continuous delivery of projected cash flows.

Understanding of risks involved in the project.

What can impact the cash flow of the project.

Some of the assumptions while using the Discounted Cash Flow Methods –

Projects are assumed to be Mutually Exclusive – This is seldom the came in modern day giant organizations where projects are often inter-related and rejecting a project solely based on NPV can result in sunk cost from a related project.

Independent projects have independent cash flows – As explained in the marketing project – though the project may look independent but in reality it is not as the brand awareness project can be closely associated with the spending on sales promotions and product specific advertising.






Negotiation Strategy of Blue Shield of California

References & Further Readings

Matthew Saucedo, Robert Chess (2018), "Blue Shield of California Harvard Business Review Case Study. Published by HBR Publications.


Applied Minerals Inc SWOT Analysis / TOWS Matrix

Capital Goods , Construction - Raw Materials


Summit Securities Ltd SWOT Analysis / TOWS Matrix

Financial , Consumer Financial Services


Nexturn SWOT Analysis / TOWS Matrix

Capital Goods , Misc. Capital Goods


Samsung Engineering SWOT Analysis / TOWS Matrix

Capital Goods , Construction Services


Bowl America Inc SWOT Analysis / TOWS Matrix

Services , Recreational Activities


Nissan SWOT Analysis / TOWS Matrix

Healthcare , Medical Equipment & Supplies


COELCE PNA SWOT Analysis / TOWS Matrix

Utilities , Electric Utilities


UV Germi SWOT Analysis / TOWS Matrix

Capital Goods , Misc. Capital Goods