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Cruzsalud: Health Care for Low-Sectors SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Cruzsalud: Health Care for Low-Sectors


Cruzsalud was a medium-sized company, founded in November 2004. The company's business model was based on the concept pre-paid health care, by means of which low-income subscribers obtain a set of health services in exchange for a fixed monthly payment, with prices ranging from 9 to 40 thousand bolivars (US$ 4.00 to 18.60) per month. Once operations were under way, Cruzsalud had to face several management problems linked to expected sales and subscriber fee collection mechanisms. Moreover, Cruzsalud faced a dilemma related to its business model. The Law for Workplace Prevention, Conditions, and Environment, which was passed in July 2005, forced companies, regardless of size, to provide workplace health and safety services. In response to that mandate, and the determination shown by authorities to comply with it, business demand for health services spiraled. This opportunity, together with the difficulties faced in reaching the required volume of customers, led the shareholders to wonder whether Cruzsalud should continue to focus on the low-income sector, as managers proposed, or move towards the market for employee health plans.

Authors :: Rosa Amelia Gonzalez, Horacio Viana

Topics :: Strategy & Execution

Tags :: Strategic planning, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Cruzsalud: Health Care for Low-Sectors" written by Rosa Amelia Gonzalez, Horacio Viana includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Cruzsalud Health facing as an external strategic factors. Some of the topics covered in Cruzsalud: Health Care for Low-Sectors case study are - Strategic Management Strategies, Strategic planning and Strategy & Execution.


Some of the macro environment factors that can be used to understand the Cruzsalud: Health Care for Low-Sectors casestudy better are - – wage bills are increasing, increasing commodity prices, customer relationship management is fast transforming because of increasing concerns over data privacy, there is backlash against globalization, banking and financial system is disrupted by Bitcoin and other crypto currencies, central banks are concerned over increasing inflation, technology disruption, challanges to central banks by blockchain based private currencies, cloud computing is disrupting traditional business models, etc



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Introduction to SWOT Analysis of Cruzsalud: Health Care for Low-Sectors


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Cruzsalud: Health Care for Low-Sectors case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Cruzsalud Health, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Cruzsalud Health operates in.

According to Harvard Business Review, 75% of the managers use SWOT analysis for various purposes such as – evaluating current scenario, strategic planning, new venture feasibility, personal growth goals, new market entry, Go To market strategies, portfolio management and strategic trade-off assessment, organizational restructuring, etc.




SWOT Objectives / Importance of SWOT Analysis and SWOT Matrix


SWOT analysis of Cruzsalud: Health Care for Low-Sectors can be done for the following purposes –
1. Strategic planning using facts provided in Cruzsalud: Health Care for Low-Sectors case study
2. Improving business portfolio management of Cruzsalud Health
3. Assessing feasibility of the new initiative in Strategy & Execution field.
4. Making a Strategy & Execution topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Cruzsalud Health




Strengths Cruzsalud: Health Care for Low-Sectors | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Cruzsalud Health in Cruzsalud: Health Care for Low-Sectors Harvard Business Review case study are -

Training and development

– Cruzsalud Health has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Cruzsalud: Health Care for Low-Sectors Harvard Business Review case study by analyzing – employees retention, in-house promotion, loyalty, new venture initiation, lack of conflict, and high level of both employees and customer engagement.

Analytics focus

– Cruzsalud Health is putting a lot of focus on utilizing the power of analytics in business decision making. This has put it among the leading players in the industry. The technology infrastructure suggested by Rosa Amelia Gonzalez, Horacio Viana can also help it to harness the power of analytics for – marketing optimization, demand forecasting, customer relationship management, inventory management, information sharing across the value chain etc.

High brand equity

– Cruzsalud Health has strong brand awareness and brand recognition among both - the exiting customers and potential new customers. Strong brand equity has enabled Cruzsalud Health to keep acquiring new customers and building profitable relationship with both the new and loyal customers.

Diverse revenue streams

– Cruzsalud Health is present in almost all the verticals within the industry. This has provided firm in Cruzsalud: Health Care for Low-Sectors case study a diverse revenue stream that has helped it to survive disruptions such as global pandemic in Covid-19, financial disruption of 2008, and supply chain disruption of 2021.

Sustainable margins compare to other players in Strategy & Execution industry

– Cruzsalud: Health Care for Low-Sectors firm has clearly differentiated products in the market place. This has enabled Cruzsalud Health to fetch slight price premium compare to the competitors in the Strategy & Execution industry. The sustainable margins have also helped Cruzsalud Health to invest into research and development (R&D) and innovation.

High switching costs

– The high switching costs that Cruzsalud Health has built up over years in its products and services combo offer has resulted in high retention of customers, lower marketing costs, and greater ability of the firm to focus on its customers.

Ability to recruit top talent

– Cruzsalud Health is one of the leading recruiters in the industry. Managers in the Cruzsalud: Health Care for Low-Sectors are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Learning organization

- Cruzsalud Health is a learning organization. It has inculcated three key characters of learning organization in its processes and operations – exploration, creativity, and expansiveness. The work place at Cruzsalud Health is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Cruzsalud: Health Care for Low-Sectors Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Operational resilience

– The operational resilience strategy in the Cruzsalud: Health Care for Low-Sectors Harvard Business Review case study comprises – understanding the underlying the factors in the industry, building diversified operations across different geographies so that disruption in one part of the world doesn’t impact the overall performance of the firm, and integrating the various business operations and processes through its digital transformation drive.

Organizational Resilience of Cruzsalud Health

– The covid-19 pandemic has put organizational resilience at the centre of everthing that Cruzsalud Health does. Organizational resilience comprises - Financial Resilience, Operational Resilience, Technological Resilience, Organizational Resilience, Business Model Resilience, and Reputation Resilience.

Innovation driven organization

– Cruzsalud Health is one of the most innovative firm in sector. Manager in Cruzsalud: Health Care for Low-Sectors Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Highly skilled collaborators

– Cruzsalud Health has highly efficient outsourcing and offshoring strategy. It has resulted in greater operational flexibility and bringing down the costs in highly price sensitive segment. Secondly the value chain collaborators of the firm in Cruzsalud: Health Care for Low-Sectors HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.






Weaknesses Cruzsalud: Health Care for Low-Sectors | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Cruzsalud: Health Care for Low-Sectors are -

Lack of clear differentiation of Cruzsalud Health products

– To increase the profitability and margins on the products, Cruzsalud Health needs to provide more differentiated products than what it is currently offering in the marketplace.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Cruzsalud: Health Care for Low-Sectors, is just above the industry average. Cruzsalud Health needs to redesign the compensation structure and incentives to increase the revenue per employees. Some of the steps that it can take are – hiring more specialists on project basis, etc.

Low market penetration in new markets

– Outside its home market of Cruzsalud Health, firm in the HBR case study Cruzsalud: Health Care for Low-Sectors needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

No frontier risks strategy

– After analyzing the HBR case study Cruzsalud: Health Care for Low-Sectors, it seems that company is thinking about the frontier risks that can impact Strategy & Execution strategy. But it has very little resources allocation to manage the risks emerging from events such as natural disasters, climate change, melting of permafrost, tacking the rise of artificial intelligence, opportunities and threats emerging from commercialization of space etc.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Cruzsalud: Health Care for Low-Sectors, it seems that the employees of Cruzsalud Health don’t have comprehensive understanding of the firm’s strategy. This is reflected in number of promotional campaigns over the last few years that had mixed messaging and competing priorities. Some of the strategic activities and services promoted in the promotional campaigns were not consistent with the organization’s strategy.

Workers concerns about automation

– As automation is fast increasing in the segment, Cruzsalud Health needs to come up with a strategy to reduce the workers concern regarding automation. Without a clear strategy, it could lead to disruption and uncertainty within the organization.

Interest costs

– Compare to the competition, Cruzsalud Health has borrowed money from the capital market at higher rates. It needs to restructure the interest payment and costs so that it can compete better and improve profitability.

Slow to strategic competitive environment developments

– As Cruzsalud: Health Care for Low-Sectors HBR case study mentions - Cruzsalud Health takes time to assess the upcoming competitions. This has led to missing out on atleast 2-3 big opportunities in the industry in last five years.

Increasing silos among functional specialists

– The organizational structure of Cruzsalud Health is dominated by functional specialists. It is not different from other players in the Strategy & Execution segment. Cruzsalud Health needs to de-silo the office environment to harness the true potential of its workforce. Secondly the de-silo will also help Cruzsalud Health to focus more on services rather than just following the product oriented approach.

High cash cycle compare to competitors

Cruzsalud Health has a high cash cycle compare to other players in the industry. It needs to shorten the cash cycle by 12% to be more competitive in the marketplace, reduce inventory costs, and be more profitable.

Capital Spending Reduction

– Even during the low interest decade, Cruzsalud Health has not been able to do capital spending to the tune of the competition. This has resulted into fewer innovations and company facing stiff competition from both existing competitors and new entrants who are disrupting the industry using digital technology.




Opportunities Cruzsalud: Health Care for Low-Sectors | External Strategic Factors
What are Opportunities in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The opportunities highlighted in the Harvard Business Review case study Cruzsalud: Health Care for Low-Sectors are -

Lowering marketing communication costs

– 5G expansion will open new opportunities for Cruzsalud Health in the field of marketing communication. It will bring down the cost of doing business, provide technology platform to build new products in the Strategy & Execution segment, and it will provide faster access to the consumers.

Finding new ways to collaborate

– Covid-19 has not only transformed business models of companies in Strategy & Execution industry, but it has also influenced the consumer preferences. Cruzsalud Health can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Building a culture of innovation

– managers at Cruzsalud Health can make experimentation a productive activity and build a culture of innovation using approaches such as – mining transaction data, A/B testing of websites and selling platforms, engaging potential customers over various needs, and building on small ideas in the Strategy & Execution segment.

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Strategy & Execution industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. Cruzsalud Health can take advantage of these changes in consumer behavior to build a far more efficient business model. For example consumer regular ordering of products can reduce both last mile delivery costs and market penetration costs. Cruzsalud Health can further use this consumer data to build better customer loyalty, provide better products and service collection, and improve the value proposition in inflationary times.

Low interest rates

– Even though inflation is raising its head in most developed economies, Cruzsalud Health can still utilize the low interest rates to borrow money for capital investment. Secondly it can also use the increase of government spending in infrastructure projects to get new business.

Better consumer reach

– The expansion of the 5G network will help Cruzsalud Health to increase its market reach. Cruzsalud Health will be able to reach out to new customers. Secondly 5G will also provide technology framework to build new tools and products that can help more immersive consumer experience and faster consumer journey.

Reconfiguring business model

– The expansion of digital payment system, the bringing down of international transactions costs using Bitcoin and other blockchain based currencies, etc can help Cruzsalud Health to reconfigure its entire business model. For example it can used blockchain based technologies to reduce piracy of its products in the big markets such as China. Secondly it can use the popularity of e-commerce in various developing markets to build a Direct to Customer business model rather than the current Channel Heavy distribution network.

Use of Bitcoin and other crypto currencies for transactions

– The popularity of Bitcoin and other crypto currencies as asset class and medium of transaction has opened new opportunities for Cruzsalud Health in the consumer business. Now Cruzsalud Health can target international markets with far fewer capital restrictions requirements than the existing system.

Creating value in data economy

– The success of analytics program of Cruzsalud Health has opened avenues for new revenue streams for the organization in the industry. This can help Cruzsalud Health to build a more holistic ecosystem as suggested in the Cruzsalud: Health Care for Low-Sectors case study. Cruzsalud Health can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

Learning at scale

– Online learning technologies has now opened space for Cruzsalud Health to conduct training and development for its employees across the world. This will result in not only reducing the cost of training but also help employees in different part of the world to integrate with the headquarter work culture, ethos, and standards.

Manufacturing automation

– Cruzsalud Health can use the latest technology developments to improve its manufacturing and designing process in Strategy & Execution segment. It can use CAD and 3D printing to build a quick prototype and pilot testing products. It can leverage automation using machine learning and artificial intelligence to do faster production at lowers costs, and it can leverage the growth in satellite and tracking technologies to improve inventory management, transportation, and shipping.

Reforming the budgeting process

- By establishing new metrics that will be used to evaluate both existing and potential projects Cruzsalud Health can not only reduce the costs of the project but also help it in integrating the projects with other processes within the organization.

Leveraging digital technologies

– Cruzsalud Health can leverage digital technologies such as artificial intelligence and machine learning to automate the production process, customer analytics to get better insights into consumer behavior, realtime digital dashboards to get better sales tracking, logistics and transportation, product tracking, etc.




Threats Cruzsalud: Health Care for Low-Sectors External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Cruzsalud: Health Care for Low-Sectors are -

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Cruzsalud Health in the Strategy & Execution industry. The Strategy & Execution industry is already at various protected from local competition in China, with the rise of trade war the protection levels may go up. This presents a clear threat of current business model in Chinese market.

High level of anxiety and lack of motivation

– the Great Resignation in United States is the sign of broader dissatisfaction among the workforce in United States. Cruzsalud Health needs to understand the core reasons impacting the Strategy & Execution industry. This will help it in building a better workplace.

Shortening product life cycle

– it is one of the major threat that Cruzsalud Health is facing in Strategy & Execution sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, etc.

Increasing wage structure of Cruzsalud Health

– Post Covid-19 there is a sharp increase in the wages especially in the jobs that require interaction with people. The increasing wages can put downward pressure on the margins of Cruzsalud Health.

New competition

– After the dotcom bust of 2001, financial crisis of 2008-09, the business formation in US economy had declined. But in 2020 alone, there are more than 1.5 million new business applications in United States. This can lead to greater competition for Cruzsalud Health in the Strategy & Execution sector and impact the bottomline of the organization.

Technology acceleration in Forth Industrial Revolution

– Cruzsalud Health has witnessed rapid integration of technology during Covid-19 in the Strategy & Execution industry. As one of the leading players in the industry, Cruzsalud Health needs to keep up with the evolution of technology in the Strategy & Execution sector. According to Mckinsey study top managers believe that the adoption of technology in operations, communications is 20-25 times faster than what they planned in the beginning of 2019.

High dependence on third party suppliers

– Cruzsalud Health high dependence on third party suppliers can disrupt its processes and delivery mechanism. For example -the current troubles of car makers because of chip shortage is because the chip companies started producing chips for electronic companies rather than car manufacturers.

Environmental challenges

– Cruzsalud Health needs to have a robust strategy against the disruptions arising from climate change and energy requirements. EU has identified it as key priority area and spending 30% of its 880 billion Euros European post Covid-19 recovery funds on green technology. Cruzsalud Health can take advantage of this fund but it will also bring new competitors in the Strategy & Execution industry.

Easy access to finance

– Easy access to finance in Strategy & Execution field will also reduce the barriers to entry in the industry, thus putting downward pressure on the prices because of increasing competition. Cruzsalud Health can utilize it by borrowing at lower rates and invest it into research and development, capital expenditure to fortify its core competitive advantage.

Instability in the European markets

– European Union markets are facing three big challenges post Covid – expanded balance sheets, Brexit related business disruption, and aggressive Russia looking to distract the existing security mechanism. Cruzsalud Health will face different problems in different parts of Europe. For example it will face inflationary pressures in UK, France, and Germany, balance sheet expansion and demand challenges in Southern European countries, and geopolitical instability in the Eastern Europe.

Stagnating economy with rate increase

– Cruzsalud Health can face lack of demand in the market place because of Fed actions to reduce inflation. This can lead to sluggish growth in the economy, lower demands, lower investments, higher borrowing costs, and consolidation in the field.

Capital market disruption

– During the Covid-19, Dow Jones has touched record high. The valuations of a number of companies are way beyond their existing business model potential. This can lead to capital market correction which can put a number of suppliers, collaborators, value chain partners in great financial difficulty. It will directly impact the business of Cruzsalud Health.

Technology disruption because of hacks, piracy etc

– The colonial pipeline illustrated, how vulnerable modern organization are to international hackers, miscreants, and disruptors. The cyber security interruption, data leaks, etc can seriously jeopardize the future growth of the organization.




Weighted SWOT Analysis of Cruzsalud: Health Care for Low-Sectors Template, Example


Not all factors mentioned under the Strengths, Weakness, Opportunities, and Threats quadrants in the SWOT Analysis are equal. Managers in the HBR case study Cruzsalud: Health Care for Low-Sectors needs to zero down on the relative importance of each factor mentioned in the Strengths, Weakness, Opportunities, and Threats quadrants. We can provide the relative importance to each factor by assigning relative weights. Weighted SWOT analysis process is a three stage process –

First stage for doing weighted SWOT analysis of the case study Cruzsalud: Health Care for Low-Sectors is to rank the strengths and weaknesses of the organization. This will help you to assess the most important strengths and weaknesses of the firm and which one of the strengths and weaknesses mentioned in the initial lists are marginal and can be left out.

Second stage for conducting weighted SWOT analysis of the Harvard case study Cruzsalud: Health Care for Low-Sectors is to give probabilities to the external strategic factors thus better understanding the opportunities and threats arising out of macro environment changes and developments.

Third stage of constructing weighted SWOT analysis of Cruzsalud: Health Care for Low-Sectors is to provide strategic recommendations includes – joining likelihood of external strategic factors such as opportunities and threats to the internal strategic factors – strengths and weaknesses. You should start with external factors as they will provide the direction of the overall industry. Secondly by joining probabilities with internal strategic factors can help the company not only strategic fit but also the most probably strategic trade-off that Cruzsalud Health needs to make to build a sustainable competitive advantage.



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