×




Blue Shield of California SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Blue Shield of California


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?

Authors :: Matthew Saucedo, Robert Chess

Topics :: Leadership & Managing People

Tags :: Personnel policies, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Blue Shield of California" written by Matthew Saucedo, Robert Chess includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Shield Blue facing as an external strategic factors. Some of the topics covered in Blue Shield of California case study are - Strategic Management Strategies, Personnel policies and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Blue Shield of California casestudy better are - – technology disruption, increasing energy prices, wage bills are increasing, digital marketing is dominated by two big players Facebook and Google, increasing government debt because of Covid-19 spendings, competitive advantages are harder to sustain because of technology dispersion, there is backlash against globalization, central banks are concerned over increasing inflation, increasing transportation and logistics costs, etc



12 Hrs

$59.99
per Page
  • 100% Plagiarism Free
  • On Time Delivery | 27x7
  • PayPal Secure
  • 300 Words / Page
  • Buy Now

24 Hrs

$49.99
per Page
  • 100% Plagiarism Free
  • On Time Delivery | 27x7
  • PayPal Secure
  • 300 Words / Page
  • Buy Now

48 Hrs

$39.99
per Page
  • 100% Plagiarism Free
  • On Time Delivery | 27x7
  • PayPal Secure
  • 300 Words / Page
  • Buy Now







Introduction to SWOT Analysis of Blue Shield of California


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Blue Shield of California case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Shield Blue, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Shield Blue 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 Blue Shield of California can be done for the following purposes –
1. Strategic planning using facts provided in Blue Shield of California case study
2. Improving business portfolio management of Shield Blue
3. Assessing feasibility of the new initiative in Leadership & Managing People field.
4. Making a Leadership & Managing People topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Shield Blue




Strengths Blue Shield of California | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Shield Blue in Blue Shield of California Harvard Business Review case study are -

Organizational Resilience of Shield Blue

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

High brand equity

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

Innovation driven organization

– Shield Blue is one of the most innovative firm in sector. Manager in Blue Shield of California Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Learning organization

- Shield Blue 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 Shield Blue is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Blue Shield of California Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

High switching costs

– The high switching costs that Shield Blue 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.

Effective Research and Development (R&D)

– Shield Blue has innovation driven culture where significant part of the revenues are spent on the research and development activities. This has resulted in, as mentioned in case study Blue Shield of California - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Training and development

– Shield Blue has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Blue Shield of California 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.

Ability to lead change in Leadership & Managing People field

– Shield Blue is one of the leading players in its industry. Over the years it has not only transformed the business landscape in its segment but also across the whole industry. The ability to lead change has enabled Shield Blue in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

Digital Transformation in Leadership & Managing People segment

- digital transformation varies from industry to industry. For Shield Blue digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Shield Blue has successfully integrated the four key components of digital transformation – digital integration in processes, digital integration in marketing and customer relationship management, digital integration into the value chain, and using technology to explore new products and market opportunities.

Ability to recruit top talent

– Shield Blue is one of the leading recruiters in the industry. Managers in the Blue Shield of California are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Analytics focus

– Shield Blue 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 Matthew Saucedo, Robert Chess 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.

Cross disciplinary teams

– Horizontal connected teams at the Shield Blue are driving operational speed, building greater agility, and keeping the organization nimble to compete with new competitors. It helps are organization to ideate new ideas, and execute them swiftly in the marketplace.






Weaknesses Blue Shield of California | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Blue Shield of California are -

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Shield Blue is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Blue Shield of California can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Capital Spending Reduction

– Even during the low interest decade, Shield Blue 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.

Low market penetration in new markets

– Outside its home market of Shield Blue, firm in the HBR case study Blue Shield of California needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Increasing silos among functional specialists

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

No frontier risks strategy

– After analyzing the HBR case study Blue Shield of California, it seems that company is thinking about the frontier risks that can impact Leadership & Managing People 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.

Products dominated business model

– Even though Shield Blue has some of the most successful products in the industry, this business model has made each new product launch extremely critical for continuous financial growth of the organization. firm in the HBR case study - Blue Shield of California should strive to include more intangible value offerings along with its core products and services.

Skills based hiring

– The stress on hiring functional specialists at Shield Blue has created an environment where the organization is dominated by functional specialists rather than management generalist. This has resulted into product oriented approach rather than marketing oriented approach or consumers oriented approach.

Need for greater diversity

– Shield Blue has taken concrete steps on diversity, equity, and inclusion. But the efforts so far has resulted in limited success. It needs to expand the recruitment and selection process to hire more people from the minorities and underprivileged background.

High operating costs

– Compare to the competitors, firm in the HBR case study Blue Shield of California has high operating costs in the. This can be harder to sustain given the new emerging competition from nimble players who are using technology to attract Shield Blue 's lucrative customers.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Blue Shield of California, is just above the industry average. Shield Blue 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.

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Blue Shield of California, in the dynamic environment Shield Blue has struggled to respond to the nimble upstart competition. Shield Blue has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.




Opportunities Blue Shield of California | 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 Blue Shield of California are -

Better consumer reach

– The expansion of the 5G network will help Shield Blue to increase its market reach. Shield Blue 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.

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Leadership & Managing People industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. Shield Blue 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. Shield Blue 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.

Lowering marketing communication costs

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

Identify volunteer opportunities

– Covid-19 has impacted working population in two ways – it has led to people soul searching about their professional choices, resulting in mass resignation. Secondly it has encouraged people to do things that they are passionate about. This has opened opportunities for businesses to build volunteer oriented socially driven projects. Shield Blue can explore opportunities that can attract volunteers and are consistent with its mission and vision.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Shield Blue can build a diversified supply chain model across various countries in - South East Asia, India, and other parts of the world. This reconfiguration of global supply chain can help, as suggested in case study, Blue Shield of California, to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Building a culture of innovation

– managers at Shield Blue 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 Leadership & Managing People segment.

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 Shield Blue 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.

Redefining models of collaboration and team work

– As explained in the weaknesses section, Shield Blue is facing challenges because of the dominance of functional experts in the organization. Blue Shield of California case study suggests that firm can utilize new technology to build more coordinated teams and streamline operations and communications using tools such as CAD, Zoom, etc.

Increase in government spending

– As the United States and other governments are increasing social spending and infrastructure spending to build economies post Covid-19, Shield Blue can use these opportunities to build new business models that can help the communities that Shield Blue operates in. Secondly it can use opportunities from government spending in Leadership & Managing People sector.

Low interest rates

– Even though inflation is raising its head in most developed economies, Shield Blue 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.

Reforming the budgeting process

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

Creating value in data economy

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

Buying journey improvements

– Shield Blue can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Blue Shield of California suggest that firm can provide automated chats to help consumers solve their own problems, provide online suggestions to get maximum out of the products and services, and help consumers to build a community where they can interact with each other to develop new features and uses.




Threats Blue Shield of California External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Blue Shield of California are -

Aging population

– As the populations of most advanced economies are aging, it will lead to high social security costs, higher savings among population, and lower demand for goods and services in the economy. The household savings in US, France, UK, Germany, and Japan are growing faster than predicted because of uncertainty caused by pandemic.

Consumer confidence and its impact on Shield Blue demand

– There is a high probability of declining consumer confidence, given – high inflammation rate, rise of gig economy, lower job stability, increasing cost of living, higher interest rates, and aging demography. All the factors contribute to people saving higher rate of their income, resulting in lower consumer demand in the industry and other sectors.

Technology acceleration in Forth Industrial Revolution

– Shield Blue has witnessed rapid integration of technology during Covid-19 in the Leadership & Managing People industry. As one of the leading players in the industry, Shield Blue needs to keep up with the evolution of technology in the Leadership & Managing People 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.

Easy access to finance

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

Regulatory challenges

– Shield Blue needs to prepare for regulatory challenges as consumer protection groups and other pressure groups are vigorously advocating for more regulations on big business - to reduce inequality, to create a level playing field, to product data privacy and consumer privacy, to reduce the influence of big money on democratic institutions, etc. This can lead to significant changes in the Leadership & Managing People industry regulations.

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.

Barriers of entry lowering

– As technology is more democratized, the barriers to entry in the industry are lowering. It can presents Shield Blue with greater competitive threats in the near to medium future. Secondly it will also put downward pressure on pricing throughout the sector.

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. Shield Blue needs to understand the core reasons impacting the Leadership & Managing People industry. This will help it in building a better workplace.

Shortening product life cycle

– it is one of the major threat that Shield Blue is facing in Leadership & Managing People sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, etc.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Blue Shield of California, Shield Blue may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Leadership & Managing People .

Environmental challenges

– Shield Blue 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. Shield Blue can take advantage of this fund but it will also bring new competitors in the Leadership & Managing People industry.

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 Shield Blue in the Leadership & Managing People sector and impact the bottomline of the organization.

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 Shield Blue.




Weighted SWOT Analysis of Blue Shield of California 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 Blue Shield of California 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 Blue Shield of California 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 Blue Shield of California 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 Blue Shield of California 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 Shield Blue needs to make to build a sustainable competitive advantage.



--- ---

Arcos Dorados: How to Lead and From Where SWOT Analysis / TOWS Matrix

Krishna G. Palepu, Gustavo A. Herrero , Strategy & Execution


John "Rooster" Clagett: Visual Training Solutions Group, Inc. (B) SWOT Analysis / TOWS Matrix

Gregory Fairchild, Richard Banyard , Innovation & Entrepreneurship


Live Nation Faces the Music SWOT Analysis / TOWS Matrix

Stephen P. Bradley, Frank V. Cespedes, Kerry Herman , Strategy & Execution


Grameen Danone Foods Ltd., a Social Business SWOT Analysis / TOWS Matrix

V. Kasturi Rangan, Katherine Lee , Sales & Marketing


Calgary Drop-In Centre: Donor Information System SWOT Analysis / TOWS Matrix

Derrick Neufeld, Deb Elkink, Michelle Woo, Dennis Dupuis , Technology & Operations


Delwarca Software Remote Support Unit, Chinese Version SWOT Analysis / TOWS Matrix

Roy D. Shapiro, Paul E. Morrison , Technology & Operations


Robert E. Rubin (A) SWOT Analysis / TOWS Matrix

Robert Steven Kaplan, Nitin Nohria, Nicole Davison , Leadership & Managing People


Dot.com: Online Pet Retailing SWOT Analysis / TOWS Matrix

Tom Nicholas, David Chen , Innovation & Entrepreneurship