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July 2022 (Revised February 2024)
Teaching Note

The DivaCup: Navigating Distribution and Growth

By: Ayelet Israeli

Teaching Note for HBS Case No. 519-055. When the mother-daughter founders of DivaCup set out with a mission to disrupt the menstrual care industry with an innovative product form, they initially struggled to gain legitimacy and convince retailers to carry their unique... View Details

March 2019 (Revised April 2021)
Case

The DivaCup: Navigating Distribution and Growth

By: Ayelet Israeli

When the mother-daughter founders of DivaCup set out with a mission to disrupt the menstrual care industry with an innovative product form, they initially struggled to gain legitimacy and convince retailers to carry their unique product. Fifteen years later, the... View Details

January 2018 (Revised July 2019)
Case

Big Apple Circus: Time to Fold the Tent?

By: David G. Fubini and Matthew Wiger

By 2016, the Big Apple Circus has weathered many storms in its 38 seasons as one of the most well-known New York City nonprofits. Will Weiss, the executive director, has witnessed his share of chaos during four years at Big Apple. After a slight resurgence following... View Details

Keywords: Turnarounds; Bankruptcy; ＂Live Entertainment; Art; Crisis Management; Financial Crisis; Organizational Culture; Entertainment; Insolvency and Bankruptcy; Decision Choices and Conditions; Entertainment and Recreation Industry

Article

Managing Healthcare Costs and Value

By: Robert S. Kaplan, Michael E. Porter and Mark L. Frigo

Rising health care costs are a major global challenge. A number of factors contribute to this trend, including aging populations and medical technology. But an underlying and misunderstood source of health care’s escalating costs has been the inability of health care... View Details

Keywords: Health Care and Treatment; Cost; Cost Management; Cost Accounting; Health Industry

January 1983 (Revised February 1988)
Case

Hospital Corp. of America (B)

By: W. Carl Kester

Focuses on HCAs financing options for reaching its target capital structure. The options include new equity conversion of convertible debentures, a debt-for-equity swap, the sale of assets, and fixed-rate debt. Students must address the problem of market timing and... View Details

Keywords: Assets; Capital Structure; Cash Flow; Equity; Debt Securities; Credit Derivatives and Swaps; Health Industry; United States

November 2023
Case

The Commons Project in Rwanda—Building Digital Infrastructure for the Global Public Good

By: Álvaro Rodríguez Arregui and Tom Quinn

In September 2022, The Commons Project Foundation (TCP) CEO Zhenya Lindgardt and her team met on a Zoom call to discuss building tools to help Rwandans manage their health data. They believed that helping Africa build digital infrastructure would improve much-needed... View Details

Keywords: Developing Countries and Economies; Capital; Cross-Cultural and Cross-Border Issues; Health Care and Treatment; Information Management; Adaptation; Information Infrastructure; Information Technology Industry; Rwanda; United States

February 2018 (Revised January 2020)
Case

SoulCycle: The Road Ahead

By: Ashish Nanda, Eric Van den Steen and Jeffrey Boyar

Julie Rice and Elizabeth Cutler founded SoulCycle, an indoor cycling studio chain, in 2006 as more than a health club; they wanted it to become a lifestyle brand that would “empower riders in an immersive fitness experience.” By early 2015, SoulCycle had grown to 38... View Details

Keywords: Fitness; Fitness Industry; Exercise; Cycling; Boutique Fitness; Exit Strategy; Growth; Bicycles; Retail; Pricing; Community; SoulCycle; Vision; Health; Leadership; Strategy; Marketing; Decision Making; Health Industry; United States

March 2017
Case

PharmAccess and the M-TIBA Platform: Leveraging Digital Technology in the Developing World

By: Kevin Schulman, Sashidaran Moodley and Anant Vasudevan

PharmAccess is an Amsterdam-based NGO working to support the development of the private health care market in Africa. This work is critical as over 50% of care is delivered through the private sector, but well-intentioned efforts to address global health through the... View Details

Keywords: Finance; Entrepreneurship; Health Care and Treatment; Online Technology; Health Industry; Africa; Kenya

May 11, 2017
Article

Good Riddance to Big Insurance Mergers

By: Leemore S. Dafny

Federal judges issued preliminary injunctions halting mergers of four of the five largest U.S. health insurers. These decisions provide more precedent to support challenges of mergers between competitors in health care markets—whether payers or providers. View Details

Keywords: Mergers and Acquisitions; Insurance; Health Care and Treatment; Health Industry; Health Industry

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January 2018 (Revised January 2019)
Case

ZappRx

By: Jeffrey J. Bussgang and Olivia Hull

In October 2015, ZappRx founder Zoe Barry is deciding between two business models for her health technology start-up. Her product, a software application that aims to expedite the prescription fulfillment process for patients with rare diseases, has attracted interest... View Details

Keywords: Speciality Drugs; Hub Services; Pivot; Speciality Prescriptions; Health Care and Treatment; Customization and Personalization; Internet and the Web; Business Model; Decision Choices and Conditions; Pharmaceutical Industry; Massachusetts

Article

Designing Transparency Systems for Medical Care Prices

By: David Cutler and Leemore S. Dafny

In the contentious political environment surrounding health care reform, calls for increased price transparency in health care are among the few areas of general agreement. But the wrong kind of transparency could actually harm patients, rather than help them. View Details

Keywords: Transparency; Health Care and Treatment; Price

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August 2003 (Revised April 2005)
Case

Old Tex College

By: Regina E. Herzlinger and Ray Herschman

Requires student to choose among the following health insurance options for employers: number of plans offered, managed care and consumer-driven options, and self-funding vs. full insurance. Teaching purpose: To Understand the design of health insurance. Includes color... View Details

Keywords: Insurance; Health; Health Care and Treatment; Compensation and Benefits; Employees

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April 1998
Case

Cephalon, Inc.

By: Peter Tufano

In early 1997, Cephalon, awaited an FDA panel's decision on whether its drug, Myotrophin, would be approved. If the drug was approved, the firm might need substantial additional funds to commercialize as well as to buy back rights to it (which had been sold earlier to... View Details

Keywords: Risk Management; Financing and Loans; Health Care and Treatment; Pharmaceutical Industry; United States

January 2021
Case

Value-Based Insurance Design at Onex

By: Joshua Schwartzstein, Amitabh Chandra and Amram Migdal

The operating executives of Health and Benefits for Onex Partners, Megan Jackson Frye and Sam Camens, faced a challenge: Healthcare costs for employees of Onex’s portfolio companies were continuing to rise above the consumer price index, reflecting broader trends... View Details

15 Feb 2017
Op-Ed

What Africa Can Teach the United States About Funding Infrastructure Projects

the great cities of America. But there will likely be massive arguments about how to raise the money and how to invest it. The solution may lie in finance models that have proven successful in several nations across the Atlantic Ocean—not... View Details

Keywords: by John Macomber; Construction

22 Sep 2009
First Look

First Look: September 22

Justifying and Rationalizing Questionable Preferences Authors:Zoë Chance and Michael I. Norton An abstract is unavailable at this time. Download the paper: http://www.hbs.edu/research/pdf/10-018.pdf The Financing of R&D and Innovation... View Details

Keywords: Martha Lagace

2020
Book

Think Outside the Building: How Advanced Leaders Can Change the World One Smart Innovation at a Time

By: Rosabeth Moss Kanter

Over a decade ago, renowned innovation expert Rosabeth Moss Kanter co-founded and then directed Harvard’s Advanced Leadership Initiative. Her breakthrough work with hundreds of successful professionals and executives, as well as aspiring young entrepreneurs, identifies... View Details

Keywords: Leaders; Advanced Leadership; Advanced Leadership Initiative; Community; Change Leadership; Innovation; Problem Solving; Cross-sector Collaboration; Institutional Change; Leadership; Change; Leading Change; Communication; Innovation Leadership; Collaborative Innovation and Invention; Organizational Change and Adaptation; Business and Community Relations; Civil Society or Community

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August 2006 (Revised February 2021)
Case

Anthem, Inc.

By: Regina E. Herzlinger

Describes the U.S. Health Care industry and WellPoint's background, market growth strategies, and potential as an investment option. View Details

Keywords: Investment; Growth and Development Strategy; Health; Industry Structures; Organizational Design; Health Industry; United States

August 2003 (Revised August 2006)
Case

HealthSouth Corporation

By: Regina E. Herzlinger and Ivan Cheung

Delineates how a for-profit health services business was created. Focuses on sources of financing, the impact of Medicare reimbursement, and Stark laws against fraud and abuse. View Details

Keywords: Business Ventures; Finance; Health Care and Treatment; Law; Rights; Health Industry

15 Nov 2012
Research & Ideas

Funding the Design of Livable Cities

active engagement with the Real Estate Academic Initiative (REAI) at the GSD, and his appointment at the GSD teaching the jointly listed course "Sustainable Cities: Urbanization, Infrastructure, and Finance," Macomber is keenly focused on the critical connection... View Details

Keywords: by Lisa Chase; Construction; Real Estate; Energy; Utilities

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