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June 2025
Case

TfL Pension Fund and the 2022 Gilt Market Crisis

By: Emil N. Siriwardane, Vincent Dessain, Emer Moloney and Carlota Moniz

On September 27, 2022, Padmesh Shukla, CIO of the Transport for London (TfL) Pension Fund, was keeping a careful eye on the turmoil in the U.K. sovereign bond (or gilt) market. When the new government announced the largest tax cuts the U.K. had seen in half a century,... View Details

2025
Book

After the Idea: What It Really Takes to Create and Scale a Startup

By: Julia Austin

A lot of entrepreneurs are great at the idea part but do not anticipate the details required to actually run and scale a new venture. Drawing on my experience at renowned startups like Akamai Technologies, VMware, and DigitalOcean and the hundreds of founders and... View Details

Keywords: Entrepreneurship; Business Startups; Business Plan; Growth and Development Strategy; Business or Company Management

May 2025
Case

IQanat: Empowering Rural Youth in Kazakhstan

By: Boris Groysberg and Maxim Pike Harrell

In June 2025, IQanat CEO Aliya Salikova considered scaling opportunities for the foundation, which provided educational opportunities for children from rural regions of Kazakhstan. Established by Kazakhstani businessman and philanthropist Aidyn Rakhimbayev, IQanat... View Details

Keywords: Mission and Purpose; Organizational Change and Adaptation; Leadership; Social Enterprise; Entrepreneurship; Social Entrepreneurship; Growth and Development Strategy; Growth Management; Education Industry; Central Asia

May 2025
Case

Dell Med: Transforming Care Delivery & Payment

By: Robert S. Kaplan, David N. Bernstein and Mary L. Witkowski

Health care in the U.S. and globally continues to undergo massive transformation, surging towards a system that rewards value for patients. However, widespread adoption of value-based health care remains a challenge. This case study focuses on the care delivery... View Details

Keywords: Integrated Practice Units; Outcomes Measurement; Time-Driven Activity-Based Costing; Health Care and Treatment; Business Strategy; Leading Change; Decisions; Transformation; Service Delivery; Adoption; Value; Health Industry; United States; Texas

May 2025
Background Note

Social Enterprise in Latin America

By: Brian L. Trelstad and Karina Souza

This research note provides an overview of the social enterprise ecosystem in Latin America, exploring current dynamics across key markets, including country-specific insights on Brazil, Mexico, Argentina, Colombia, Chile, and Central America. In a region characterized... View Details

May 2025
Teaching Note

The VideaHealth AI Factory: CEO Florian Hillen on Speed, Scale, and Innovation

By: Tsedal Neeley

Teaching Note for HBS Case No. 425-720. Florian Hillen, co-founder and CEO of VideaHealth, a startup using artificial intelligence (AI) to detect dental conditions on x-rays, spent the early years of his company laying the groundwork for an AI factory. This AI factory,... View Details

Keywords: Diagnostics; Organization Design; Change Management; Disruption; Transformation; Health Care and Treatment; AI and Machine Learning; Technological Innovation; Technology Adoption; Management Style; Organizational Culture; Success; Technology Industry; Health Industry; United States

May 2025 (Revised May 2025)
Case

Daiichi Sankyo: Steering a Global Organization

By: Tiona Zuzul, Amy C. Edmondson and Cat Huang

In the spring of 2023, Sunao Manabe, CEO of Daiichi Sankyo, reflected on a pivotal decision. A large Western pharmaceutical company had made a bid to partner with Daiichi Sankyo to develop the next three products in its oncology pipeline. Daiichi Sankyo, a 125-year old... View Details

Keywords: Strategy; Culture Change; Decision-making; Leadership; Culture; Innovation; Psychological Safety

Working Paper

Shifting Work Patterns with Generative AI

By: Eleanor W. Dillon, Sonia Jaffe, Nicole Immorlica and Christopher T. Stanton

We present evidence on how generative AI changes the work patterns of knowledge workers using data from a 6-month-long, cross-industry, randomized field experiment. Half of the 7,137 workers in the study received access to a generative AI tool integrated into the... View Details

Keywords: AI and Machine Learning; Behavior; Time Management

May 2025 (Revised May 2025)
Case

Humana Commits to Value-Based Care

By: V.G. Narayanan, Henry Eyring and David Lane

In late 2023, CEO Bruce Broussard reviewed health insurer Humana’s transformation into a value-based care ecosystem. Under its CenterWell brand, the several millions of members in Humana Medicare Advantage plans now had access to Humana-provided primary care, home... View Details

Keywords: Business Model; Business Units; Financing and Loans; Innovation Strategy; Growth and Development Strategy; Service Operations; Mergers and Acquisitions; Insurance; Health Care and Treatment; Partners and Partnerships; Health Industry; Insurance Industry; United States

2025
Chapter

Employer-Based Short-Term Savings Accounts

By: Sarah Holmes Berk, John Beshears, Jay Garg, James J. Choi and David Laibson

We study the introduction of a choice architecture design intended to increase short-term savings among employees at five U.K. firms. Employees were offered the opportunity to opt into a payroll deduction program that auto-deposits funds from each paycheck into a... View Details

Keywords: Personal Finance; Compensation and Benefits; Well-being; Behavior; Investment Funds; Employees; United Kingdom

2025
Working Paper

Healthcare Provider Bankruptcies

By: Samuel Antill, Ashvin Gandhi, Jessica Bai and Adrienne Sabety

Healthcare firms are filing for Chapter 11 bankruptcy at record rates. We find that bankruptcies increase healthcare staff turnover, worsen care, and harm patients. Using a difference-in-differences design, we estimate that a bankruptcy filing immediately increases... View Details

Keywords: Insolvency and Bankruptcy; Health Care and Treatment; Outcome or Result; Retention; Health Industry

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April 2025
Case

Sharon Goldberg and BastionZero

By: Jeffrey J. Bussgang, James Barnett and Maxim Pike Harrell

In December 2023, BastionZero co-founder and CEO Sharon Goldberg considered her startup’s future. Established in 2017 as a blockchain company focused on improving the security of cryptocurrency trading, in March 2020 the VC-backed startup shifted focus to a new... View Details

Keywords: Business Startups; Entrepreneurial Finance; Technological Innovation; Business Strategy; Business Exit or Shutdown

April 2025
Case

#FutureFresenius: Implementing a New Strategy to Transform the Company and Advance Patient Care

By: David J. Collis, Benjamin C. Esty and Haisley Wert

In February 2024, Fresenius CEO Michael Sen reflected on the company’s transformation journey from his office in Bad Homburg, Germany. With revenues of €22 billion and a mission to advance patient care, Fresenius had built a strong reputation through decades of... View Details

Keywords: Strategic Planning; Corporate Strategy; Transformation; Finance; Leading Change; Organizational Culture; Organizational Structure; Alignment; Health Industry; Germany; United States

March–April 2025
Article

Strategy in an Era of Abundant Expertise: How to Thrive When AI Makes Knowledge and Know-How Cheaper and Easier to Access

By: Bobby Yerramilli-Rao, John Corwin, Yang Li and Karim R. Lakhani

The AI era is in its early stages, and the technology is evolving extremely quickly. Providers are rapidly introducing AI "copilots," "bots," and "assistants" into applications to augment employees' workflows. Examples include GitHub Copilot for coding, ServiceNow... View Details

Keywords: AI; AI and Machine Learning; Performance Productivity; Experience and Expertise; Technology Adoption

2025
White Paper

Governors Reshaping Workforce Development: Turning WIOA Challenges into Workforce Solutions

By: Joseph B. Fuller, Kerry McKittrick, Nathalie Gazzaneo, Ariel Higuchi, Justine Gluck, Zoe Butler, Jack Porter and Malena Dailey

The Workforce Innovation and Opportunity Act (WIOA) grants Governors significant authority to shape their state workforce systems. Yet, little research explores how they use those powers to strengthen their economies and expand access to employment and training.... View Details

Keywords: Government Administration; Policy; Training; Employment

April 2025
Article

The Impact of Minority Representation at Mortgage Lenders

By: W. Scott Frame, Ruidi Huang, Erica Jiang, Yeonjoon Lee, Will Liu, Erik J. Mayer and Adi Sunderam

We study links between the labor market for loan officers and access to mortgage credit. Using novel data matching the (near) universe of mortgage applications to loan officers, we find that minorities are significantly underrepresented among loan officers. Minority... View Details

Keywords: Household Finance; Demographic Economics; Financial Institutions; Diversity; Prejudice and Bias; Mortgages; Personal Finance

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March 2025
Case

Hurtigruten: Sea Zero

By: Christian Kaps and Michael W. Toffel

Hurtigruten was deciding whether the next ship they built should be fully electric. But such a vessel's battery, the size of electric cars, needed to be charged on the ship's multi-day voyage along the Norwegian coast. Before making such a $250 million investment, the... View Details

Keywords: Energy Sources; Alternative Energy; Ship Transportation; Environmental Regulation; Environmental Sustainability; Innovation and Management; Green Technology; Investment; Corporate Social Responsibility and Impact; Shipping Industry; Tourism Industry; Transportation Industry; Travel Industry; Battery Industry; Norway; Europe

March 2025
Case

Niramai: An AI Solution to Save Lives

By: Rembrand Koning, Maria P. Roche and Kairavi Dey

Founded in 2017, Niramai developed Thermalytix, a breast cancer screening tool. Thermalytix used a high-resolution thermal sensing device and machine learning algorithms to analyze thermal images and detect tumors. Its patented solution leveraged big data analytics,... View Details

Keywords: Entrepreneurship; AI and Machine Learning; Technology Adoption; Health Care and Treatment; Technology Industry; Health Industry; Asia; India; South Asia

March 7, 2025
Article

Leaders Can Move Fast and Fix Things

By: Frances X. Frei and Anne Morriss

The assumption embedded in Silicon Valley’s famous “move fast and break things” ethos is that we can either make progress or take care of people, one or the other. A certain amount of wreckage is the price we have to pay for creating the future. The authors have spent... View Details

Keywords: Strategy; Leading Change; Performance Efficiency

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March 2025
Article

Does Communicating Measurable Diversity Goals Attract or Repel Historically Marginalized Job Applicants? Evidence from the Lab and Field

By: Erika L. Kirgios, Ike Silver and Edward H. Chang

Many organizations struggle to attract a demographically diverse workforce. How does adding a measurable goal to a public diversity commitment—for example, “We care about diversity” versus “We care about diversity and plan to hire at least one woman or racial minority... View Details

Keywords: Selection and Staffing; Recruitment; Diversity; Goals and Objectives; Communication Intention and Meaning; Behavior

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