Provider Consolidation - Publications - Faculty & Research - Harvard Business School

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09 Oct 2017
News

Leemore Dafny on how to stay optimistic in the face of provider consolidation

October 2018 (Revised August 2019)
Case

Beth Israel Deaconess: Consolidating to Strengthen, or to Stave Off, Competition?

By: Leemore Dafny

In July 2017, CEO Kevin Tabb of Boston's Beth Israel Deaconess Medical Center announced his plan to consolidate 11 Massachusetts hospitals under a common management structure. These hospitals collectively generated $5 billion in patient revenue and 25% of... View Details

Keywords: Beth Israel Deaconess; Lahey; Partners; Health Care; Hospitals; Payers; Providers; Anti-trust; Health Care Regulation; Mergers and Acquisitions; Health Care and Treatment; Market Design; Duopoly and Oligopoly; Negotiation; Consolidation; Competition; Health Industry; Massachusetts; Boston

08 Feb 2012
News

New money fund rules could speed consolidation

August 2018 (Revised August 2019)
Case

Oscar Health Insurance: What Lies Ahead for a Unicorn Insurance Entrant?

By: Leemore Dafny and Victoria Marone

Keywords: Oscar Insurance; Fintech; US Health Care; Affordable Care Act (ACA); Health Insurance Marketplaces; Insurer Competition; Provider Consolidation; Market Entry; Health Care and Treatment; Entrepreneurship; Market Entry and Exit; Negotiation; Growth Management; Health Industry; Insurance Industry; New York (state, US); New Jersey

October 2012 (Revised September 2013)
Case

Creating the First Public Law Firm: The IPO of Slater & Gordon Limited

By: Benjamin C. Esty and E. Scott Mayfield

Slater & Gordon (S&G), a midsized Australian law firm with a high-growth consolidation strategy, had an initial public offering (IPO) scheduled for May 2007. Due to a series of regulatory changes in Australia in recent years, the IPO provided an opportunity for S&G to... View Details

Keywords: IPO; Mergers ＆ Acquisitions; Law Firm; Value Drivers; Growth Strategy; Revenue Recognition; Roll-up; Consolidator; Initial Public Offering; Valuation; Consolidation; Mergers and Acquisitions; Financial Strategy; Growth Management; Corporate Governance; Business Strategy; Legal Services Industry; Financial Services Industry; Australia

October 2005 (Revised December 2012)
Case

Productos Finas

By: David F. Hawkins

Provides a simple exercise to illustrate consolidation accounting. View Details

Keywords: Consolidation; Accounting; Financial Statements; Corporate Finance

March 1991 (Revised October 1994)
Case

Coca-Cola vs. Pepsi-Cola and the Soft Drink Industry

By: Michael E. Porter

Describes the competition between Coca-Cola and Pepsi-Cola. Provides a summary of the history of the soft drink industry prior to World War II, and over the period 1950-1990 in greater detail. Major strategic competitive moves and countermoves are described. Also... View Details

Keywords: Competition; Industry Growth; Business Strategy; Food and Beverage Industry

August 1998
Case

HIMSCORP, Inc.

By: William A. Sahlman, Michael J. Roberts and Laurence E. Katz

Himscorp is an industry consolidation of records storage companies providing management and retrieval services of active medical records to healthcare institutions. Kent Dauten, a former general partner at Madison Dearborn Partners with 15 years of venture capital and... View Details

Keywords: Value Creation; Initial Public Offering; Business Exit or Shutdown; Business Growth and Maturation; Decision Choices and Conditions; Consolidation; Information Industry

January 2008 (Revised March 2009)
Case

Framedia (A) Abridged

By: Li Jin, Carliss Y. Baldwin, Li Liao, Huabing Li and Jielun Zhu

Examines an acquisition in the highly competitive outdoor media advertising industry in China in late 2005. The transaction leads to eventual consolidation of the whole industry and positive stock reactions. Discusses equity consideration in the context of an M&A... View Details

Keywords: Mergers and Acquisitions; Venture Capital; Equity; Private Equity; Corporate Governance; Emerging Markets; Organizations; Consolidation; Valuation; Advertising Industry; China

August 2005 (Revised October 2010)
Background Note

European Financial Integration

By: Rawi E. Abdelal and Christopher Bruner

Provides background on the history and status of financial integration in the European Union. Describes the pertinent treaty-based "fundamental freedoms," emphasizes challenges to further cross-border consolidation in the banking sector, and examines the regulatory... View Details

Keywords: Banks and Banking; Financial Markets; Financial Strategy; Cross-Cultural and Cross-Border Issues; Governing Rules, Regulations, and Reforms; Integration; Banking Industry; European Union

13 Dec 2017
News

Should you worry about net neutrality ending? This one chart tells you why you should.

November 2015 (Revised October 2017)
Case

Nestle's Creating Shared Value Strategy

By: Michael E. Porter, Mark R. Kramer, Kerry Herman and Sarah McAra

This case considers Nestlé’s creating shared value (CSV) strategy, which focused on the three categories of nutrition, water, and rural development. In the packaged food and beverage industry, pressure had mounted since the 1990s to improve supply chain sustainability... View Details

Keywords: Shared Value; Health And Wellness; Nutrition; Health; Labor; Environmental Sustainability; Strategy; Operations; Food and Beverage Industry; Switzerland; Europe; Africa; Latin America; North America; Asia

January 2001
Case

Accrue Software, Inc.

In 2000, Accrue is one of three survivors of the initial consolidation of the Web traffic analysis software industry. However, entry from CRM software providers and consultants, as well as ASPs offering Web analysis services, has introduced new threats to Accrue. Newly... View Details

Keywords: Customer Value and Value Chain; Competitive Advantage; Software; Web Services Industry

February 1997 (Revised November 2007)
Case

Tale of Two Electronic Components Distributors

By: Ananth Raman and Bharat P. Rao

Discusses the role of distribution intermediaries in the electronic components industry, and describes operations at two of these distributors. Serves as a vehicle to discuss the functions provided by distributors in the channel. Also lets students understand the... View Details

Keywords: Growth and Development Strategy; Distribution Channels; Consolidation; Internet; Distribution Industry; Electronics Industry

September 2002 (Revised August 2014)
Case

Cardinal Health (A): The Medicine Shoppe Acquisition

By: Regina E. Herzlinger, Miguel Abecasis and Brenda Cheng

Robert Walter, the founder and CEO of Cardinal Health, a pharmaceutical distributor, is contemplating the purchase of Medicine Shoppe, a chain of apothecaries. The purchase might be construed as competition against his own drugstore customers. But one of its many... View Details

Keywords: Mergers and Acquisitions; Business Strategy; Competitive Advantage; Distribution Industry; Pharmaceutical Industry; Retail Industry

16 Feb 2004
Research & Ideas

Marketing Wine to the World

many consolidations in the past decade. Does the rapid consolidation of New World producers make profits at the cost of diversity? Should a beer company own a vineyard? A: The scope economies across the beer... View Details

Keywords: by Manda Salls; Consumer Products; Entertainment & Recreation; Food & Beverage

February 2010 (Revised June 2011)
Case

Zotter Living by Chocolate

By: Mukti Khaire, Stefan Aichinger, Monika Maria Elisabeth Hoffmann and Maximilian Georg Manfred Schnoedl

This case is about a boutique chocolate manufacturer's decision to grow. Zotter, an Austrian company that was a pioneer in the organic and Fairtrade chocolate movement, uses the traditional confit technique to make premium hand-scooped chocolates in unusual and... View Details

Keywords: Market Entry and Exit; Entrepreneurship; Global Strategy; Innovation and Invention; Growth and Development Strategy; Manufacturing Industry; Food and Beverage Industry; Austria

January 1992
Case

Johnson & Johnson: Hospital Services

The main issue has to do with the lack of fit or incompatibility between the early environmental requirements for strategy and the cultural constraints on the organization. Describes the internal resistance to the proposed changes and top management's efforts to... View Details

Keywords: Organizational Structure; Organizational Culture; Management Systems; Environmental Sustainability; Conflict and Resolution

Research Summary

Entrepreneurship, Value-construction, and Market-creation

Changing Landscapes: Creating a Market for Modern Indian Art

In this project on the creation and consolidation of a market for modern and contemporary Indian art, Mukti and her co-author Daniel Wadhwani study the role of entrepreneurs and incumbent firms... View Details

March 2018
Case

EKOL Logistics: Thinking Outside the Box

By: Willy C. Shih and Esel Çekin

This case describes Ekol, an intermodal transportation and logistics company, and how it manages capacity planning. Its busiest routes linked motor vehicle assemblers in Germany and Turkey with many of their parts suppliers, but it had also developed key links in... View Details

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