Publications

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; Health Industry; United States

June 2007
Article

Efficient Kidney Exchange: Coincidence of Wants in a Structured Market

By: A. E. Roth, Tayfun Sonmez and M. Utku Unver

Patients needing kidney transplants may have donors who cannot donate to them because of blood or tissue incompatibility. Incompatible patient-donor pairs can exchange donor kidneys with other pairs only when there is a "double coincidence of wants." Developing... View Details

Keywords: Organizational Structure; Size; Emotions; Human Needs; Health Care and Treatment; Health Testing and Trials; Infrastructure; Supply Chain Management; Fairness; Performance Improvement; Health Industry

Article

Beyond Statistics: The Economic Content of Risk Scores

By: Liran Einav, Amy Finkelstein, Raymond Kluender and Paul Schrimpf

"Big data" and statistical techniques to score potential transactions have transformed insurance and credit markets. In this paper, we observe that these widely-used statistical scores summarize a much richer heterogeneity, and may be endogenous to the context in which... View Details

Keywords: Analytics and Data Science; Risk and Uncertainty; Insurance Industry

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30 Mar 2021
Working Paper Summaries

Kidney Exchange: An Operations Perspective

Keywords: by Itai Ashlagi and Alvin E. Roth; Health; Health

February 2019 (Revised September 2021)
Case

The a2 Milk Company

By: Benjamin C. Esty and Daniel Fisher

The a2 Milk Company (a2MC) became the most valuable company listed on the New Zealand stock exchange in 2018 by capitalizing on a biochemical discovery related to the protein composition of cow's milk. Because many people find the A1 protein difficult to digest, and... View Details

August 2013 (Revised November 2015)
Case

Prudential Financial - General Motors Pension Risk Transfer: Back to the Future?

By: Luis M. Viceira and Emily A. Chien

In November 2012, Prudential Financial and General Motors closed on a $25.1B pension risk transfer (PRT) transaction, the largest of its kind to date by an order of magnitude both in the U.S. market and globally. In exchange for an in-kind transfer of $25.1B in... View Details

Keywords: Risk Management; Asset Management; Insurance; Retirement; Insurance Industry; Insurance Industry

25 Jul 2023
Research & Ideas

Could a Business Model Help Big Pharma Save Lives and Profit?

cross-sector and cross-border partnerships needed to execute the model. Adding new information about how pharmaceutical companies handle global public health challenges. Jessica Martinez, a former Big Pharma executive who joined the Bill... View Details

Keywords: by Esther Schrader; Health; Health

16 Apr 2018
Research & Ideas

Can Consumers Be Saved From Their Misguided Decisions?

health, career—that an industry is evolving around motivating people to be smarter about their choices. The problem: solutions created by these researchers and other behavioral scientists, such as incentives to remind health care shoppers... View Details

Keywords: by Rachel Layne; Consulting; Retail

October 2020
Article

The Elasticity of Science

By: Kyle Myers

This paper identifies the degree to which scientists are willing to change the direction of their work in exchange for resources. Data from the National Institutes of Health are used to estimate how scientists respond to targeted funding opportunities. Inducing a... View Details

Keywords: Scientists; Funding; Research; Change

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2 Dec 2021
Interview

How To Make Healthcare Innovation Happen

By: Regina E. Herzlinger

Regina Herzlinger has been called “the godmother of consumer-driven healthcare” because of her groundbreaking scholarly articles and books on the subject. As a professor of business administration at Harvard Business School for nearly 50 years, her focus has supported... View Details

Keywords: Health Care and Treatment; Innovation and Invention

June 2020 (Revised October 2020)
Case

Muddy Waters vs. eHealth: The Debate of a 'Lifetime'

By: Jonas Heese and Cristo Liautaud

In May 2020, an analyst was assessing eHealth’s performance. eHealth was an online / tele-sales broker of health insurance products. The stock had recently hit all-time highs, closing at a peak of $146 on March 4, 2020. But now, May 4, 2020, eHealth traded at $103. The... View Details

Keywords: Revenue Recognition; Health; Insurance; Online Technology; Insurance Industry

24 Mar 2022
Research & Ideas

Why Cutting Jobless Aid Isn't the Answer to Worker Shortages

materialized a month or two later if those governors had opted to keep distributing the federal benefits, Kluender says. Unemployment insurance flowing into accounts dropped by $281.50 per week by early September. Yet earnings for those... View Details

Keywords: by Rachel Layne

24 Aug 2016
Research & Ideas

Can Obamacare Be Saved?

On August 15th, Aetna announced that it would reduce by 80 percent its participation in the Obama administration’s public exchanges for health insurance policies in 2017,... View Details

Keywords: by John A. Quelch and Emily Boudreau; Insurance; Insurance

August 2003 (Revised August 2024)
Case

Fighting the Battle of the Bulge—Evaluating Do Good/Do Well Innovations in Morbid Obesity Treatment

By: Regina E. Herzlinger and John McDonough

Many health care innovations appear successful; but fail. This is the first case in the Innovating Health Care course that investigates how to create successful health care innovations. It is part of the first module in the course. This module focuses on how to... View Details

Keywords: Three Pillars; Industry Analysis; Health Care and Treatment; Innovation and Invention; Innovation and Management; Medical Specialties; Health Industry

17 Jun 2019
Research & Ideas

What Hospitals Must Learn to Compete

purchasing health plans start to demand something different, which in turn is going to require insurers to deliver a product that is more focused on what patients need. Hopefully, that also pressures... View Details

Keywords: by Alumni Bulletin Staff; Health

January 2016
Case

Savannah Informatics

By: Kevin Schulman

John Muthee and Justus Paul are recent graduates of medical school and a unique program in clinical informatics. They return to Nairobi, Kenya with a passion to make a difference in their community. They have a team they know well, but need to find a project concept... View Details

Keywords: Information Systems; Entrepreneurship; Strategy; Kenya; Africa

October 2005 (Revised September 2006)
Case

DentalCorp

By: Richard G. Hamermesh and Ricardo Reisen de Pinho

DentalCorp is the fifth largest provider of dental insurance in Brazil and has tripled its sales in the past two years. Whether to expand to Chile or to continue expansion in Brazil is the major strategic choice facing the company at the end of 2004. View Details

Keywords: International Finance; Expansion; Entrepreneurship; Health Care and Treatment; Global Strategy; Insurance Industry; Insurance Industry; Brazil; Chile

September 1997
Case

Radiology Management Sciences

Radiology Management Sciences (RMS) analyzes diagnostic imaging claims to help HMOs and insurers control utilization. As industry changes threaten RMS's profitability, the company's founders contemplate two alternative business models. View Details

Keywords: Business Model; Industry Growth; Health Industry; Health Industry

Article

Operational Efficiency and Effective Management in the Catheterization Laboratory

By: Grant W. Reed, Michael L. Tushman and Samir R. Kapadia

Operational efficiency is a core business principle in which organizations strive to deliver high-quality goods or services in a cost-effective manner. This concept has become increasingly relevant to cardiac catheterization laboratories, as insurers move away from... View Details

Keywords: Cath Lab; Catheterization Laboratory; Health Care and Treatment; Performance Efficiency; Management; Performance Productivity; Cost Management; Health Industry