Publications

March 2016 (Revised March 2022)
Teaching Note

Evive Health and Workplace Influenza Vaccinations

By: John Beshears

Evive Health is a company that manages communication campaigns on behalf of health insurance plans and large employers. Using big data techniques and insights from behavioral economics, Evive deploys targeted and effective messages that improve individuals' health... View Details

March 2016
Case

Evive Health and Workplace Influenza Vaccinations

By: John Beshears

Evive Health is a company that manages communication campaigns on behalf of health insurance plans and large employers. Using big data techniques and insights from behavioral economics, Evive deploys targeted and effective messages that improve individuals' health... View Details

Keywords: Vaccination; Influenza; Flu Shot; Preventive Care; Health Care; Behavioral Economics; Choice Architecture; Nudge; Experimental Design; Randomized Controlled Trial; RCT; Causal Inference; Consumer Behavior; Health Care and Treatment; Health Testing and Trials; Communication Strategy; Health Industry

This episode in our climate adaptation series features HBS Professor John Macomber. John discusses how companies and governments need to incorporate climate resilience as they develop and finance real estate and infrastructure to address the risks of flooding,... View Details

October 2001 (Revised November 2001)
Case

Provident Life and Accident Insurance: The Acquisition of Paul Revere

By: Mihir A. Desai, Frank Williamson, Mark Veblen and Yuming Zou

Provident Life & Accident Insurance Co. has made an initial bid to acquire a primary competitor, Paul Revere, from conglomerate, Textron. The due diligence process uncovers a significant block of problematic disability insurance policies. Provident is forced to assess... View Details

Keywords: Insurance; Financial Management; Mergers and Acquisitions; Policy; Investment; Business Strategy; Cash Flow; Price; Bids and Bidding; Financial Reporting; Business Conglomerates; Insurance Industry; Insurance Industry

Article

Perceptions and the Politics of Finance: Junk Bonds and the Regulatory Seizure of First Capital Life

By: S. C. Gilson, H. DeAngelo and L. DeAngelo

In May 1991, one month after seizing Executive Life, California regulators seized First Capital Life (FCLIC). Both insurers were Drexel clients with large junk bond holdings, and both had experienced 'bank runs.' FCLIC's run followed regulators' televised comments that... View Details

Keywords: Finance; Bonds; Governing Rules, Regulations, and Reforms

Find at Harvard

March 2021
Article

Active Choice, Implicit Defaults, and the Incentive to Choose

By: John Beshears, James J. Choi, David Laibson and Brigitte C. Madrian

Home-delivered prescriptions have no delivery charge and lower copayments than prescriptions picked up at a pharmacy. Nevertheless, when home delivery is offered on an opt-in basis, the take-up rate is only 6%. We study a program that makes active choice of either home... View Details

Keywords: Active Choice; Defaults; Implicit Defaults; Incentives; Consumer Behavior; Decision Choices and Conditions; Motivation and Incentives

Find at Harvard

November 2020 (Revised April 2021)
Case

Roll-Ups and Surprise Billing: Collisions at the Intersection of Private Equity and Patient Care

By: Trevor Fetter and Kira Seiger

This case describes the increasing investment by private equity (PE) firms in patient care and other healthcare services. The case focuses on investments in physician staffing firms and roll-up strategy investments in physician practice management (PPM). Included in... View Details

Blog Post

Why Economic Conservatives Should Support the Individual Mandate in Health Care

By: Regina E. Herzlinger

Although many conservatives are gnashing their teeth about the Supreme Court's upholding the individual mandate, had it not been upheld, their worst nightmares would have occurred: government would have required hundreds of billions in additional taxes to pay for... View Details

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

24 Feb 2021
News

How to Negotiate and Avoid Costly Medical Bills

13 Oct 2016
Video

The Crash and the Fix of Healthcare.gov

31 Jul 2018
First Look

New Research and Ideas, July 31, 2018

Shankar MD, Suptendra N. Sarbadhikari PhD, Barbara Bierer, Kenneth D. Mandl MD, Sanjay Mehendale MD, MPH, and Tarun Khanna Abstract—In February 2018, the Government of India announced a massive public health View Details

Keywords: Dina Gerdeman

September 2016 (Revised May 2018)
Case

Zurich Insurance: Global Job Structure and Data Analysis

By: Boris Groysberg and Katherine Connolly

Zurich Insurance was undergoing organizational change after implementing five new people practices focused on manager development, diversity and inclusion, job model and data analytics, recruitment, and talent pipeline. The case “Zurich Insurance: Fostering Key People... View Details

Keywords: Managing Change; Organizational Behavior; Organizational Architecture; Organizational Change and Adaptation; Leadership; Human Capital; Change Management; Organizational Structure; Insurance; Organizational Culture; Globalization; Human Resources; Insurance Industry

Forthcoming
Article

Social Security and Trends in Wealth Inequality

By: Sylvain Catherine, Max Miller and Natasha Sarin

Recent influential work finds large increases in inequality in the U.S. based on measures of wealth concentration that notably exclude the value of social insurance programs. This paper shows that top wealth shares have not changed much over the last three decades when... View Details

Keywords: Wealth; Equality and Inequality; Taxation; Insurance; Welfare

March 2009
Background Note

Evaluating M&A Deals: Floors, Caps, and Collars

By: Carliss Y. Baldwin

As equity consideration has become more popular in acquisitions, so has the use of the "pricing-protection" mechanisms, such as floors, caps, and collars. These contractual devices provide insurance to the shareholders of the target and may protect the buyer as well.... View Details

Keywords: Mergers and Acquisitions; Equity; Price; Contracts; Business and Shareholder Relations

September 2001
Technical Note

Technical Note on Consideration: Floors, Caps, and Collars

By: Carliss Y. Baldwin

As equity-linked consideration has become more popular in acquisition and alliances, so has the use of the "price-protection" mechanisms, known variously as floors, caps, and collars. In general, these are contractual agreements that provide insurance to the... View Details

Keywords: Risk and Uncertainty; Price; Acquisition

October 2016 (Revised March 2019)
Case

Carrum Health: Scaling Bundled Payments

By: Robert S. Huckman and Sarah Mehta

Founded in 2014, Carrum Health helped self-insured employers located in three markets (San Diego, California; Seattle, Washington; and San Francisco, California) save money on their employees’ planned surgeries. It did so by contracting directly with top-quality... View Details

Keywords: Health Financing; Health Insurance; Value-based Healthcare Reimbursements; Bundled Payments; Innovation; Scale; Health; Health Care and Treatment; Cost Management; Growth and Development Strategy; Decision Choices and Conditions; Health Industry; California; San Francisco; San Diego; Seattle

July 1994 (Revised December 1994)
Case

CIGNA Corporation, Inc.: Managing and Institutionalizing Business Reengineering

Provides a longitudinal view of business reengineering at CIGNA Corp., a leading provider of insurance and related financial services throughout the United States and the world. CIGNA has been practicing business reengineering since 1989, completing over 20 projects.... View Details

Keywords: Change Management; Business Processes; Insurance Industry; Insurance Industry