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February 2015
Background Note

A Note on the Affordable Care Act and the U.S. Health Care System

By: Joseph L. Bower and Michael Norris

This note provides an overview of the U.S. health care system as it stood in 2014, including an overview of hospitals, doctors, insurance companies, and other health care providers. It also discusses the major political actions on health care in the 20th century,... View Details

Keywords: Health Care; Health Care Policy; Political Process; Health Care and Treatment; Health Industry; United States

September 2023
Case

Healthy.io: The Negotiation for the Medical Selfie

By: Amit Goldenberg and Kumba Sennaar

Healthy.io, an Israeli digital health company, prepares to enter the U.S. market with its chronic kidney disease test. A product safety approval is delayed, putting the company’s cash runway at risk. How should the CEO negotiate his offer to insurance companies ahead... View Details

Keywords: Negotiation; Entrepreneurship; Venture Capital; Operations; Business Startups; Market Entry and Exit; Health Industry; Israel; United Kingdom; United States

Forthcoming
Article

The Evolution of Banking in the 21st Century: Evidence and Regulatory Implications

By: Samuel Gregory Hanson, Victoria Ivashina, Laura Nicolae, Jeremy C. Stein, Adi Sunderam and Daniel K. Tarullo

As revealed by the failures of three regional banks in the spring of 2023, bank runs are not a thing of the past. To inform the ongoing discussion of the appropriate regulatory response, we examine trends in the banking industry over the last twenty-five years. On the... View Details

Keywords: Financial Instruments; Financial Crisis; Assets; Governing Rules, Regulations, and Reforms; Financial Condition; Banking Industry

Changes in Quality of Care After Hospital Mergers and Acquisitions

The hospital industry has consolidated substantially during the past two decades and at an accelerated pace since 2010. Multiple studies have shown that hospital mergers have led to higher prices for commercially insured patients, but research about effects on... View Details

September 1991
Case

Rethinking the Corporate Workplace: Case Managers at Mutual Benefit Life

By: Robert G. Eccles Jr.

In early 1991, a spirit of innovation and organizational change was in the air at Mutual Benefit Life, with the success of the new "case manager" program its most concrete manifestation. Using powerful computer workstations, case managers could see insurance... View Details

Keywords: Organizational Change and Adaptation; Technological Innovation; Change Management; Information Technology; Insurance; Human Resources; Insurance Industry

April 2002 (Revised September 2003)
Case

Stephen Brown at John Hancock Financial Services

By: Robin J. Ely

Describes a major organizational transformation process at John Hancock Financial Services in which CEO Stephen Brown takes a series of measured steps to turn the old-line mutual insurance company into a competitive, performance-oriented financial services firm. At the... View Details

Keywords: Change Management; Leadership; Organizational Change and Adaptation; Organizational Culture; Alignment; Competitive Strategy; Financial Services Industry

September 2016 (Revised May 2018)
Case

Zurich Insurance: Fostering People Management Practices

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 provides background for the company, as... View Details

Keywords: Managing Change; Organizational Behavior; Diversity Management; Organizational Architecture; Recruiting; Succession Planning; Management; Organizational Culture; Organizational Change and Adaptation; Leading Change; Human Capital; Human Resources; Insurance; Leadership; Diversity; Organizational Structure; Recruitment; Management Succession; Insurance Industry

September 2016
Case

Generali: Paving the Way for CEE Expansion

By: Dante Roscini and Emer Maloney

Generali was one of Italy’s largest companies and one of Europe’s largest insurers and had for decades been at the center of the web of cross-shareholding that has characterized the opaque brand of old Italian capitalism. This bred sub-par returns while serving to... View Details

Keywords: Joint Ventures; Transformation; Insurance; Emerging Markets; Negotiation Deal; Business and Shareholder Relations; Expansion; Business Strategy; Insurance Industry; Italy; Europe

February 2000
Case

E2M Health Services

By: Richard M.J. Bohmer and Naomi Atkins

Outlines the growth of an innovative diabetes disease management organization from 1994-99. Having demonstrated the success of their model in managing diabetes populations in Texas and New York State, the CEO and president must decide the future strategy of the company... View Details

Keywords: Business Model; Customer Focus and Relationships; Decision Choices and Conditions; Financial Markets; Revenue; Innovation and Invention; Business or Company Management; Marketing Strategy; Internet; Health Industry

December 2022
Article

Conflicting Interests and the Effect of Fiduciary Duty: Evidence from Variable Annuities

By: Mark Egan, Shan Ge and Johnny Tang

We examine the variable annuity market to study conflicts of interest and the effect of fiduciary duty in brokerage markets. Insurers typically pay brokers higher commissions for selling more expensive annuities. Our results indicate that sales are four times as... View Details

Keywords: Variable Annuity; Brokers; Fiduciary Duty; Finance; Investment; Insurance; Conflict of Interests; Financial Services Industry; Financial Services Industry; United States

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Luis M. Viceira

Luis M. Viceira is the George E. Bates Professor in the Finance Unit and a Research Associate at the National Bureau of Economic Research. His research, course development, and teaching focus on the areas of investment management... View Details

Keywords: education industry; education industry; education industry; education industry; education industry

September 2004 (Revised January 2006)
Case

Catastrophe Bonds at Swiss Re

In 2002, Swiss Re, the world's second--largest insurance company, is considering securitizing parts of its risk portfolio in the capital markets. This would be a first for the company that, until then, had never transferred risk off its balance sheet. Peter Giessmann,... View Details

Keywords: Risk Management; Bonds; Natural Disasters; Insurance; Capital Markets; Banks and Banking; Banking Industry; Banking Industry; Switzerland

August 2008
Case

Progressive Corporation: Variable Dividends

By: Timothy A. Luehrman and Brenda W. Chia

In 2006, Progressive Corporation announced a change in its dividend policy. Henceforth, dividends would be paid annually rather than quarterly and, more importantly, would be set according to a formula that would result in considerably greater year-to-year variability... View Details

Keywords: Capital Structure; Policy; Goals and Objectives; Performance; Business and Shareholder Relations; Insurance Industry

August 1999
Case

Health Resources & Technology

Health Resources & Technology is an entrepreneurial company with aggressive growth goals. The company sells medical-consultation services to insurance carriers that then repackage the service with their health care policies. Founded by two Brigham & Women's Hospital... View Details

Keywords: Information Technology; Goals and Objectives; Competitive Strategy; Health Care and Treatment; Growth and Development Strategy; Health Industry

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September 2013 (Revised March 2014)
Case

Progress Energy and Duke Energy (A)

By: Guhan Subramanian and Charlotte Krontiris

Just as Duke Energy and Progress Energy announce their merger—forming the largest utility company in the United States, to be led by the current Progress CEO—a nuclear reactor owned by Progress suffers major damage and must be taken offline. While Progress grapples... View Details

Keywords: Duke; Progress; Nuclear Energy; Mergers and Acquisitions; Corporate Governance; Energy Sources; Energy Industry; United States

May 1994 (Revised November 2001)
Case

Concord Center

By: William J. Poorvu and John H. Vogel Jr.

A major shopping center developer and an insurance company form a joint venture to develop a 900,000 square foot super-regional shopping center. Describes the nine-year struggle to deal with market, regulatory, and financial issues to get the project ready for... View Details

Keywords: Buildings and Facilities; Design; Joint Ventures; Construction; Partners and Partnerships; Governance Controls; Market Entry and Exit; Projects; Equity; Corporate Finance; Retail Industry

June 2009
Case

Executive Remuneration at Royal Dutch Shell (A)

By: Jay W. Lorsch and Kaitlyn Simpson

The remuneration committee at Shell decided to exercise their discretionary power to award five top executives a bonus for 2008, even though they had not met the necessary performance measures under the compensation plan. Proxy advisors RiskMetrics and the British... View Details

Keywords: Corporate Governance; Governance Controls; Executive Compensation; Performance Evaluation; Business and Shareholder Relations; Energy Industry

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; Financial Services Industry; Financial Services Industry

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

2013
Case

Travelers Insurance: Focusing on Climate Change and Natural Catastrophe Risk

By: Andrew J. Hoffman

The dilemma Evan Blue faces stems from a report by sustainability advocacy group Ceres that calls on companies to take climate change into consideration in their risk models and develop response strategies. The fictional vice president of Traveler's Insurance is tasked... View Details

Keywords: Climate Change; Business Strategy; Risk and Uncertainty; Insurance Industry

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