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Publications

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      • Faculty Publications  (148)

      ConsolidationsRemove Consolidations →

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      • Article

      The Covid-19 Pandemic Should Not Delay Actions to Prevent Anticompetitive Consolidation in U.S. Health Care Markets

      By: Leemore S. Dafny
      This article describes potential regulatory and legislative reforms to assist antitrust enforcement agencies in halting anticompetitive acquisitions and practices, and preserving and promoting competition in health care markets. View Details
      Keywords: Health Care and Treatment; Markets; Competition; Governing Rules, Regulations, and Reforms
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      Dafny, Leemore S. "The Covid-19 Pandemic Should Not Delay Actions to Prevent Anticompetitive Consolidation in U.S. Health Care Markets." Promarket (June 10, 2021).
      • May 2021 (Revised July 2021)
      • Case

      Coats: Supply Chain Challenges

      By: Willy C. Shih and Adina Wong
      Coats, the largest thread maker in the world, transformed its business to digital colour measurement so that it could respond better to customer demand in the garment industry for rapid product cycles and more fragmented colour choices. Its embrace of digital colour... View Details
      Keywords: Inventory Management; Supply Chains; Digital; Operations; Supply Chain Management; Apparel and Accessories Industry; Asia
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      Shih, Willy C., and Adina Wong. "Coats: Supply Chain Challenges." Harvard Business School Case 621-115, May 2021. (Revised July 2021.)
      • April 2021 (Revised May 2021)
      • Case

      Kitopi: The Brave New World of Cloud Kitchens

      By: Antonio Moreno and Gamze Yucaoglu
      The case opens in February 2021 as Mohamad Ballout, co-founder and CEO of Kitopi, a Dubai-based managed cloud kitchen platform, is looking over the company’s 2020 results. Propelled by the COVID-19 pandemic, delivery orders had been on the rise globally and dine-in... View Details
      Keywords: Cloud Kitchens; Food; Operations; Growth and Development Strategy; Decision Choices and Conditions; Food and Beverage Industry; Middle East; North Africa
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      Moreno, Antonio, and Gamze Yucaoglu. "Kitopi: The Brave New World of Cloud Kitchens." Harvard Business School Case 621-102, April 2021. (Revised May 2021.)
      • 2021
      • Article

      Everyday Illiberalism: How Hungarian Subnational Politics Propel Single-Party Dominance

      By: Laura Jakli and Matthew Stenberg
      While numerous studies consider the roles that media consolidation, court-packing, and economic crises have played in Hungary's democratic decline since 2010, none have considered the subnational mechanisms driving illiberalism. This study examines the types of... View Details
      Keywords: Democracy; Government and Politics; Governing Rules, Regulations, and Reforms; Hungary
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      Jakli, Laura, and Matthew Stenberg. "Everyday Illiberalism: How Hungarian Subnational Politics Propel Single-Party Dominance." Governance 34, no. 2 (2021): 315–334.
      • 2021
      • Government Testimony

      How Health Care Consolidation Is Contributing to Higher Prices and Spending, and Reforms That Could Bolster Antitrust Enforcement and Preserve and Promote Competition in Health Care Markets

      By: Leemore S. Dafny
      Reforms to antitrust law and enforcement can help to address rising healthcare prices and spending. View Details
      Keywords: Antitrust Law; Health Care and Treatment; Consolidation; Price; Spending; Cost Management; Governing Rules, Regulations, and Reforms; Competition; United States
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      Dafny, Leemore S. "How Health Care Consolidation Is Contributing to Higher Prices and Spending, and Reforms That Could Bolster Antitrust Enforcement and Preserve and Promote Competition in Health Care Markets." Government Testimony, Washington, DC, United States, April 2021.
      • March 9, 2021
      • Article

      Addressing Consolidation in Health Care Markets

      By: Leemore S. Dafny
      This Viewpoint proposes three steps the Biden administration can take to slow consolidation within health care, which has been shown to raise costs without improving service or quality: better fund federal antitrust enforcement agencies; appoint agency heads committed... View Details
      Keywords: Antitrust Issues And Policies; Health Care and Treatment; Markets; Consolidation; Competition; Government Administration
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      Dafny, Leemore S. "Addressing Consolidation in Health Care Markets." JAMA, the Journal of the American Medical Association 325, no. 10 (March 9, 2021): 927–928.
      • January 2021 (Revised October 2021)
      • Case

      eToro: Building the World's Largest Social Trading Network

      By: Elie Ofek and Danielle Golan
      Social trading platform eToro was preparing for the launch of its expanded offering in the U.S. The company faced critical decisions regarding product-market fit, go-to-market strategy, positioning and monetization. Moreover, it faced the challenge of how best to make... View Details
      Keywords: Social Trading Platform; Investment; Social and Collaborative Networks; Marketing Strategy; Expansion; Digital Platforms
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      Ofek, Elie, and Danielle Golan. "eToro: Building the World's Largest Social Trading Network." Harvard Business School Case 521-057, January 2021. (Revised October 2021.)
      • December 2020 (Revised April 2021)
      • Case

      Arcos Dorados: A QSR Recovery Plan

      By: Forest Reinhardt, José B. Alvarez, Jenyfeer Martinez Buitrago and Mariana Cal
      Arcos Dorados—McDonald’s largest independent franchisee, covering Latin America and the Caribbean (LAC)—faced a pandemic that was disrupting the entire consumer foodservice business in 2020. With the exclusive right to own, operate, and sub-franchise McDonald’s... View Details
      Keywords: Agribusiness; Animal-Based Agribusiness; Plant-Based Agribusiness; Customer Value and Value Chain; Income; Macroeconomics; Environmental Management; Environmental Sustainability; Cross-Cultural and Cross-Border Issues; Food; Health Pandemics; Crisis Management; Logistics; Corporate Social Responsibility and Impact; Strategic Planning; Food and Beverage Industry; Agriculture and Agribusiness Industry; Retail Industry; Latin America; Aruba; Guadeloupe; Martinique; Mexico; Panama; Costa Rica; Argentina; Brazil; Chile; Colombia; Ecuador; French Guiana; Peru; Uruguay; Venezuela; Puerto Rico; Trinidad and Tobago
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      Reinhardt, Forest, José B. Alvarez, Jenyfeer Martinez Buitrago, and Mariana Cal. "Arcos Dorados: A QSR Recovery Plan." Harvard Business School Case 721-023, December 2020. (Revised April 2021.)
      • November 2020 (Revised February 2022)
      • Case

      CommonSpirit Health: Integrating a Merger of Equals

      By: Robert S. Huckman, Hise Gibson and Nicole Gilmore
      Soon after closing the 2019 merger of Catholic Health Initiatives (CHI) and Dignity Health to create CommonSpirit Health, Lloyd Dean and Kevin Lofton-–jointly appointed to the role of CEO—must make several operational and strategic decisions related to the integration... View Details
      Keywords: Health Care Delivery; Hospital; Merger; Merger Integration; Hospital Mergers; Health Information Technology; CEOs; Health Care and Treatment; Mergers and Acquisitions; Integration; Leadership; Customer Value and Value Chain; Decision Choices and Conditions; Governance; Information Technology; Health Industry; United States
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      Huckman, Robert S., Hise Gibson, and Nicole Gilmore. "CommonSpirit Health: Integrating a Merger of Equals." Harvard Business School Case 621-034, November 2020. (Revised February 2022.)
      • 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
      Keywords: Business Ventures; Acquisition; Mergers and Acquisitions; Business Model; Change; Disruption; Fluctuation; Trends; Customers; Customer Value and Value Chain; Ethics; Fairness; Finance; Equity; Insurance; Private Equity; Geography; Geographic Scope; Health; Health Care and Treatment; Markets; Demand and Consumers; Supply and Industry; Industry Structures; Ownership; Ownership Type; Private Ownership; Relationships; Agency Theory; Business and Community Relations; Business and Shareholder Relations; Business and Stakeholder Relations; Networks; Strategy; Competition; Consolidation; Expansion; Integration; Horizontal Integration; Vertical Integration; Value; Value Creation; Health Industry; Insurance Industry; United States
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      Fetter, Trevor, and Kira Seiger. "Roll-Ups and Surprise Billing: Collisions at the Intersection of Private Equity and Patient Care." Harvard Business School Case 321-049, November 2020. (Revised April 2021.)
      • September 2020 (Revised October 2020)
      • Case

      Briscola—Pizza Society: Scaling Affordable Luxury

      By: Gary P. Pisano and Federica Gabrieli
      Riccardo Cortese and Federico Pinna were the CEOs of Briscola—Pizza Society, a restaurant chain they had founded in 2014 with a clear ambition: create a distinctive international pizza chain that would combine a fast-casual format with the devotion to quality that... View Details
      Keywords: Entrepreneurship; Growth and Development Strategy; Expansion; Geographic Location; Business Model; Ownership Type; Food and Beverage Industry; Europe; Italy
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      Pisano, Gary P., and Federica Gabrieli. "Briscola—Pizza Society: Scaling Affordable Luxury." Harvard Business School Case 621-031, September 2020. (Revised October 2020.)
      • May 2020
      • Teaching Note

      Bayer Crop Science

      By: David E. Bell, Michael Norris and Mel Martin
      Teaching Note for HBS Case No. 520-055. View Details
      Keywords: Plant-Based Agribusiness; Research and Development; Mergers and Acquisitions; Consolidation; Innovation and Invention; Strategy; Agriculture and Agribusiness Industry; Technology Industry; United States; Germany
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      Bell, David E., Michael Norris, and Mel Martin. "Bayer Crop Science." Harvard Business School Teaching Note 520-067, May 2020.
      • March 2020 (Revised October 2020)
      • Case

      Jeffrey Deitch: Art Entrepreneur

      By: Henry McGee, Rohit Deshpandé and Sarah Gulick
      Jeffrey Deitch is an influential gallery owner and art entrepreneur. An HBS alumnus generally credited with developing the field of bank art advisory and financing services, Deitch has had a storied career in both the commercial and non-profit art world. Wrestling with... View Details
      Keywords: Cultural Entrepreneurship; Arts; Personal Development and Career; Fine Arts Industry; New York (city, NY); Los Angeles
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      McGee, Henry, Rohit Deshpandé, and Sarah Gulick. "Jeffrey Deitch: Art Entrepreneur." Harvard Business School Case 320-042, March 2020. (Revised October 2020.)
      • January 2020 (Revised July 2020)
      • Supplement

      MoviePass: The 'Get Big Fast' Strategy

      By: Benjamin C. Esty and Daniel Fisher
      In August 2017, MoviePass dramatically lowered its subscription price from $50 per month to just $10 for up to one movie per day. The idea was to rapidly scale the business to the point where they could generate incremental revenue streams form related businesses... View Details
      Keywords: Market Entry; Growth Strategy; Profit Vs. Growth; Subscription Business; Cash Burn; Data Analytics; Get-big-fast; Buyer Power; Strategy Implementation; Movie Industry; Racing; Business Strategy; Value Creation; Consolidation; Cash Flow; Growth Management; Business Startups; Entrepreneurship; Disruptive Innovation; Mobile Technology; Motion Pictures and Video Industry; Entertainment and Recreation Industry; Advertising Industry; Information Industry; United States
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      Esty, Benjamin C., and Daniel Fisher. "MoviePass: The 'Get Big Fast' Strategy." Harvard Business School Spreadsheet Supplement 720-854, January 2020. (Revised July 2020.)
      • January 2, 2020
      • Article

      Changes in Quality of Care After Hospital Mergers and Acquisitions

      By: Nancy Dean Beaulieu, Leemore S. Dafny, B. E. Landon, Jesse Dalton, Ifedayo Kuye and J. Michael McWilliams
      Background: 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... View Details
      Keywords: Hospitals; Mergers and Acquisitions; Health Care and Treatment; Quality
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      Beaulieu, Nancy Dean, Leemore S. Dafny, B. E. Landon, Jesse Dalton, Ifedayo Kuye, and J. Michael McWilliams. "Changes in Quality of Care After Hospital Mergers and Acquisitions." New England Journal of Medicine 382, no. 1 (January 2, 2020): 51–59.
      • November 2019 (Revised January 2020)
      • Case

      Bayer Crop Science

      By: David E. Bell, Damien McLoughlin, Natalie Kindred and James Barnett
      In mid-2019, a year after German conglomerate Bayer Group closed its acquisition of U.S.-based seeds giant Monsanto, the leadership of Bayer’s Crop Science division (which absorbed Monsanto) is reflecting on the opportunities ahead. Some observers have questioned... View Details
      Keywords: Agribusiness; Research and Development; Innovation and Invention; Innovation Strategy; Mergers and Acquisitions; Consolidation; Customer Value and Value Chain; Change Management; Agriculture and Agribusiness Industry; Technology Industry; United States; Germany
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      Bell, David E., Damien McLoughlin, Natalie Kindred, and James Barnett. "Bayer Crop Science." Harvard Business School Case 520-055, November 2019. (Revised January 2020.)
      • January 2019 (Revised February 2020)
      • Case

      Jay Gould, 'The Most Hated Man in America'

      By: Tom Nicholas, John Masko and Matthew G. Preble
      Railroad magnate Jay Gould, a controversial figure in the history of U.S. capitalism, was a disruptive influence on an industry that had previously relied on formal and informal agreements to move traffic long distances across lines operated by different companies.... View Details
      Keywords: Railroads; Gould; Vanderbilt; Rail Transportation; History; Consolidation; Governing Rules, Regulations, and Reforms; Competition; Strategy; Rail Industry; United States
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      Nicholas, Tom, John Masko, and Matthew G. Preble. "Jay Gould, 'The Most Hated Man in America'." Harvard Business School Case 819-006, January 2019. (Revised February 2020.)
      • 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
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      Dafny, Leemore. "Beth Israel Deaconess: Consolidating to Strengthen, or to Stave Off, Competition?" Harvard Business School Case 319-026, October 2018. (Revised August 2019.)
      • September 2018
      • Supplement

      Advent International: Kroton Investment

      By: Victoria Ivashina, Priscilla Zogbi and Ruth Kostas
      Keywords: Private Equity; Acquisition; IPO; Valuation; Education; Distance Learning; Turnaround; Growth; Exit; PE; Buyer; Middle-class; Low Income; K-12; Entrepreneur; Family Business; University; College; Consolidation; Fragmentation; Penetration; Value; Shares; Control; Negotiation; Equity; Transaction; Board; Majority; Minority; Post-secondary; Leverage; Campus; Deal; Shareholder; Tag Along
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      Ivashina, Victoria, Priscilla Zogbi, and Ruth Kostas. "Advent International: Kroton Investment." Harvard Business School Spreadsheet Supplement 219-725, September 2018.
      • September 2018
      • Case

      Advent International: Kroton Investment

      By: Victoria Ivashina, Ruth Kostas and Priscilla Zogbi
      Keywords: Private Equity; Acquisition; IPO; Valuation; Education; Distance Learning; Turnaround; Growth; Exit; PE; Buyer; Middle-class; Low Income; K-12; Entrepreneur; Family Business; University; College; Consolidation; Fragmentation; Penetration; Value; Shares; Control; Negotiation; Equity; Transaction; Board; Majority; Minority; Post-secondary; Leverage; Campus; Deal; Shareholder; Tag Along; Brazil; Latin America
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      Ivashina, Victoria, Ruth Kostas, and Priscilla Zogbi. "Advent International: Kroton Investment." Harvard Business School Case 219-035, September 2018.
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