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    • Research  (218)
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  • 08 Nov 2024
  • Op-Ed

How Private Investors Can Help Solve Africa's Climate Crisis

African people, businesses, and nations are becoming increasingly stressed by climate-related perils like droughts, river flooding, extreme heat, and rising sea levels. This is leading not only to the destruction of assets but also challenges to lives and... View Details
Keywords: by John Macomber; Green Technology; Energy
  • September 2, 2020
  • Article

How to Pay for Public Option Without Tax Hike

By: Regina E. Herzlinger and Richard Boxer
A bipartisan combination of the two parties’ most popular initiatives can expand health care coverage, significantly reduce costs, and enable freedom of choice, without raising taxes. Along the way, we can revitalize competition between public and private plans. Our... View Details
Keywords: Health Insurance; Public Option; Health Care and Treatment; Insurance; Cost Management; United States
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Herzlinger, Regina E., and Richard Boxer. "How to Pay for Public Option Without Tax Hike." RealClearPolicy (September 2, 2020).
  • 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; Insurance 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.)
  • 31 Mar 2023
  • Research & Ideas

Can a ‘Basic Bundle’ of Health Insurance Cure Coverage Gaps and Spur Innovation?

the population uninsured,” Chandra’s research says. In a new working paper, Chandra and fellow researchers suggest a potential solution: creating a basic bundle of publicly funded health insurance that would protect every citizen while... View Details
Keywords: by Kasandra Brabaw; Insurance; Insurance
  • 2024
  • Working Paper

Does Private Equity Have Any Business Being in the Health Care Business?

By: Nori Gerardo Lietz and Zirui Song
Private Equity (“PE”) has come under increased scrutiny by the press, academics, and policymakers, as well as the public, for its investments in health care delivery. This scrutiny has been exacerbated by recent high profile hospital bankruptcies following PE... View Details
Keywords: Private Equity; Government Administration; Acquisition; Health Industry
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Lietz, Nori Gerardo, and Zirui Song. "Does Private Equity Have Any Business Being in the Health Care Business?" Harvard Business School Working Paper, No. 25-012, September 2024.
  • August 2019
  • Case

The Allstate Corporation, 2019

By: John R. Wells and Benjamin Weinstock
In July 2019, Allstate, the United States’ number-three property and casualty (P/C) insurer, released its second-quarter earnings, which reported first-half revenues of $22.1 billion, up 11.4% year-over-year. Shareholders cheered the top-line growth, but P/C premiums... View Details
Keywords: Insurance Companies; Strategic Analysis; Strategic Change; Insurance; Strategy; Strategic Planning; Organizational Change and Adaptation; Competitive Strategy; Insurance Industry; North America
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Wells, John R., and Benjamin Weinstock. "The Allstate Corporation, 2019." Harvard Business School Case 720-366, August 2019.
  • March 2021 (Revised December 2021)
  • Supplement

Humana (B) — Strategy Execution

By: Regina E. Herzlinger and Ashley Ifeadike
After Humana debuted its new pillar strategy focused on driving integration across members’ health care experiences, feedback from investors in private conferences and other forums was positive but stressed the need for execution and faced several questions in order to... View Details
Keywords: Health Care; Health Care Operations; Health Insurance; Health Care and Treatment; Insurance; Operations; Strategy; Health Industry
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Herzlinger, Regina E., and Ashley Ifeadike. "Humana (B) — Strategy Execution." Harvard Business School Supplement 321-098, March 2021. (Revised December 2021.)
  • July 2012
  • Case

Transatlantic Holdings, Inc. - The Belle of the Ball

By: Clayton S. Rose and Aldo Sesia
In November of 2011 Transatlantic Holdings, Inc., a global property and casualty reinsurance company, announced it had agreed to sell itself to Alleghany Corporation, ending "the most frenzied takeover battle" of 2011, which involved competitors, Warren Buffett's... View Details
Keywords: Mergers & Acquisitions; Finance; Insurance And Reinsurance; Governance; Insurance; Mergers and Acquisitions; Strategy; Valuation; Insurance Industry; Insurance Industry; United States; Bermuda; Switzerland
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Rose, Clayton S., and Aldo Sesia. "Transatlantic Holdings, Inc. - The Belle of the Ball." Harvard Business School Case 313-017, July 2012.
  • August 2003 (Revised September 2008)
  • Background Note

Note on Financing of the U.S. Health Care Sector

By: Regina E. Herzlinger and Jeff Grahling
This course describes the public and private sources of financing of the U.S. health-care sector,and identifies the characteristics of insurance policies, their costs, the structure of the insurance industry, and the role of consultants and brokers. The insurance... View Details
Keywords: Economic Sectors; Financing and Loans; Insurance; Industry Structures; Insurance Industry; Insurance Industry; United States
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Herzlinger, Regina E., and Jeff Grahling. "Note on Financing of the U.S. Health Care Sector." Harvard Business School Background Note 304-039, August 2003. (Revised September 2008.)
  • June 30, 2020
  • Article

Bipartisan Tax-Free Solution to Health Care Financing: Coupling HRAs With a Public Option

By: Regina E. Herzlinger, Richard Boxer and James Wallace
A combination of health insurance initiatives by the presumptive 2020 Democratic and Republican presidential nominees could expand health care coverage and significantly reduce costs, without raising taxes. Along the way, the combination could revitalize private... View Details
Keywords: Health Care Financing; Public Option; Health Reimbursement Arrangement (HRA); Health Care and Treatment; Insurance; Cost Management
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Herzlinger, Regina E., Richard Boxer, and James Wallace. "Bipartisan Tax-Free Solution to Health Care Financing: Coupling HRAs With a Public Option." Health Affairs Blog (June 30, 2020).
  • March 2018
  • Supplement

China Vanke: Battle for Control (D)

By: Lynn S. Paine, Charles C.Y. Wang, Dawn H. Lau and Anthony K. Woo
In the battle for control over China Vanke, the Chinese securities regulator steps in to censure Vanke and Baoneng for acting against the interests of the market and minority shareholders. The Chinese insurance regulator also finds Baoneng to be in violation of... View Details
Keywords: Corporate Governance; Governing Rules, Regulations, and Reforms; Governing and Advisory Boards; Business and Shareholder Relations; Conflict and Resolution; Real Estate Industry; China
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Paine, Lynn S., Charles C.Y. Wang, Dawn H. Lau, and Anthony K. Woo. "China Vanke: Battle for Control (D)." Harvard Business School Supplement 318-120, March 2018.
  • October 10, 2019
  • Article

The Case for the Public Option Over Medicare for All

By: Regina E. Herzlinger and Richard Boxer
How can the United States better control its health care costs and quality and still achieve universal coverage? The strongest choice is not Medicare for All, which would eliminate private insurance; it’s the public option, which would allow people to choose from... View Details
Keywords: Universal Health Coverage; Public Option; Medicare; Health Care and Treatment; Insurance; Cost Management; Quality; United States
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Herzlinger, Regina E., and Richard Boxer. "The Case for the Public Option Over Medicare for All." Harvard Business Review Digital Articles (October 10, 2019): 2–5.
  • Article

A Public Option Can Be a Triple Win for U.S. Healthcare

By: Regina E. Herzlinger and Richard Boxer
The United States needs to control healthcare costs and quality while reaching universal coverage. The strongest choice is a public option that allows people to choose between Medicare and private payers. But a public option needs sustainable financing mechanisms that... View Details
Keywords: Healthcare; Public Option; Universal Health Coverage; Health Care and Treatment; Cost Management; Quality; United States
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Herzlinger, Regina E., and Richard Boxer. "A Public Option Can Be a Triple Win for U.S. Healthcare." Health Management, Policy and Innovation 4, no. 3 (December 2019).
  • 03 Feb 2015
  • First Look

First Look: February 3

mandated insurance coverage. Publisher's link: http://dx.doi.org.ezp-prod1.hul.harvard.edu/10.1016/j.fertnstert.2014.10.042 February 2015 Journal of Law & Economics What Are We Meeting For? The Consequences of View Details
Keywords: Sean Silverthorne
  • January 2021
  • Case

Saham Group: It's In the Genes

By: Christina R. Wing and Gamze Yucaoglu
The case opens in August 2020 as Moulay Mhamed Elalamy (Mhamed), CEO of the Saham Group (the Group), a pan-African investment company that operates a variety of businesses out of Morocco, contemplates the Group’s identity, its investment strategy, and how to navigate... View Details
Keywords: Family and Family Relationships; Family Business; For-Profit Firms; Transformation; Transition; Emerging Markets; Change Management; Private Equity; Investment; Strategy; Insurance Industry; Insurance Industry; Insurance Industry; Insurance Industry; Morocco; Africa
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Wing, Christina R., and Gamze Yucaoglu. "Saham Group: It's In the Genes." Harvard Business School Case 621-069, January 2021.
  • February 2003 (Revised March 2007)
  • Case

Safe to Say at Prudential Financial

By: Amy C. Edmondson and Corey B. Hajim
The CEO initiated a cultural change process at Prudential Financial to support a major business reorientation. Prudential, historically a privately held ("mutual") insurance company, went public in 2001. The cultural change was intended to prepare the organization to... View Details
Keywords: Growth and Development Strategy; Risk and Uncertainty; Private Ownership; Going Public; Transformation; Organizational Culture
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Edmondson, Amy C., and Corey B. Hajim. "Safe to Say at Prudential Financial." Harvard Business School Case 603-093, February 2003. (Revised March 2007.)
  • 2016
  • Blog

Building A Culture of Health - John A. Quelch: Creating A Culture of Health

By: John A. Quelch
All American companies are in the health business whether they like it or not. The private sector directly pays for one-fifth of the whopping 17.5% of GDP spent on healthcare in the United States. Rather than viewing health merely as an insurance expense to be... View Details
Keywords: Building A Culture Of Health; Intersection Of Healthcare And Business; Impact Of Healthcare On Business; Population Health Footprint; Healthcare As An Investment; Change; Education; Health; Human Resources; Labor; Leadership; Management; Marketing; Operations; Performance; Personal Development and Career; Problems and Challenges; Risk and Uncertainty; Strategy; Value; Insurance Industry; Insurance Industry; Canada; North America; United States
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Quelch, John A. "Creating A Culture of Health." Building A Culture of Health - John A. Quelch (blog). May 31, 2016. http://johnquelch.org/creating-a-culture-of-health/.
  • 13 Jul 2009
  • Research & Ideas

Diagnosing the Public Health Care Alternative

think the chances of a government plan supplanting private options are slim," he writes. But the existence of both public and private insurance plans might provide enough... View Details
Keywords: by Staff; Health
  • May 2010 (Revised January 2012)
  • Case

Lincoln Financial Meets the Financial Crisis

By: Robert C. Pozen and Peter Goodspeed Spring
In March of 2009, Lincoln Financial Group's CEO Dennis Glass was facing a difficult decision as to how he would replenish his company's capital, which could quickly fall to dangerously low levels as a result of the financial crisis. Though the cost of raising capital... View Details
Keywords: Cost vs Benefits; Financial Crisis; Capital; Private Equity; Crisis Management; Business and Government Relations; Business and Stakeholder Relations; Insurance Industry
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Pozen, Robert C., and Peter Goodspeed Spring. "Lincoln Financial Meets the Financial Crisis." Harvard Business School Case 310-137, May 2010. (Revised January 2012.)
  • September 2004 (Revised December 2004)
  • Case

Bank Leu's Prima Cat Bond Fund

In 2001, Bank Leu, a Swiss private bank, is considering creating the world's first public fund for catastrophe bonds. Cat bonds are securities whose payments depend on the probability of a catastrophe occurring, such as an earthquake or hurricane. Cat bonds are... View Details
Keywords: Risk Management; Bonds; Natural Disasters; Insurance; Capital Markets; Banks and Banking; Insurance Industry; Insurance Industry; Switzerland
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Chacko, George C., Peter A. Hecht, Vincent Dessain, Anders Sjoman, and Adam J. Plotkin. "Bank Leu's Prima Cat Bond Fund." Harvard Business School Case 205-005, September 2004. (Revised December 2004.)
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