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      • September 2023 (Revised October 2024)
      • Case

      Forecasting Climate Risks: Aviva’s Climate Calculus

      By: Mark Egan and Peter Tufano
      In late 2021, Ben Carr, Director of Analytics and Capital Modeling at Aviva Plc (Aviva)—a leading insurer with core operations in the UK, Ireland and Canada,—was preparing for an upcoming presentation before the company's board which included its CEO, Amanda Blanc,... View Details
      Keywords: Climate Risk; Climate Finance; Forecasting; Insurance; Risk Measurement; Climate Change; Risk Management; Forecasting and Prediction; Insurance Industry; United States
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      Egan, Mark, and Peter Tufano. "Forecasting Climate Risks: Aviva’s Climate Calculus." Harvard Business School Case 224-025, September 2023. (Revised October 2024.)
      • 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
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      Goldenberg, Amit, and Kumba Sennaar. "Healthy.io: The Negotiation for the Medical Selfie." Harvard Business School Case 924-001, September 2023.
      • 3 Jun 2023
      • Talk

      Health Care Innovation Opportunities Created by COVID-19 and How to Make Them Happen

      By: Regina E. Herzlinger
      The crush of patients created by COVID enabled the creation of sites for care outside the traditional hospital, such as retail pharmacies, ambulatory surgery centers, urgent care centers, telemedicine, and wireless sensors. Public policy mirrored these changes by... View Details
      Keywords: Policy; Health Pandemics; Health Care and Treatment; Innovation and Invention; Health Industry; Health Industry
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      Herzlinger, Regina E. "Health Care Innovation Opportunities Created by COVID-19 and How to Make Them Happen." Harvard Business School Alumni Reunion, Boston, MA, June 3, 2023. (Link to cases described in this talk.)
      • June 2023
      • Teaching Note

      From Cradle to Heaven: Taikang Insurance Group

      By: William C. Kirby and Noah B. Truwit
      Teaching Note for HBS Case No. 320-088. The case explores the rise of Taikang Insurance Group and its quest to be a leader of one of China's fastest-growing industries. Due to China's underdeveloped social welfare state, Taikang saw an opportunity for the private... View Details
      Keywords: Health Care and Treatment; Government and Politics; Health Industry; China
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      Kirby, William C., and Noah B. Truwit. "From Cradle to Heaven: Taikang Insurance Group." Harvard Business School Teaching Note 323-126, June 2023.
      • March 2023
      • Teaching Note

      VideaHealth: Building the AI Factory

      By: Karim R. Lakhani
      Teaching Note for HBS Case No. 621-021. The case “VideaHealth: Building the AI Factory” examines the creation of dental startup VideaHealth (Videa) and the development of its artificial intelligence (AI)-led business strategy through the eyes of founder and CEO Florian... View Details
      Keywords: AI and Machine Learning; Applications and Software; Business Model; Marketing Strategy; Product Development; Health Industry; Health Industry
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      Lakhani, Karim R. "VideaHealth: Building the AI Factory." Harvard Business School Teaching Note 623-073, March 2023.
      • March 2023
      • Supplement

      Allianz Türkiye (B): Adapting to a Changing World

      By: John D. Macomber and Fares Khrais
      Keywords: Insurance And Reinsurance; Natural Disasters; Turkey; Insurance; Climate Change; Analytics and Data Science; Insurance Industry; Insurance Industry; Turkey
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      Macomber, John D., and Fares Khrais. "Allianz Türkiye (B): Adapting to a Changing World." Harvard Business School Supplement 223-076, March 2023.
      • March 2023
      • Supplement

      Allianz Türkiye (C): Managing the 2017 Hail Storm

      By: John D. Macomber and Fares Khrais
      Allianz Turkey is a property casualty insurance company operating in a region experiencing increasing losses from natural catastrophe events related to climate change, for example hail, wildfire, and flooding. There are also substantial other natural catastrophe... View Details
      Keywords: Insurance And Reinsurance; Natural Disasters; Turkey; Insurance; Climate Change; Analytics and Data Science; Insurance Industry; Insurance Industry; Turkey
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      Macomber, John D., and Fares Khrais. "Allianz Türkiye (C): Managing the 2017 Hail Storm." Harvard Business School Supplement 223-084, March 2023.
      • March 2023 (Revised April 2024)
      • Case

      Allianz Türkiye: Adapting to Climate Change

      By: John D. Macomber and Fares Khrais
      Allianz Turkey is a property casualty insurance company operating in a region experiencing increasing losses from natural catastrophe events related to climate change, for example hail, wildfire, and flooding. There are also substantial other natural catastrophe... View Details
      Keywords: Insurance And Reinsurance; Natural Disasters; Turkey; Insurance; Climate Change; Analytics and Data Science; Insurance Industry; Insurance Industry; Turkey
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      Macomber, John D., and Fares Khrais. "Allianz Türkiye: Adapting to Climate Change." Harvard Business School Case 223-074, March 2023. (Revised April 2024.)
      • February 2023 (Revised May 2023)
      • Case

      Accelerating the Accelerator: Raja Al Mazrouei at DIFC Fintech Hive

      By: Linda A. Hill, Emily Tedards and Lydia Begag
      In January 2023, Raja Al Mazrouei became the Managing Director and Acting CEO of Etihad Credit Insurance (ECI) in Dubai, UAE. In her previous role as the Executive Vice President of the DIFC Fintech Hive, she successfully built and led an accelerator program for... View Details
      Keywords: Organizational Change and Adaptation; Organizational Culture; Organizational Design; Organizational Structure; Management; Strategy; Technology Adoption; Information Infrastructure; Financial Management; Financial Strategy; Technological Innovation; Digital Marketing; Digital Strategy; Digital Transformation; Global Strategy; Globalized Markets and Industries; Banks and Banking; Corporate Finance; Leadership; Leadership Development; Leadership Style; Financial Services Industry; Financial Services Industry; Financial Services Industry; Middle East; Singapore; London; United Arab Emirates; Dubai
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      Hill, Linda A., Emily Tedards, and Lydia Begag. "Accelerating the Accelerator: Raja Al Mazrouei at DIFC Fintech Hive." Harvard Business School Case 423-064, February 2023. (Revised May 2023.)
      • February 2023
      • Case

      Grupo Sancor Seguros: Facing the Digital Transformation of Insurance in Argentina (A)

      By: Jorge Tamayo and Jenyfeer Martínez Buitrago
      In 2020, Alejandro Simón, CEO of Sancor Seguros Group, a nearly 75-year-old cooperative that had become Argentina’s insurance leader, had to decide about the Group’s digital transformation strategy. The Group’s values and history needed to be considered during the... View Details
      Keywords: Organizational Change and Adaptation; Digital Transformation; Organizational Culture; Cooperative Ownership; Strategy; Business Strategy; Adaptation; Technology Adoption; Insurance Industry; Latin America; South America; Argentina
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      Tamayo, Jorge, and Jenyfeer Martínez Buitrago. "Grupo Sancor Seguros: Facing the Digital Transformation of Insurance in Argentina (A)." Harvard Business School Case 723-422, February 2023.
      • February 2023
      • Supplement

      Grupo Sancor Seguros: Facing the Digital Transformation of Insurance in Argentina (B)

      By: Jorge Tamayo, Jenyfeer Martínez Buitrago and Mariana Cal
      In 2021, Alejandro Simón, CEO of Sancor Seguros Group, had to reassess the Group’s digital transformation strategy. View Details
      Keywords: Organizational Change and Adaptation; Organizational Culture; Cooperative Ownership; Strategy; Business Strategy; Adaptation; Technology Adoption; Insurance Industry; Latin America; South America; Argentina
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      Tamayo, Jorge, Jenyfeer Martínez Buitrago, and Mariana Cal. "Grupo Sancor Seguros: Facing the Digital Transformation of Insurance in Argentina (B)." Harvard Business School Supplement 723-423, February 2023.
      • January 2023
      • Case

      Thomas Buberl: Refounding AXA

      By: Hubert Joly, Mihir Desai and Amram Migdal
      In 2022, AXA and its CEO Thomas Buberl faced new types of challenges, including systemic risks such as climate change, geopolitical instability, public health crises, and social tensions caused by economic risks. AXA was one of the world’s largest insurers. Since... View Details
      Keywords: Change; Change Management; Transformation; Transition; Trends; Environmental Management; Climate Change; Ethics; Values and Beliefs; Finance; Insurance; Management; Management Succession; Risk Management; Organizations; Corporate Social Responsibility and Impact; Mission and Purpose; Organizational Change and Adaptation; Planning; Strategic Planning; Risk and Uncertainty; Society; Human Needs; Social Issues; Strategy; Adaptation; Business Strategy; Corporate Strategy; Insurance Industry; Europe; France; Paris
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      Joly, Hubert, Mihir Desai, and Amram Migdal. "Thomas Buberl: Refounding AXA." Harvard Business School Case 523-059, January 2023.
      • 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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      Egan, Mark, Shan Ge, and Johnny Tang. "Conflicting Interests and the Effect of Fiduciary Duty: Evidence from Variable Annuities." Review of Financial Studies 35, no. 12 (December 2022): 5334–5386.
      • November 2022
      • Case

      The Battle Among Channels for Marketing Pharmaceuticals: UpScript, Pharmacy Benefit Managers, and Direct-to-Consumer Sales

      By: Regina E. Herzlinger and Tiffany Farrell
      Can an online, direct-to-consumer pharmacy both improve the quality and speed of care for patients who need branded drugs and stabilize profits for pharmaceutical manufacturers? UpScript, after years spent achieving legal and regulatory compliance and simultaneous... View Details
      Keywords: DTC; Internet and the Web; Marketing Channels; Customer Value and Value Chain; Governing Rules, Regulations, and Reforms; Competitive Strategy; Service Delivery; Growth and Development Strategy; Pharmaceutical Industry; Pharmaceutical Industry; Pharmaceutical Industry
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      Herzlinger, Regina E., and Tiffany Farrell. "The Battle Among Channels for Marketing Pharmaceuticals: UpScript, Pharmacy Benefit Managers, and Direct-to-Consumer Sales." Harvard Business School Case 323-031, November 2022.
      • October 2022 (Revised August 2024)
      • Case

      Cigna-Express Scripts: Can a Vertical Merger Rescue an Industry Under Attack?

      By: Leemore Dafny
      In Fall 2019, Cigna Corporation – a global health services company with a significant presence in the U.S. employer-sponsored health insurance market - was digesting its $54 billion acquisition of Express Scripts, Inc. (ESI), a pharmacy benefit manager (PBM)... View Details
      Keywords: Mergers and Acquisitions; Business Model; Vertical Integration; Insurance Industry
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      Dafny, Leemore. "Cigna-Express Scripts: Can a Vertical Merger Rescue an Industry Under Attack?" Harvard Business School Case 323-038, October 2022. (Revised August 2024.)
      • October 2022
      • Case

      Beam Dental (A)

      By: Rembrand Koning and Alicia Dadlani
      In May 2014, Alex Frommeyer, cofounder and CEO of Kentucky-based Beam Dental, a seed-stage startup that developed connected toothbrushes that tracked brushing habits, needed to decide which strategy to pitch to a venture capital firm. The first pitch deck played to the... View Details
      Keywords: Business Startups; Business Strategy; Entrepreneurship; Financing and Loans; Presentations; Product Development; Insurance Industry; United States; Kentucky; Ohio
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      Koning, Rembrand, and Alicia Dadlani. "Beam Dental (A)." Harvard Business School Case 723-355, October 2022.
      • October 2022
      • Supplement

      Beam Dental (A): Pitch Deck Supplement 1

      By: Rembrand Koning and Alicia Dadlani
      Early pitch deck (one of two). This case is a supplement to Beam Dental (A) 723-355. View Details
      Keywords: Business Startups; Business Strategy; Entrepreneurship; Insurance Industry; United States; Kentucky; Ohio
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      Koning, Rembrand, and Alicia Dadlani. "Beam Dental (A): Pitch Deck Supplement 1." Harvard Business School Supplement 723-374, October 2022.
      • October 2022
      • Supplement

      Beam Dental (B)

      By: Rembrand Koning and Alicia Dadlani
      In May 2016, venture-backed Beam Dental was on the brink of financial collapse. Cofounder and CEO Alex Frommeyer weighed the unattractive terms of a bridge loan offered by Beam’s largest investor. Frommeyer needed to decide whether to accept the terms or concede defeat... View Details
      Keywords: Business Startups; Business Strategy; Entrepreneurship; Insolvency and Bankruptcy; Financing and Loans; Insurance Industry; United States; Kentucky; Ohio
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      Koning, Rembrand, and Alicia Dadlani. "Beam Dental (B)." Harvard Business School Supplement 723-356, October 2022.
      • September 2022
      • Technical Note

      Addressing Social Determinants of Health in the American Landscape

      By: Susanna Gallani and Jacob Riegler
      Social determinants of health (SDOH) have gained significant attention in recent years. A growing body of research shows that a person’s health is influenced by a large number of non-genetic factors, most of which operate outside the realm of health care and are... View Details
      Keywords: Socioeconomic Determinants Of Health; Social Determinants Of Health; Population Health; Health; Health Care and Treatment; Social Issues; Health Industry; Health Industry; Health Industry; United States
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      Gallani, Susanna, and Jacob Riegler. "Addressing Social Determinants of Health in the American Landscape." Harvard Business School Technical Note 123-023, September 2022.
      • July 2022 (Revised February 2025)
      • Case

      A Soul and a Service: North Carolina Mutual Life Insurance

      By: Tom Nicholas and John Masko
      The North Carolina Mutual and Provident Association (the Mutual) was founded in 1898 as a for-profit entity selling life insurance catering to the Black community. The Mutual was entering a field crowded with established White-owned competitors that largely refused to... View Details
      Keywords: Black Entrepreneurs; Insurance; History; Race; Prejudice and Bias; Entrepreneurship; Decision Choices and Conditions; Growth and Development Strategy; Insurance Industry; United States
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      Nicholas, Tom, and John Masko. "A Soul and a Service: North Carolina Mutual Life Insurance." Harvard Business School Case 823-032, July 2022. (Revised February 2025.)
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