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  • All HBS Web  (888)
    • People  (1)
    • News  (104)
    • Research  (698)
  • Faculty Publications  (508)
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  • August 2012 (Revised December 2023)
  • Background Note

Note on Health Insurance Coverage, Coding, and Payment

By: Regina E. Herzlinger and Jo Ellen Slurzberg
This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details
Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Health Industry
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Herzlinger, Regina E., and Jo Ellen Slurzberg. "Note on Health Insurance Coverage, Coding, and Payment." Harvard Business School Background Note 313-042, August 2012. (Revised December 2023.)
  • March 2024 (Revised January 2025)
  • Case

Hippo: Weathering the Storm of the Home Insurance Crisis

By: Lauren Cohen, Grace Headinger and Sophia Pan
Rick McCathron, CEO of Hippo, considered how the firm’s underwriting model could account for the effects of climate change. Along with providing smart home packages, targeting risk-friendly customers, and using data-driven pricing, the Insurtech used technologically... View Details
Keywords: Fintech; Underwriters; Big Data; Insurance Companies; Business Model Design; Weather Insurance; Business Model; Forecasting and Prediction; Climate Change; Environmental Sustainability; Green Technology; Technological Innovation; Natural Environment; Natural Disasters; Weather; Business Strategy; Competitive Advantage; Business Earnings; Insurance; Social Issues; Insurance Industry; United States; California
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Cohen, Lauren, Grace Headinger, and Sophia Pan. "Hippo: Weathering the Storm of the Home Insurance Crisis." Harvard Business School Case 224-080, March 2024. (Revised January 2025.)
  • 24 Apr 2024
  • News

Florida’s Home Insurance Industry May Be Worse Than Anyone Realizes

  • 20 Dec 2022
  • News

How Many More Disasters Can the Property Insurance Industry Survive?

    Insurance in China: The Introduction and Indigenisation of the Industry

    • 09 Jan 2025
    • News

    LA Fires Spotlight the Home Insurance Industry amid Climate Change

    • June 2019
    • Case

    Monetizing Insurance at Trov

    By: Thales Teixeira, Samy Dana and Leandro A Guissoni
    Trov is a disruptive startup in the insurance space (“insurtech”). It allows consumers to simply turn on and turn off insurance for each of their possessions on a mobile app with the swipe of a finger. Consumers love the simple, on-demand, single-item coverage product.... View Details
    Keywords: Monetization; Decoupling; Business Startups; Insurance; Disruption; Mobile and Wireless Technology; Strategy; Insurance Industry
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    Teixeira, Thales, Samy Dana, and Leandro A Guissoni. "Monetizing Insurance at Trov." Harvard Business School Case 519-082, June 2019.
    • June 2001 (Revised April 2004)
    • Case

    Innovation at Progressive (B): Homeowners Insurance

    By: Frances X. Frei and Hanna Rodriguez-Farrar
    Analyzes whether Progressive, strictly an auto insurer, should enter the home owner's insurance market. The critical decision is whether the competencies that made Progressive succeed in the auto insurance industry can translate to the home owner's insurance industry. View Details
    Keywords: Market Entry and Exit; Insurance Industry
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    Frei, Frances X., and Hanna Rodriguez-Farrar. "Innovation at Progressive (B): Homeowners Insurance." Harvard Business School Case 601-138, June 2001. (Revised April 2004.)
    • 2012
    • Chapter

    China: The Indigenization of Insurance

    By: Elisabeth Koll and David Faure
    The concept of insurance was introduced to China in the early nineteenth century by Westerners trading in Guangzhou and practised essentially among them. We argue that indigenization of insurance, in particular life insurance, was a slow process that stretched from the... View Details
    Keywords: History; Insurance; Insurance Industry; China
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    Koll, Elisabeth, and David Faure. "China: The Indigenization of Insurance." In World Insurance: The Evolution of a Global Risk Network, edited by Peter Borscheid and Niels Viggo Haueter. Oxford University Press, 2012.
    • August 1994 (Revised May 1995)
    • Case

    Engineering Inspection & Insurance Company

    By: Robert H. Hayes
    Engineering Inspection & Insurance Co. (EIIC) is a small but highly successful company that offers machinery and boiler inspection and insurance services. After years of above-average growth and profits, both are retreating toward the industry average, policy delivery... View Details
    Keywords: Service Operations; Business Strategy; Organizational Design; Organizational Structure; Insurance; Strategic Planning; Problems and Challenges; Insurance Industry; United States
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    Hayes, Robert H. "Engineering Inspection & Insurance Company." Harvard Business School Case 695-009, August 1994. (Revised May 1995.)
    • January 1993 (Revised November 1995)
    • Case

    AXA: The Global Insurance Company

    Claude Bebear, the CEO of AXA, the tenth-largest insurer in Europe, has just completed an acquisition of the Equitable, the seventh-largest insurer in the United States. As part of his strategy to make AXA the first truly global insurance company, Bebear is considering... View Details
    Keywords: Market Entry and Exit; Insurance; Global Strategy; Acquisition; Insurance Industry; Asia; North America; Europe
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    Goodman, John B., and Patrick Moreton. "AXA: The Global Insurance Company." Harvard Business School Case 793-094, January 1993. (Revised November 1995.)
    • August 2018 (Revised August 2019)
    • Case

    Oscar Health Insurance: What Lies Ahead for a Unicorn Insurance Entrant?

    By: Leemore Dafny and Victoria Marone
    Keywords: Oscar Insurance; Fintech; US Health Care; Affordable Care Act (ACA); Health Insurance Marketplaces; Insurer Competition; Provider Consolidation; Market Entry; Health Care and Treatment; Entrepreneurship; Market Entry and Exit; Negotiation; Growth Management; Health Industry; Health Industry; New York (state, US); New Jersey
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    Dafny, Leemore, and Victoria Marone. "Oscar Health Insurance: What Lies Ahead for a Unicorn Insurance Entrant?" Harvard Business School Case 319-025, August 2018. (Revised August 2019.)
    • September 1996 (Revised August 1999)
    • Case

    Massachusetts Automobile Insurance 1999

    By: Richard F. Meyer
    The data and background are provided to enable students to determine what deductible insurance they wish to have in Massachusetts. View Details
    Keywords: Decisions; Risk Management; Insurance Industry
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    Meyer, Richard F. "Massachusetts Automobile Insurance 1999." Harvard Business School Case 897-041, September 1996. (Revised August 1999.)
    • 2003
    • Working Paper

    Market Discipline in the Thrift Industry and the Cost of Deposit Insurance

    By: Benjamin C. Esty and C. Y. Baldwin
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    Esty, Benjamin C., and C. Y. Baldwin. "Market Discipline in the Thrift Industry and the Cost of Deposit Insurance." Harvard Business School Working Paper, No. 93-029, January 2003.
    • December 2011
    • Article

    Deposit Insurance and Subsidized Recapitalizations

    By: Lucy White and Alan Morrison
    The 2007–2009 financial crisis saw a vast expansion in deposit insurance guarantees around the world and yet our understanding of the design and consequences of deposit insurance schemes is in its infancy. We provide a new rationale for the provision of deposit... View Details
    Keywords: Financial Crisis; Banks and Banking; Insurance; Taxation; Business and Government Relations; Banking Industry
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    White, Lucy, and Alan Morrison. "Deposit Insurance and Subsidized Recapitalizations." Journal of Banking & Finance 35, no. 12 (December 2011): 3400–3416.
    • January 2025
    • Supplement

    Hippo: Weathering the Storm of the Home Insurance Crisis (B)

    By: Lauren Cohen, Grace Headinger and Sophia Pan
    Rick McCathron, CEO of Hippo, was optimistic about the InsurTech's path to profitability after navigating the financial uncertainties of 2022. By bundling their home insurance services with third-parties and established insurance incumbents, Hippo was adopting a... View Details
    Keywords: Fintech; Underwriters; Big Data; Homeowners' Insurance; Catastrophe Risk; Global Warming; Environment; Business Economics; Vertical Specialization; Bundling; Economies Of Scale; Business Model; Forecasting and Prediction; Climate Change; Environmental Sustainability; Green Technology; Technological Innovation; Natural Environment; Natural Disasters; Weather; Business Strategy; Competitive Advantage; Business Earnings; Insurance; Social Issues; Profit; Growth and Development Strategy; Insurance Industry; California; United States
    Citation
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    Cohen, Lauren, Grace Headinger, and Sophia Pan. "Hippo: Weathering the Storm of the Home Insurance Crisis (B)." Harvard Business School Supplement 225-051, January 2025.
    • Article

    Consumers' Misunderstanding of Health Insurance

    By: George Loewenstein, Joelle Y. Friedman, Barbara McGill, Sarah Ahmad, Suzanne Linck, Stacey Sinkula, John Beshears, James J. Choi, Jonathan Kolstad, David Laibson, Brigitte C. Madrian, John A. List and Kevin G. Volpp
    We report results from two surveys of representative samples of Americans with private health insurance. The first examines how well Americans understand, and believe they understand, traditional health insurance coverage. The second examines whether those insured... View Details
    Keywords: Behavioral Economics; Simplification; Insurance; Consumer Behavior; Health Care and Treatment; Cognition and Thinking; Insurance Industry; Insurance Industry; United States
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    Loewenstein, George, Joelle Y. Friedman, Barbara McGill, Sarah Ahmad, Suzanne Linck, Stacey Sinkula, John Beshears, James J. Choi, Jonathan Kolstad, David Laibson, Brigitte C. Madrian, John A. List, and Kevin G. Volpp. "Consumers' Misunderstanding of Health Insurance." Journal of Health Economics 32, no. 5 (September 2013): 850–862.
    • October 2018
    • Case

    American Family Insurance and the Artificial Intelligence Opportunity

    By: Rajiv Lal and Scott Johnson
    Keywords: Artificial Intelligence; Machine Learning; Automation; Analytics; American Family; American Family Insurance; Insurance; Business Organization; Transformation; Talent and Talent Management; Employee Relationship Management; Innovation Strategy; Job Cuts and Outsourcing; Risk and Uncertainty; Mobile and Wireless Technology; Technology Adoption; Internet and the Web; Applications and Software; Corporate Strategy; AI and Machine Learning; Digital Transformation; Insurance Industry; Insurance Industry; Wisconsin
    Citation
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    Lal, Rajiv, and Scott Johnson. "American Family Insurance and the Artificial Intelligence Opportunity." Harvard Business School Case 519-028, October 2018.
    • 1999
    • Chapter

    The Moral Hazard of Insuring the Insurers

    By: Brian J. Hall and James G. Bohn
    Keywords: Insurance; Conflict of Interests; Ethics; Insurance Industry
    Citation
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    Hall, Brian J., and James G. Bohn. "The Moral Hazard of Insuring the Insurers." In The Financing of Catastrophe Risk, edited by Kenneth A. Froot. Chicago: University of Chicago Press, 1999.
    • May 2002 (Revised February 2004)
    • Case

    Innovation at Progressive (A): Pay-As-You-Go Insurance

    By: Frances X. Frei and Hanna Rodriguez-Farrar
    Consumer auto insurance is a price-sensitive industry in which customers rarely pay a premium to a provider even for additional service features. Progressive spends more on additional service features than its competitors do; consumers don't pay extra for these... View Details
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    Frei, Frances X., and Hanna Rodriguez-Farrar. "Innovation at Progressive (A): Pay-As-You-Go Insurance." Harvard Business School Case 602-175, February 2004. (Revised from original May 2002 version.)
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