Publications

March 2013 (Revised December 2016)
Supplement

Assured Guaranty (CW)

By: Robin Greenwood, Adi Sunderam and Jared Dourdeville

Keywords: Value Investing; Investments; Valuation; Insurance; Investment; Behavioral Finance; Insurance Industry

November 25, 2015
Article

Developing Bundled Reimbursement for Cancer Care

By: Thomas Feeley, Tracy E. Spinks and Alexis Guzman

This case study describes the development of a bundled reimbursement pilot for head and neck cancer patients treated at the University of Texas MD Anderson Cancer Center. The study describes the steps involved and the challenges to new alternative payment models in... View Details

Keywords: Insurance; Health Care and Treatment; Insurance Industry; Insurance Industry

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October 2014 (Revised December 2014)
Case

Gentera: Beyond Microcredit

By: Rajiv Lal and Lisa Mazzanti

Gentera, whose largest subsidiary is Compartamos Banco, has been a fantastically successful endeavor since it started in the 1990s. But in 2014, Gentera faces challenges in expanding beyond group-lending and micro-credit into microfinance and beyond in order to fulfill... View Details

Keywords: Financial Inclusion; Compartamos; Gentera; Micro-lending; Microfinance; Insurance; Banking Industry; Banking Industry; Mexico City

June 1975
Case

Marsh & McLennan (B)

Presents the results of a computer simulation of aircraft hull insurance. Discussion will focus on the interpretation of the results described. Designed to be handed out in class. Rewrite of an earlier supplement by P. Vatter. View Details

Keywords: Air Transportation; Insurance; Air Transportation Industry; Air Transportation Industry

September 2016
Article

Value Based Care and Bundled Payments: Anesthesia Care Costs for Outpatient Oncology Surgery Using Time-driven Activity-based Costing

By: Katy E. French, Alexis B. Guzman, Augustin C. Rubio, John C. Frenzel and Thomas Feeley

Background: With the movement towards bundled payments, stakeholders should know the true cost of the care they deliver. Time-driven activity-based costing (TDABC) can be used to estimate costs for each episode of care. In this analysis, TDABC is used to both... View Details

Keywords: Cost; Insurance; Health Care and Treatment; Insurance Industry; Insurance Industry

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January 2008 (Revised August 2012)
Case

Retail Sales of Health Insurance: Blue Cross Blue Shield of Florida

By: Regina E. Herzlinger and Grady Clouse

The BCBS of Florida is contemplating whether to enter the consumer-driven health care market and if so, whether to target such groups—and individuals—and in which of its geographic markets, and how. View Details

Keywords: Health Care and Treatment; Nonprofit Organizations; Strategy; Insurance; Insurance Industry; Florida

August 2011 (Revised July 2014)
Case

Amil and the Health Care System in Brazil

By: Regina E. Herzlinger and Ricardo Reisen de Pinho

Dr. Edson Bueno created Amil, Brazil's largest health insurer. Unlike many others, it is vertically integrated. Dr. Bueno has two opportunities for growth. Which, if any, should he pursue? View Details

Keywords: Health Care and Treatment; Innovation and Invention; Opportunities; Insurance; Vertical Integration; Insurance Industry; Brazil

May 1994 (Revised February 2021)
Background Note

Note on Reimbursement of Health Care Providers: Case-Based and Capitation Payment

By: Regina E. Herzlinger and Tom Nagle

Explains how managed care organizations use capitation as a payment method for providers. View Details

Keywords: Managed Care; Capitation; Health Care and Treatment; Insurance; Accounting; Financial Management; Health Industry; Health Industry

September 2013 (Revised May 2014)
Case

OdontoPrev

By: Regina E. Herzlinger, Matthew Lingenbrink, Joshua Turnbull and Ricardo Reisen De Pinho

Brazil's largest dental insurer, a successful and innovative firm, has saturated the corporate market and faces stiffer competition. It must decide whether to enter a new market in Brazil or to expand into other parts of Central and South America. View Details

Keywords: Health; Business or Company Management; Market Entry and Exit; Insurance; Insurance Industry; Insurance Industry; North and Central America; Brazil

June 1989 (Revised July 1993)
Case

CIGNA Worldwide

By: John A. Quelch

A CIGNA Worldwide (CWW) task group of European country directors and key functional managers is meeting in November 1988 to discuss how CWW should respond to the European Community's plan to remove existing internal barriers and restrictions to the free flow of goods... View Details

Keywords: Multinational Firms and Management; Insurance; Competitive Strategy; Emerging Markets; Trade; Insurance Industry; Europe

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01 Mar 2016
News

Off Script

(Thinkstock) Prescription drug spending increased by more than 13 percent in the United States in 2014, raising health insurance premiums and the ire of consumers and politicians. The reasons behind the rise are many, including the high... View Details

Keywords: Insurance Carriers and Related Activities; Insurance Carriers and Related Activities

Truman K. Gibson

In 1943, Gibson became head of Supreme Life Insurance, which had $53.8 million in industrial insurance policies in force. Gibson ushered in a solid seven years of growth and financial stability. Gibson’s... View Details

Keywords: Finance

November 2009 (Revised March 2011)
Case

New York Life and Immediate Annuities

By: Julio J. Rotemberg and John T. Gourville

By positioning Immediate Annuities as "guaranteed lifetime income," New York Life has built itself a $1.4 billion per year business by 2009. However, to make Immediate Annuities a mainstream financial product for retirees, New York Life must understand why many... View Details

Keywords: Insurance; Personal Finance; Product Marketing; Consumer Behavior; Retirement; Salesforce Management; Insurance Industry

March 1999 (Revised October 1999)
Case

Tufts Health Plan

By: Richard M.J. Bohmer and Nancy D. Beaulieu

Describes the introduction of capitation by a managed care company and the challenges of managing financial risk in the Medicare population. Focuses on the relationship between the health plan and physicians. View Details

Keywords: Health; Behavior; Motivation and Incentives; Risk and Uncertainty; Insurance; Health Industry; Health Industry

Having worked in a large, successful white insurance firm, Gillespie saw the need to bring better insurance services to Chicago’s black community and founded Liberty Life in 1919. Unlike other View Details

Keywords: Finance

Article

Affording to Wait: Medicare Initiation and the Use of Health Care

By: Guy David, Philip Saynisch, Victoria Acevado-Perez and Mark D. Neuman

Delays in receipt of necessary diagnostic and therapeutic medical procedures related to the timing of Medicare initiation at age 65 years have potentially broad welfare implications. We use 2005–2007 data from Florida and North Carolina to estimate the effect of... View Details

Keywords: Medicare; Behavior; Insurance; Health Care and Treatment; Insurance Industry; Insurance Industry; Insurance Industry; North Carolina; Florida

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November 2023 (Revised June 2025)
Case

Aviva plc: Examining Net Zero

By: Peter Tufano, Brian Trelstad and Matteo Gasparini

The board of Aviva Plc, one of the world’s largest insurers, must review its climate risk exposures and evaluate next steps. Risk experts at the firm have conducted a robust set of analyses prepared for its regulator, the Bank of England, simulating how various climate... View Details

Keywords: Analysis; Climate Change; Insurance; Governing and Advisory Boards; Risk Management; Adaptation; Financial Services Industry; Insurance Industry; Europe; United Kingdom

May 2010 (Revised January 2012)
Teaching Note

Lincoln Financial Meets the Financial Crisis (TN)

By: Robert C. Pozen

Teaching Note for 310137. View Details

Keywords: Financial Crisis; Decisions; Capital; Cost; Private Sector; Government and Politics; Compensation and Benefits; Business and Stakeholder Relations; Insurance; Insurance Industry