Publications

02 Jan 2020
Op-Ed

Medicare for All or Public Option: Can Either Heal Health Care?

Medicare Advantage program, the public option would harness Medicare’s pricing advantages while ensuring a competitive marketplace for benefits. Can the somnolent private insurers that cover close to 200... View Details

Keywords: by Regina E. Herzlinger and James Wallace; Health; Public Administration

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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May 2005 (Revised February 2007)
Case

HNA Group: "A Miracle in Civil Aviation"

By: Cynthia A. Montgomery and Carole Winkler

Chen Feng and three others started Hainan Airlines in China during a historic transformation and privatization of the civil aviation industry. From a small loan from the local province in 1992, Chairman Chen built the company into a conglomerate that, by 2003, owned... View Details

Keywords: Growth Management; Air Transportation; Business Growth and Maturation; Competitive Advantage; Emerging Markets; Business Startups; Air Transportation Industry; China

May 1997 (Revised May 1998)
Case

Progressive Corporation

By: Michael E. Porter and Nicolaj Siggelkow

Progressive is a leader in providing nonstandard (high-risk) automobile insurance to drivers across America, with a long record of extraordinary profitability. Progressive is facing a challenge in its segment from Allstate, the industry leader, and must decide how to... View Details

Keywords: Insurance; Business or Company Management; Growth and Development Strategy; Growth Management; Planning; Business Strategy; Competition; Competitive Strategy; Insurance Industry; Insurance Industry; United States

05 Aug 2002
Research & Ideas

Are Consumers the Cure for Broken Health Insurance?

Just as we saw with the securities industry, entrepreneurs will respond to the unleashing of consumer demands with clearly differentiated products featuring various combinations of benefits, levels of insurance coverage, payment systems... View Details

Keywords: by Regina E. Herzlinger

August 2013 (Revised November 2015)
Case

Prudential Financial - General Motors Pension Risk Transfer: Back to the Future?

By: Luis M. Viceira and Emily A. Chien

In November 2012, Prudential Financial and General Motors closed on a $25.1B pension risk transfer (PRT) transaction, the largest of its kind to date by an order of magnitude both in the U.S. market and globally. In exchange for an in-kind transfer of $25.1B in... View Details

Keywords: Risk Management; Asset Management; Insurance; Retirement; Insurance Industry; Insurance Industry

March 2021
Case

VideaHealth: Building the AI Factory

By: Karim R. Lakhani and Amy Klopfenstein

Florian Hillen, co-founder and CEO of VideaHealth, a startup that used artificial intelligence (AI) to detect dental conditions on x-rays, spent the early years of his company laying the groundwork for an AI factory. A process for quickly building and iterating on new... View Details

Keywords: Artificial Intelligence; Innovation and Invention; Disruptive Innovation; Technological Innovation; Information Technology; Applications and Software; Technology Adoption; Digital Platforms; Entrepreneurship; AI and Machine Learning; Technology Industry; Medical Devices and Supplies Industry; North and Central America; United States; Massachusetts; Cambridge

April 2013 (Revised November 2013)
Case

Growing Financial Services in India: Aditya Birla Financial Services Group

By: Paul M. Healy and Rachna Tahilyani

Aditya Birla Financial Services Group is a large, broad-based, Indian financial services institution offering products ranging from life insurance and mutual funds to private equity. The company has witnessed a turnaround in recent years and regained lost market share.... View Details

Keywords: Regulatory Environment; Finance; Asset Management; Business Growth and Maturation; Transformation; Leadership Development; Leadership Style; Business Processes; Organizational Structure; Organizational Change and Adaptation; Competitive Strategy; Diversification; Segmentation; Insurance Industry; Insurance Industry; India

04 Dec 2007
First Look

First Look: December 4, 2007

advantage and market outcomes hence could be more efficient with stronger indirect network effects. We empirically examine the competition between the Xbox and PlayStation 2 consoles. We find that Xbox has a small quality advantage over... View Details

Keywords: Martha Lagace

August 2006 (Revised July 2008)
Case

The Progressive Corporation

By: John R. Wells, Marina Lutova and Ilan Sender

For decades, Progressive has proven to be one of the most innovative players in the US auto insurance industry, but can it maintain its lead? Progressive has moved up to the number three position in the industry in 2006, but competitors are finally waking up to the... View Details

Keywords: Competitive Advantage; Competitive Strategy; Innovation and Invention; Insurance Industry; Insurance Industry; United States

April 2002 (Revised September 2003)
Case

Stephen Brown at John Hancock Financial Services

By: Robin J. Ely

Describes a major organizational transformation process at John Hancock Financial Services in which CEO Stephen Brown takes a series of measured steps to turn the old-line mutual insurance company into a competitive, performance-oriented financial services firm. At the... View Details

Keywords: Change Management; Leadership; Organizational Change and Adaptation; Organizational Culture; Alignment; Competitive Strategy; Financial Services Industry

May 2004 (Revised April 2005)
Case

Prudential Securities

By: Boris Groysberg, Paul M. Healy and Amanda Cowen

Prudential Insurance Co. attempted to diversify into financial services by building an investment banking franchise. Prudential's initial foray into the industry was its acquisition of The Bache Group in 1982. In 2000, the company decided to exit investment banking.... View Details

Keywords: Investment Banking; Corporate Strategy; Competitive Strategy; Market Entry and Exit; Diversification; Mergers and Acquisitions; Insurance Industry; Insurance Industry

31 Jul 2018
First Look

New Research and Ideas, July 31, 2018

Shankar MD, Suptendra N. Sarbadhikari PhD, Barbara Bierer, Kenneth D. Mandl MD, Sanjay Mehendale MD, MPH, and Tarun Khanna Abstract—In February 2018, the Government of India announced a massive public health insurance scheme extending... View Details

Keywords: Dina Gerdeman

August 1999
Case

Health Resources & Technology

Health Resources & Technology is an entrepreneurial company with aggressive growth goals. The company sells medical-consultation services to insurance carriers that then repackage the service with their health care policies. Founded by two Brigham & Women's Hospital... View Details

Keywords: Information Technology; Goals and Objectives; Competitive Strategy; Health Care and Treatment; Growth and Development Strategy; Health Industry

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27 Aug 2013
First Look

First Look: August 27

many managers overestimate the attractiveness of using IP to exert market power. Rather, the value of the various means to protect and benefit from IP depends on firm strategy, the competitive landscape, and the rapidly changing contours... View Details

Keywords: Sean Silverthorne

February 2022 (Revised February 2024)
Case

Sekisui House and the In-Home Early Detection Platform

By: John D. Macomber and Akiko Kanno

To address an aging population and sales declines, a major Japanese homebuilder considers pivoting to provide and support an in-home health detection platform, in competition with tech companies. This case considers the point of view of major builders regarding how... View Details

Keywords: Voice Assistants; Architecture; Smart Home; Aging Society; Digitalization; Real Estate; Home Automation; Sensors; Strategy; Digital Platforms; Health Care and Treatment; Housing; Age; Real Estate Industry; Construction Industry; Health Industry; Japan

May 2018 (Revised June 2018)
Case

Ashar Group: Brokers and Co-opetition in the Life Settlement Industry

By: Alexander Braun, Lauren H. Cohen, Christopher J. Malloy and Jiahua Xu

Connecting life insurance policyholders with potential investors (called Life Settlement Providers), Ashar Group plays a pivotal role in the industry. Its current position is, however, increasingly being challenged by consumer-direct models, led by major providers... View Details

Keywords: Insurance; Investment; Markets; Competitive Strategy; Cooperation; Financial Services Industry