Publications

December 2024
Supplement

Core Innovation Capital: Investing in Fintech for Good (B)

By: Ray Kluender, Natalia Rigol, Benjamin Roth and Nicole Tempest Keller

In 2017, Core Innovation Capital invested $725,000 in Hugo Insurance, a pay-as-you-drive auto insurance startup targeting the non-standard market. Core followed with $300,000 in 2019 during a Seed II round. By 2022, Hugo founder, David Bergendahl, sought $10 million in... View Details

Keywords: Fintech; Venture Capital; Social Entrepreneurship; Insurance; Measurement and Metrics; Investment; Insurance Industry; Insurance Industry; Insurance Industry; United States

15 Oct 2012
News

Pay-as-You-Drive Insurance: Big Brother Needs a Makeover

May 2025 (Revised May 2025)
Case

Humana Commits to Value-Based Care

By: V.G. Narayanan, Henry Eyring and David Lane

In late 2023, CEO Bruce Broussard reviewed health insurer Humana’s transformation into a value-based care ecosystem. Under its CenterWell brand, the several millions of members in Humana Medicare Advantage plans now had access to Humana-provided primary care, home... View Details

Keywords: Business Model; Business Units; Financing and Loans; Innovation Strategy; Growth and Development Strategy; Service Operations; Mergers and Acquisitions; Insurance; Health Care and Treatment; Partners and Partnerships; Insurance Industry; Insurance Industry; United States

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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27 Oct 2020
News

Hospital Merger Seeks to Create Regional Giant in the West

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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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; Medical Devices and Supplies Industry; Medical Devices and Supplies Industry; North and Central America; United States; Massachusetts; Cambridge

President Joe Biden’s promise to give every American access to affordable health insurance is well-intentioned, but his plan’s policy elements—a public option, a permanent expanded tax credit—require congressional approval and would expend significant political and... View Details

June 2009
Case

Executive Remuneration at Royal Dutch Shell (A)

By: Jay W. Lorsch and Kaitlyn Simpson

The remuneration committee at Shell decided to exercise their discretionary power to award five top executives a bonus for 2008, even though they had not met the necessary performance measures under the compensation plan. Proxy advisors RiskMetrics and the British... View Details

Keywords: Corporate Governance; Governance Controls; Executive Compensation; Performance Evaluation; Business and Shareholder Relations; Energy Industry

October 2018 (Revised January 2019)
Case

The Financial Crisis: Hank Paulson in 2008

By: Adi Sunderam, Robin Greenwood, Sam Hanson and David Scharfstein

On the afternoon of Monday October 13, 2008, Hank Paulson Jr., the Secretary of the Treasury of the United States, walked into the large conference room across the hall from his office in the Treasury Department. Joining him were Federal Reserve Chairman Ben Bernanke,... View Details

Keywords: Bailout; Regulation; Financial Crisis; History; Governing Rules, Regulations, and Reforms; Decision Making; Banking Industry; Financial Services Industry; Real Estate Industry; United States

A fundamental implication of standard moral hazard models is overuse of low-value medical care because copays are lower than costs. In these models, the demand curve alone can be used to make welfare statements, a fact relied on by much empirical work. There is... View Details

Article

Beyond Statistics: The Economic Content of Risk Scores

By: Liran Einav, Amy Finkelstein, Raymond Kluender and Paul Schrimpf

"Big data" and statistical techniques to score potential transactions have transformed insurance and credit markets. In this paper, we observe that these widely-used statistical scores summarize a much richer heterogeneity, and may be endogenous to the context in which... View Details

Keywords: Analytics and Data Science; Risk and Uncertainty; Insurance Industry

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Teaching

Overview

By: Regina E. Herzlinger

Course Requirements

Students are required to prepare a business plan, which employs the framework of this course, to explore an entrepreneurial opportunity in health care, and to evaluate their classmates' plans.

Career Focus

For... View Details

February 1995 (Revised September 1995)
Case

The Bourland Companies

By: William J. Poorvu and John H. Vogel Jr.

Michael Bourland, the president of the Bourland Companies, needs to refinance two properties, an office building in southern New Hampshire and a retail property in Massachusetts. He is considering three alternatives: a renewal of a bank mini-perm, a 15-year mortgage... View Details

Keywords: Capital Markets; Property; Mortgages; Family Business; Financial Management; Family Ownership; Real Estate Industry; Massachusetts; North and Central America

October 2006 (Revised March 2008)
Case

2006 Hurricane Risk

By: Andre F. Perold and Erik Stafford

In May 2006, a resident of Key West, Florida had to decide whether to renew his policy to insure against hurricane damage. The policy would cost $13,000 for one year, $5,000 more than what he paid in 2005. At the same time, a wealthy California resident was... View Details

Keywords: Capital Markets; Cost; Insurance; Price; Risk Management; California; Key West

07 Nov 2015
News

I Am Paying for Your Expensive Medicine

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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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