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February 2020 (Revised June 2020)
Case

From Cradle to Heaven: Taikang Insurance Group

By: William C. Kirby, Shu Lin, John P. McHugh and Yuanzhuo Wang

Taikang Insurance Group was a leading Chinese insurance and financial services institution. It operated in the insurance, asset management, and health and senior care industries. Due to China’s underdeveloped social welfare state, Taikang saw an opportunity for the... View Details

Keywords: Health; Insurance; Strategy; Insurance Industry; China

June 30, 2020
Article

Bipartisan Tax-Free Solution to Health Care Financing: Coupling HRAs With a Public Option

By: Regina E. Herzlinger, Richard Boxer and James Wallace

A combination of health insurance initiatives by the presumptive 2020 Democratic and Republican presidential nominees could expand health care coverage and significantly reduce costs, without raising taxes. Along the way, the combination could revitalize private... View Details

Keywords: Health Care Financing; Public Option; Health Reimbursement Arrangement (HRA); Health Care and Treatment; Insurance; Cost Management

2023
Working Paper

Achieving Universal Health Insurance Coverage in the United States: Addressing Market Failures or Providing a Social Floor?

By: Katherine Baicker, Amitabh Chandra and Mark Shepard

The United States spends substantially more on health care than most developed countries, yet leaves a greater share of the population uninsured. We suggest that incremental insurance expansions focused on addressing market failures will propagate inefficiencies and... View Details

Keywords: Public Sector; Insurance; Health Care and Treatment; Policy; Innovation and Invention

21 Apr 2017
News

Good Riddance to Big Insurance Mergers

January 1991 (Revised March 1996)
Case

Profiling at National Mutual (A)

This case series describes a company grappling with organizational change through information technology. National Mutual Life Association vies for Australian insurance industry leadership with its long-time competitor. It has purchased an expert system called Client... View Details

Keywords: Organizational Change and Adaptation; Information Technology; Insurance Industry; Australia

November 2014 (Revised March 2016)
Background Note

Mental Health and the American Workplace

By: John A. Quelch and Carin-Isabel Knoop

Mental illness has been described as an epidemic affecting nearly a quarter of all Americans in their lifetimes, often during their most productive working years. Managers who can design organizations that maximize mental health can minimize these risks and boost... View Details

Keywords: Public Health; Productivity; Competitiveness; Stress Management; Depression; Absenteeism; Presenteeism; Work Culture; Business or Company Management; Work-Life Balance; Performance Productivity; Organizational Culture; Medical Specialties; Health Care and Treatment; Health Industry; United States

September 2, 2020
Article

How to Pay for Public Option Without Tax Hike

By: Regina E. Herzlinger and Richard Boxer

A bipartisan combination of the two parties’ most popular initiatives can expand health care coverage, significantly reduce costs, and enable freedom of choice, without raising taxes. Along the way, we can revitalize competition between public and private plans. Our... View Details

Keywords: Health Insurance; Public Option; Health Care and Treatment; Insurance; Cost Management; United States

02 May 2018
News

Why Employers Drag Feet on Value-Based Insurance

February 2015
Background Note

A Note on the Affordable Care Act and the U.S. Health Care System

By: Joseph L. Bower and Michael Norris

This note provides an overview of the U.S. health care system as it stood in 2014, including an overview of hospitals, doctors, insurance companies, and other health care providers. It also discusses the major political actions on health care in the 20th century,... View Details

Keywords: Health Care; Health Care Policy; Political Process; Health Care and Treatment; Health Industry; United States

May 20, 2016
Comment

World Health Organization Lacks Leadership to Combat Pandemics

By: John A. Quelch

When it comes to emergency preparedness for pandemics, the World Health Organization is falling short. It has not provided prompt and clear leadership to the world in combating either the Ebola or Zika viruses. Its leadership has been low energy, its representatives... View Details

22 Jun 2012
News

Insurers Seek to Soften Their Image, No Matter How Court Rules on Health Act

May 11, 2017
Article

Good Riddance to Big Insurance Mergers

By: Leemore S. Dafny

Federal judges issued preliminary injunctions halting mergers of four of the five largest U.S. health insurers. These decisions provide more precedent to support challenges of mergers between competitors in health care markets—whether payers or providers. View Details

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

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August 13, 2022
Article

A Historic Opportunity for Universal Health Coverage in India

By: Vikram Patel, Shubhangi Bhadada, Kiran Mazumdar-Shaw, Arnab Mukherji, Tarun Khanna and Gagandeep Kang

The milestone of India's 75th anniversary of independence on Aug 15, 2022, offers an opportunity to reassert the country's commitment to realising universal health coverage (UHC). The first such effort predates independence, with the 1946 Bhore Committee report.... View Details

Keywords: Universal Health Coverage; COVID-19 Pandemic; Health Care and Treatment; Gender; Prejudice and Bias; Health Industry; India

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20 Nov 2015
News

Insurance giant shakes ACA tree

April 2012
Article

Paying a Premium on Your Premium? Consolidation in the U.S. Health Insurance Industry

By: Leemore S. Dafny, Mark Duggan and Subramaniam Ramanarayanan

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

March 2016 (Revised March 2022)
Teaching Note

Evive Health and Workplace Influenza Vaccinations

By: John Beshears

Evive Health is a company that manages communication campaigns on behalf of health insurance plans and large employers. Using big data techniques and insights from behavioral economics, Evive deploys targeted and effective messages that improve individuals' health... View Details

Article

Health App Policy: International Comparison of Nine Countries' Approaches

By: Anna Essén, Ariel Dora Stern, Christoffer Bjerre Haase, Josip Car, Felix Greaves, Dragana Paparova, Steven Vandeput, Rik Wehrens and David W. Bates

An abundant and growing supply of digital health applications (apps) exists in the commercial tech-sector, which can be bewildering for clinicians, patients, and payers. A growing challenge for the health care system is therefore to facilitate the identification of... View Details

Keywords: Digital Health; Apps; Health Care and Treatment; Internet and the Web; Policy; Global Range; Applications and Software

Article

More Insurers, Lower Premiums: Evidence from Initial Pricing in the Health Insurance Marketplaces

By: Leemore S. Dafny, Jonathan Gruber and Christopher Ody

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September 1998 (Revised June 1999)
Case

Discovery Health (A)

A South African health insurance company undertakes a redesign of its prescription drug coverage policy in light of its experiences with Prozac. View Details

Keywords: Motivation and Incentives; Service Delivery; Insurance; Health Care and Treatment; Insurance Industry; South Africa

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