Publications

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

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

Read Now

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; Insurance Industry; Insurance Industry; Mexico City

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

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

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

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

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; Insurance Industry; Insurance Industry

February 2011 (Revised April 2011)
Background Note

Note on the Reinsurance Industry

By: Robert C. Pozen and Henoch Senbetta

This note begins with an overview of reinsurance contacts - their mechanics, types and pricing. It then discusses the structure of the reinsurance industry and the impact of recent crises on this industry. View Details

Keywords: Financial Crisis; Insurance; Governing Rules, Regulations, and Reforms; Industry Structures; Insurance Industry

September 2011
Teaching Note

The Allstate Corporation (TN)

By: John R. Wells

Teaching Note for 708485. View Details

Keywords: Corporate Strategy; Profit; Insurance; Performance Improvement; Adaptation; Problems and Challenges; Insurance Industry; Insurance Industry; United States

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

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

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

November 1999 (Revised July 2003)
Case

Pre-Paid Legal Services, Inc.

By: Paul M. Healy and Jacob Cohen

Pre-Paid Legal Services' business model reveals two key issues--managing the sales force and sales growth and managing claims. Students analyze the economics of the business and consider how to measure firm performance, how to evaluate and reward the sales force, and... View Details

Keywords: Financial Management; Financial Strategy; Salesforce Management; Marketing Strategy; Accrual Accounting; Business Cycles; Forecasting and Prediction; Insurance; Business Growth and Maturation; Insurance Industry

November 1981 (Revised January 1984)
Background Note

Note on the Property-Casualty Business

By: David E. Bell

Keywords: Insurance

August 14, 2008
Article

How Rehospitalizations Are Hurting Medicare

By: Robert C. Pozen

Keywords: Health; Insurance

May 2021 (Revised June 2021)
Supplement

'GEnron'? Markopolos versus General Electric (B)

By: Jonas Heese and David Lane

Supplement to the (A) case that offers an assessment of the August 2019 Markopolos report on General Electric. View Details

Keywords: Financial Statements; Communication; Energy; Financial Condition; Insurance; Performance; Planning; Business and Shareholder Relations; Risk and Uncertainty; Value; Insurance Industry; Insurance Industry; Insurance Industry