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  • October 2022 (Revised August 2024)
  • Case

Cigna-Express Scripts: Can a Vertical Merger Rescue an Industry Under Attack?

By: Leemore Dafny
In Fall 2019, Cigna Corporation – a global health services company with a significant presence in the U.S. employer-sponsored health insurance market - was digesting its $54 billion acquisition of Express Scripts, Inc. (ESI), a pharmacy benefit manager (PBM)... View Details
Keywords: Mergers and Acquisitions; Business Model; Vertical Integration; Insurance Industry
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Dafny, Leemore. "Cigna-Express Scripts: Can a Vertical Merger Rescue an Industry Under Attack?" Harvard Business School Case 323-038, October 2022. (Revised August 2024.)
  • July 2000 (Revised August 2000)
  • Teaching Note

The U.S. Banking Panic of 1933 and Federal Deposit Insurance (TN)

By: Julio J. Rotemberg
Teaching Note for (9-799-077). View Details
Keywords: Insurance; Government and Politics; Banks and Banking; Banking Industry; United States
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Rotemberg, Julio J. "The U.S. Banking Panic of 1933 and Federal Deposit Insurance (TN)." Harvard Business School Teaching Note 701-005, July 2000. (Revised August 2000.)
  • February 2023
  • Supplement

Grupo Sancor Seguros: Facing the Digital Transformation of Insurance in Argentina (B)

By: Jorge Tamayo, Jenyfeer Martínez Buitrago and Mariana Cal
In 2021, Alejandro Simón, CEO of Sancor Seguros Group, had to reassess the Group’s digital transformation strategy. View Details
Keywords: Organizational Change and Adaptation; Organizational Culture; Cooperative Ownership; Strategy; Business Strategy; Adaptation; Technology Adoption; Insurance Industry; Latin America; South America; Argentina
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Tamayo, Jorge, Jenyfeer Martínez Buitrago, and Mariana Cal. "Grupo Sancor Seguros: Facing the Digital Transformation of Insurance in Argentina (B)." Harvard Business School Supplement 723-423, February 2023.
  • Blog Post

Why Economic Conservatives Should Support the Individual Mandate in Health Care

By: Regina E. Herzlinger

Although many conservatives are gnashing their teeth about the Supreme Court's upholding the individual mandate, had it not been upheld, their worst nightmares would have occurred: government would have required hundreds of billions in additional taxes to pay for... View Details

Keywords: Health Care; Health Care Industry; Health Insurance; Health; Health Care and Treatment; Health Industry
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Herzlinger, Regina E. "Why Economic Conservatives Should Support the Individual Mandate in Health Care." Huffington Post, The Blog (June 29, 2012). http://www.huffingtonpost.com/regina-e-herzlinger/health-insurance-market-mandate_b_1637762.html.
  • June 2007
  • Article

Risk Management, Capital Budgeting and Capital Structure Policy for Insurers and Reinsurers

By: K. A. Froot
Keywords: Risk Management; Capital Budgeting; Cost of Capital; Policy; Insurance; Asset Pricing; Insurance Industry
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Froot, K. A. "Risk Management, Capital Budgeting and Capital Structure Policy for Insurers and Reinsurers." Journal of Risk and Insurance 74, no. 2 (June 2007): 273–299. (Winner of Robert C. Witt Award Given annually for the best feature article in the Journal of Risk and Insurance presented by American Risk and Insurance Association. Revised from NBER Working Paper no. 10184, Harvard Business School Working Paper no. 04-035, December 2003.)
  • June 1988
  • Case

John Hancock Mutual Life Insurance Co.: The Inflation Strategy Task Force (B)

Describes what happened after the apparent eruption and traumas within the task force described in the (A) case. The task force moved from being "the very worst committee" according to one member to becoming "the very best." Tries to explain how and why. Also describes... View Details
Keywords: Business Processes; Insurance Industry
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Barnes, Louis B. "John Hancock Mutual Life Insurance Co.: The Inflation Strategy Task Force (B)." Harvard Business School Case 488-050, June 1988.
  • 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
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Braun, Alexander, Lauren H. Cohen, Christopher J. Malloy, and Jiahua Xu. "Ashar Group: Brokers and Co-opetition in the Life Settlement Industry." Harvard Business School Case 218-109, May 2018. (Revised June 2018.)
  • March 2021
  • Case

Humana (A)

By: Regina E. Herzlinger and Ashley Ifeadike
To implement a bold new strategy, Humana needed to decide how to prioritize the pillars; where to own and where to partner; how much risk is acceptable; and how to continue to deliver strong operational performance while implementing a new strategy. Had the firm made... View Details
Keywords: Health & Wellness; Health Care Industry; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Strategy; Health Industry; United States
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Herzlinger, Regina E., and Ashley Ifeadike. "Humana (A)." Harvard Business School Case 321-097, March 2021.
  • 1998
  • Chapter

Comments on 'Index Hedge Performance: Insurer Market Penetration and Basis Risk' by John A. Major

By: André Perold
Keywords: Insurance; Risk and Uncertainty; Insurance Industry
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Perold, André. "Comments on 'Index Hedge Performance: Insurer Market Penetration and Basis Risk' by John A. Major." In The Financing of Property and Causality Risk, edited by Kenneth A. Froot. University of Chicago Press, 1998.
  • August 2014
  • Case

Blue Cross Blue Shield of Florida, Inc.

By: Regina E. Herzlinger and Meng Li
Keywords: Health; Health Care Industry; Health Insurance; United States; Health Care and Treatment; Health Industry; United States; Florida
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Herzlinger, Regina E., and Meng Li. "Blue Cross Blue Shield of Florida, Inc." Harvard Business School Case 315-009, August 2014.
  • 2023
  • Government Testimony

Congressional Statement for the Record, Hearing on Factors Influencing the High Cost of Insurance for Consumers

By: Ishita Sen
Keywords: Insurance; Price; Markets; Insurance Industry
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Sen, Ishita. "Congressional Statement for the Record, Hearing on Factors Influencing the High Cost of Insurance for Consumers." Government Testimony, U.S. House of Representatives, Committee on Financial Services, Subcommittee on Housing and Insurance, November 2023.
  • August 2019
  • Case

The Allstate Corporation, 2019

By: John R. Wells and Benjamin Weinstock
In July 2019, Allstate, the United States’ number-three property and casualty (P/C) insurer, released its second-quarter earnings, which reported first-half revenues of $22.1 billion, up 11.4% year-over-year. Shareholders cheered the top-line growth, but P/C premiums... View Details
Keywords: Insurance Companies; Strategic Analysis; Strategic Change; Insurance; Strategy; Strategic Planning; Organizational Change and Adaptation; Competitive Strategy; Insurance Industry; North America
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Wells, John R., and Benjamin Weinstock. "The Allstate Corporation, 2019." Harvard Business School Case 720-366, August 2019.
  • September 2018 (Revised August 2019)
  • Case

The Progressive Corporation, 2018

By: John R. Wells and Benjamin Weinstock
In early 2019, The Progressive Corporation (Progressive), the USA’s third-largest auto insurance writer, reported earned premiums were up 20% in 2018 compared to the previous year, and net income was up 64%. Direct sales of personal auto policies rose 21%, while agent... View Details
Keywords: Insurance Companies; Strategic Analysis; Strategic Decisions; Customer Acquisition; Customer Experience; Customer Lifetime Value; Policy Implementation; Competitors; Auto Insurance; Vehicle; Progressive; Allstate; State Farm; GEICO; Implementation; Insurance; Customer Value and Value Chain; Growth Management; Competitive Strategy; Insurance Industry
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Wells, John R., and Benjamin Weinstock. "The Progressive Corporation, 2019." Harvard Business School Case 719-413, September 2018. (Revised August 2019.)
  • 16 Jul 2020
  • Research & Ideas

Restaurant Revolution: How the Industry Is Fighting to Stay Alive

band together to lobby for government support, the concerns of restaurant owners and the unique realities and concerns of their industry remain largely unaddressed by government programs designed to help small businesses. Two months into... View Details
Keywords: by Michael S. Kaufman, Lena G. Goldberg, and Jill Avery; Food & Beverage
  • 2012
  • Working Paper

Reaching for Yield in the Bond Market

By: Bo Becker and Victoria Ivashina
Reaching-for-yield—the propensity to buy riskier assets in order to achieve higher yields—is believed to be an important factor contributing to the credit cycle. This paper analyses this phenomenon in the corporate bond market. Specifically, we show evidence for... View Details
Keywords: Fixed Income; Reaching For Yield; Financial Intermediation; Insurance Companies; Insurance; Bonds; Assets; Risk Management; Investment Return; Investment Portfolio; Insurance Industry
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Becker, Bo, and Victoria Ivashina. "Reaching for Yield in the Bond Market." Harvard Business School Working Paper, No. 12-103, May 2012. (Revised December 2012. NBER Working Paper Series, No. 18909, March 2013)
  • October 2002
  • Book Review

Book Review of Beatrix Hoffman's The Wages of Sickness: The Politics of Health Insurance in Progressive America

By: David A. Moss
Keywords: Health Care and Treatment; Insurance; Health Industry; United States
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Moss, David A. "Book Review of Beatrix Hoffman's The Wages of Sickness: The Politics of Health Insurance in Progressive America." Journal of Health Politics, Policy and Law 27, no. 5 (October 2002): 869–873.
  • March 2021
  • Supplement

Humana (C) — Reorganization

By: Regina E. Herzlinger and Ashley Ifeadike
A summary of Humana's restructuring of its business around its pillars. View Details
Keywords: Health Care; Health Care Industry; Health Insurance; Health Care Operations; Health; Health Care and Treatment; Insurance; Operations; Restructuring; Health Industry
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Herzlinger, Regina E., and Ashley Ifeadike. "Humana (C) — Reorganization." Harvard Business School Supplement 321-122, March 2021.
  • March 2015 (Revised November 2017)
  • Case

Bonitas

By: Regina E. Herzlinger and Natalie Kindred
Bonitas, a South African medical scheme (i.e., health insurer), must navigate highly restrictive regulations that make it difficult for Bonitas to innovate, grow, and compete with market leader Discovery as well as providers of alternative insurance products. Bonitas... View Details
Keywords: Health Insurance; Health Care; South Africa; Medical Scheme; Public Policy; Bonitas; Bonitas Medical Fund; National Health Insurance; Health; Health Care and Treatment; Insurance; Policy; Health Industry; Health Industry; South Africa; Johannesburg; Africa
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Herzlinger, Regina E., and Natalie Kindred. "Bonitas." Harvard Business School Case 315-020, March 2015. (Revised November 2017.)
  • 2014
  • Teaching Note

Changhong: Journey to Shared Services (TN)

By: F. Warren McFarlan, Haiyan Zhang and Guo Jia
Founded in 1958 and headquartered in Mianyang - an emerging inland science and technology city in Sichuan Province, Changhong Electric Co., Ltd., started from the military industry. It then entered the color TV industry and subsequently expanded to a wide range of... View Details
Keywords: China; Appliances; Finance & Insurance; China
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McFarlan, F. Warren, Haiyan Zhang, and Guo Jia. "Changhong: Journey to Shared Services (TN)." Tsinghua University Teaching Note, 2014.
  • February 2018
  • Case

Health Savings Accounts: Enabling Consumer Participation

By: Regina E. Herzlinger and James Wallace
Health savings accounts (HSAs), a creation of the 2003 Medicare Modernization Act, had become an integral part of the drive toward consumer-driven health care. Coupled with high-deductible health plans, HSAs allowed consumers to directly control a significant part of... View Details
Keywords: Health Care; Healthcare Costs; Health Insurance; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Health Industry; United States
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Herzlinger, Regina E., and James Wallace. "Health Savings Accounts: Enabling Consumer Participation." Harvard Business School Case 318-110, February 2018.
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