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March 1988 (Revised September 1993)
Case

United Services Automobile Association (USAA)

Under the leadership of Robert F. McDermott, USAA has been transformed from a property and casualty insurance company with $200 million in assets in the late 1960s to a $11 billion financial services empire in 1988. The case illustrates the value of having a CEO drive... View Details

Keywords: Business or Company Management; Leadership; Information Technology; Insurance Industry; Insurance Industry; United States

September 2016 (Revised May 2018)
Case

Zurich Insurance: Talent Pipeline

By: Boris Groysberg and Katherine Connolly

Zurich Insurance was undergoing organizational change after implementing five new people practices focused on manager development, diversity and inclusion, job model and data analytics, recruitment, and talent pipeline. The case “Zurich Insurance: Fostering Key People... View Details

Keywords: Managing Change; Leadership; Organizational Behavior; Succession; Organizational Culture; Organizational Change and Adaptation; Leading Change; Leadership Development; Human Capital; Human Resources; Insurance; Management Succession; Insurance Industry

September 2013
Case

Homestrings, Inc.: Diaspora-Based Financing and the Crowd Funding of Development

By: William R. Kerr and Alexis Brownell

Homestrings is an online investment platform for overseas diasporas to link financially with their home countries. The founder believes crowd-funding can become a pillar for development, but U.S. regulatory hurdles and resources constraints are substantial. The company... View Details

Keywords: Diasporas; Investments; Regulations; Africa; Crowd-funding; Development Finance; Entrepreneurship; Business Growth and Maturation; Financial Services Industry; Africa; United States

February 2022 (Revised April 2022)
Case

CVS Health: Prescription for Transformation

By: Rosabeth Moss Kanter and Tuna Cem Hayirli

In 2021, new CEO Karen Lynch (named the most powerful woman in business) considered the next transformation phase for CVS Health (a Fortune 5 corporate giant. The 2018 acquisition of Aetna insurance brought her to the company as part of its long evolution from a... View Details

Keywords: COVID; Caregiving; Healthcare; Access; Change; Retail; Health; Health Care and Treatment; Organizational Change and Adaptation; Transformation; Health Industry; Retail Industry

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

May 2004 (Revised June 2004)
Case

Lucas Chevrolet File, The

An insurance company claim manager is deciding how to negotiate a large liability claim and reviewing the company's approach to settling large claims. This case provides background on the claim and the 4-1/2-year history of negotiations to date. It also gives profiles... View Details

Keywords: Negotiation; Insurance; Legal Liability; Insurance Industry

September 2023
Case

Healthy.io: The Negotiation for the Medical Selfie

By: Amit Goldenberg and Kumba Sennaar

Healthy.io, an Israeli digital health company, prepares to enter the U.S. market with its chronic kidney disease test. A product safety approval is delayed, putting the company’s cash runway at risk. How should the CEO negotiate his offer to insurance companies ahead... View Details

Keywords: Negotiation; Entrepreneurship; Venture Capital; Operations; Business Startups; Market Entry and Exit; Health Industry; Israel; United Kingdom; United States

March 2010 (Revised April 2014)
Case

American Well: The Doctor Will E-See You Now

By: Elie Ofek and Ron Laufer

What is next for healthcare IT provider American Well, whose innovative Online Care technology allows physicians to deliver care to patients online in real time? Using American Well's platform, patients with non-emergency health concerns can communicate with physicians... View Details

Keywords: Entrepreneurship; Health Care and Treatment; Technological Innovation; Growth and Development Strategy; Market Entry and Exit; Service Delivery; Online Technology; Health Industry

04 Dec 2017
News

The CVS-Aetna Gamble: a Health-Care Giant Not Built Around Doctors

November 2016 (Revised April 2017)
Case

Hygeia Group: Delivering Quality Care in Nigeria

By: Robert F. Higgins and Ifedayo O. Kuye

Fola Laoye is the Group Managing Director of Hygeia Group, a Nigerian healthcare insurer and provider, and she is deciding on the optimal strategy to grow the provider arm of her business. Hygeia Group was founded in the 1980s by her physician parents, and although... View Details

Keywords: Healthcare; Healthcare Industry; Hospitals; Nigeria; Health Care and Treatment; Growth and Development Strategy; Health Industry; Nigeria

July 1994 (Revised December 1994)
Case

CIGNA Corporation, Inc.: Managing and Institutionalizing Business Reengineering

Provides a longitudinal view of business reengineering at CIGNA Corp., a leading provider of insurance and related financial services throughout the United States and the world. CIGNA has been practicing business reengineering since 1989, completing over 20 projects.... View Details

Keywords: Change Management; Business Processes; Insurance Industry; Insurance Industry

September 2016
Case

Generali: Paving the Way for CEE Expansion

By: Dante Roscini and Emer Maloney

Generali was one of Italy’s largest companies and one of Europe’s largest insurers and had for decades been at the center of the web of cross-shareholding that has characterized the opaque brand of old Italian capitalism. This bred sub-par returns while serving to... View Details

Keywords: Joint Ventures; Transformation; Insurance; Emerging Markets; Negotiation Deal; Business and Shareholder Relations; Expansion; Business Strategy; Insurance Industry; Italy; Europe

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

March 1994 (Revised December 2014)
Case

Humana, Inc.: Managing in a Changing Industry

By: Stuart Gilson

Intensifying competition and change in the U.S. health care industry force a large integrated health-care provider to reassess its strategy of operating both hospitals and health insurance plans (HMOs). In an attempt to increase its stock price and operating... View Details

Keywords: Business Strategy; Restructuring; Change Management; Financial Management; Health Industry

February 2012 (Revised August 2014)
Case

Poles Apart on PZU (A)

By: Francesca Gino, Vincent Dessain, Karol Misztal and Michael Khayyat

In October 2008, Andrzej Klesyk, CEO of Poland's largest insurer PZU, reflected on possible ways of resolving a decade-long cross-border shareholder conflict at his company. Owned 55% by the Polish State Treasury and 33% by the Dutch insurer Eureko as of October 2008,... View Details

Keywords: Negotiation; Trust; Conflict and Resolution; Business and Shareholder Relations; Poland

April 2010
Case

Metabical: Pricing, Packaging, and Demand Forecasting Recommendations for a New Weight Loss Drug

By: John A. Quelch and Heather Beckham

Metabical is a new weight loss drug from Cambridge Sciences Pharmaceuticals intended for moderately overweight individuals. In anticipation of final FDA approval, the senior director of marketing, Barbara Printup, prepares for the product launch and must make several... View Details

Keywords: Return On Investment; Forecasting; Pricing Policies; Demand Planning; Marketing Strategy; Price; Consumer Behavior; Investment Return; Forecasting and Prediction; Product Launch; Planning; Brands and Branding; Pharmaceutical 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

September 2016 (Revised May 2018)
Case

Zurich Insurance: Global Job Structure and Data Analysis

By: Boris Groysberg and Katherine Connolly

Zurich Insurance was undergoing organizational change after implementing five new people practices focused on manager development, diversity and inclusion, job model and data analytics, recruitment, and talent pipeline. The case “Zurich Insurance: Fostering Key People... View Details

Keywords: Managing Change; Organizational Behavior; Organizational Architecture; Organizational Change and Adaptation; Leadership; Human Capital; Change Management; Organizational Structure; Insurance; Organizational Culture; Globalization; Human Resources; Insurance Industry

05 Dec 2014
News

Life settlement gets a welcome face-lift

Building Climate-Resilient Cities and Infrastructure

This episode in our climate adaptation series features HBS Professor John Macomber. John discusses how companies and governments need to incorporate climate resilience as they develop and finance real estate and infrastructure to address the risks of flooding,... View Details

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