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• Case | HBS Case Collection | September 2014 (Revised October 2020)

  La Ribera Health Department (A)

  Regina E. Herzlinger, Emer Moloney and Daniela Beyersdorfer

  The La Ribera case studies depict an innovative low cost/high quality privately financed hospital model struggling to achieve alignment with the Six Factors. It is reimbursed by the public sector in a Spanish environment whose Consumers, Structure, and Public Policy favor public health care. But the Accountability factor shows it to be the highest quality hospital in the region with 25% lower costs and Spain's Financing is weak.
  The A case (9-315-006) asks: What Business Model elements enabled La Ribera to achieve this level of value? How can it improve on its 1% profit margin and better align itself with the Six Factors? The hospital hired a consulting firm that presented four new options that could potentially increase returns. Which, if any, best fit with the ten elements of its Business Model?
  The B case (9-318-134) contains the dénouement for La Ribera. To order copies of the cases write to HBS Publishing, Boston 02163.

  Keywords: Health Care and Treatment; Business Model; Government and Politics; Programs; Innovation Strategy; Vertical Integration; Health Industry; Europe; Spain;

  Citation:

  Herzlinger, Regina E., Emer Moloney, and Daniela Beyersdorfer. "La Ribera Health Department (A)." Harvard Business School Case 315-006, September 2014. (Revised October 2020.)  View Details

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• Supplement | HBS Case Collection | May 2018 (Revised October 2020)

  La Ribera Health Department (B): Epilogue

  Regina E. Herzlinger, Emer Moloney and Daniela Beyersdorfer

  The La Ribera case studies depict an innovative low cost/high quality privately financed hospital model struggling to achieve alignment with the Six Factors. It is reimbursed by the public sector in a Spanish environment whose Consumers, Structure, and Public Policy favor public health care. But the Accountability factor shows it to be the highest quality hospital in the region with 25% lower costs and Spain's Financing is weak.
  The A case (9-315-006) asks: What Business Model elements enabled La Ribera to achieve this level of value? How can it improve on its 1% profit margin and better align itself with the Six Factors? The hospital hired a consulting firm that presented four new options that could potentially increase returns. Which, if any, best fit with the ten elements of its Business Model?
  The B case (9-318-134) contains the dénouement for La Ribera. To order copies of the cases write to HBS Publishing, Boston 02163.

  Keywords: trends and opportunities; government; Government programs; Acquisition; Business Model; Business Plan; Trends; Opportunities; Government and Politics; Programs; Health Care and Treatment; Situation or Environment; Health Industry; Insurance Industry; Technology Industry; Spain;

  Citation:

  Herzlinger, Regina E., Emer Moloney, and Daniela Beyersdorfer. "La Ribera Health Department (B): Epilogue." Harvard Business School Supplement 318-134, May 2018. (Revised October 2020.)  View Details

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• Case | HBS Case Collection | January 2017 (Revised October 2020)

  Fitbit

  Regina E. Herzlinger, Christine Snively and Sarah Mehta

  In 2019, Fitbit lost its leadership in the wearable sensor market to Apple and to cheaper alternatives.
  Why did it lose its market position?
  How will the proposed acquisition affect it and Google?

  Keywords: wearable sensors; smart watches in health care; Google acquisition; Health Care and Treatment; Technology; Acquisition;

  Citation:

  Herzlinger, Regina E., Christine Snively, and Sarah Mehta. "Fitbit." Harvard Business School Case 317-007, January 2017. (Revised October 2020.)  View Details

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