Health Care Accountability: Examples in Cancer Treatment

Regina E. Herzlinger; Natalie  Kindred

Case | HBS Case Collection | May 2014

Health Care Accountability: Examples in Cancer Treatment

by Regina E. Herzlinger and Natalie Kindred

Abstract

This case is designed to support a discussion of the importance of outcomes evidence in empowering the public to make better health care decisions, the desired level of transparency and accountability for health care providers, and the issues with current measuring and reporting practices that undermine the quality and comparability of outcomes data. The case describes two approaches to measuring cancer treatment outcomes. First, it describes a prostate cancer outcomes study conducted by Radiotherapy Clinics of Georgia, a subsidiary of Vantage Oncology, including a senior Vantage Oncology executive's views on the distinctive merits of this study's design. Second, the case describes treatment outcomes research by Memorial Sloan-Kettering Cancer Center (MSKCC) that compares cancer survival rates and costs of MSKCC and various comparator groups. The case briefly introduces a third approach, taken by Cancer Treatment Centers of America, in an Appendix.

Keywords: accountability; health care; cancer; cancer treatment; Memorial Sloan Kettering Cancer Center; Cancer Treatment Centers of America; Vantage Oncology; radiology; risk adjustment; treatment outcomes; health care outcomes; prostate cancer; transparency; Health Care and Treatment; Risk Management; Outcome or Result; Health Industry; United States;

Language: English

Format: Print

8 pages

Educators

Citation:

Herzlinger, Regina E., and Natalie Kindred. "Health Care Accountability: Examples in Cancer Treatment." Harvard Business School Case 314-109, May 2014.

Case | HBS Case Collection | November 2018 (Revised May 2019)

Almarai Company: Milk and Modernization in the Kingdom of Saudi Arabia

Kristin Fabbe, Safwan Al-Amin, Esel Cekin and Natalie Kindred

With SAR 14 billion ($3.7 billion) in 2017 revenues, Almarai was Saudi Arabia’s largest dairy producer, distributor, and marketer, with a large portfolio of branded dairy products, juices, bakery goods, and infant formula and a sales presence across the Gulf region, Jordan, and Egypt. Almarai employed some 42,000 people across its operations, from its massive dairy farms to its processing plants to its vast sales and distribution operation that reached over 100,000 outlets. Notwithstanding its diverse portfolio, the core of Almarai’s business was (1) sales of branded fresh/chilled dairy products, (2) in Saudi Arabia, (3) distributed through the traditional retail channel made up of thousands of small neighborhood shops called bakalas. In October 2018, all three of these focal points were under pressure. Under the economic-restructuring programs of Saudi Arabia’s new crown prince, Mohammed bin Salman, new taxes and subsidy cuts were squeezing household budgets. Concurrently, changes to other government policies were causing expatriates—who made up about a third of Saudi Arabia’s population and were a key consumer of Almarai’s dairy products—to leave the country in droves. This case finds Almarai’s management team, led by soon-to-retire CEO Georges Schorderet, debating how the company can defend and grow its position in Saudi Arabia while also finding new sources of future growth (e.g., bringing its production model to new markets with fragmented dairy sectors or entering new product categories such as fish or ice cream). The decision of how to move forward will be based on an assessment of Almarai’s strengths, how they can be best used to drive future growth, and how relevant they will remain in a market that is changing so dramatically. The note “Saudi Arabia: A Brief Background" (HBS 719-043) is essential supplementary reading for this case.

Keywords: Dairy; Agriculture; Kingdom of Saudi Arabia; Almarai; Schorderet; food security; public policy; self sufficiency; Gulf; GCC; Business and Government; Agribusiness; Marketing; Distribution; Change Management; Leading Change; Strategy; Government and Politics; Policy; Diversification; Integration; Horizontal Integration; Vertical Integration; Food; Brands and Branding; Growth and Development Strategy; Business and Government Relations; Agriculture and Agribusiness Industry; Food and Beverage Industry; Consumer Products Industry; Saudi Arabia; Middle East;

Citation:

Fabbe, Kristin, Safwan Al-Amin, Esel Cekin, and Natalie Kindred. "Almarai Company: Milk and Modernization in the Kingdom of Saudi Arabia." Harvard Business School Case 719-020, November 2018. (Revised May 2019.) View Details

Cite View Details Educators Purchase

This note provides a brief overview of the history of Saudi Arabia as well as the economic and political context in 2018. The note is an essential supplement to the case “Almarai Company: Milk and Modernization in the Kingdom of Saudi Arabia,” HBS No. 719-020, but is also appropriate for other relevant cases.

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Health Care Accountability: Examples in Cancer Treatment

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