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    • All HBS Web  (3,978)
      • Faculty Publications  (453)

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      Insurance
      Skip to Main Content Cold Call A podcast featuring faculty discussing cases they've written and the lessons they impart. Subscribe on iTunes 29 Sep...
      Insurance
      Skip to Main Content Cold Call A podcast featuring faculty discussing cases they've written and the lessons they impart. Subscribe on iTunes 29 Sep...
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      • January 2021
      • Case

      Value-Based Insurance Design at Onex

      By: Joshua Schwartzstein, Amitabh Chandra and Amram Migdal
      The operating executives of Health and Benefits for Onex Partners, Megan Jackson Frye and Sam Camens, faced a challenge: Healthcare costs for employees of Onex’s portfolio companies were continuing to rise above the consumer price index, reflecting broader trends...  View Details
      Keywords: Decision Making; Cost Vs Benefits; Decision Choices And Conditions; Decisions; Finance; Behavioral Finance; insurance; Health; Health Care And Treatment; Human Resources; Compensation And Benefits; Markets; Demand And Consumers; Consumer Behavior; Social Psychology; Behavior; Interests; Motivation And Incentives; Perception; Health Industry; insurance Industry; North America; United States
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      Schwartzstein, Joshua, Amitabh Chandra, and Amram Migdal. "Value-Based Insurance Design at Onex." Harvard Business School Case 921-023, January 2021.
      • January 2021
      • Case

      “GEnron?” Markopolos versus General Electric (A)

      By: Jonas Heese and David Lane
      In August 2019, Harry Markopolos—the forensic accountant known for uncovering Bernie Madoff’s Ponzi scheme—alleged that General Electric had committed accounting fraud totaling $38 billion, coining the term “GEnron” for perceived similarities with the 2001 accounting...  View Details
      Keywords: Financial Statements; Communication; Energy; Financial Condition; insurance; Performance; Planning; Business And Shareholder Relations; Risk And Uncertainty; Value; insurance Industry; Financial Services Industry; Energy Industry
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      Heese, Jonas, and David Lane. "“GEnron?” Markopolos versus General Electric (A)." Harvard Business School Case 121-005, January 2021.
      • December 2020
      • Supplement

      Tokio Marine Group (B)

      By: David J. Collis and Akiko Kanno
      Updates the Tokio Marine A case by providing information on the organisation structure adopted by the Japanese insurance firm as it moved to integrate its global operations, along with changes in HR policies that sought to balance traditional Japanese practices with...  View Details
      Keywords: Global Strategy; Organisational Design; Organization Structure; Culture; Global Strategy; Organizational Design; Organizational Structure; Culture; insurance Industry; Japan
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      Collis, David J., and Akiko Kanno. "Tokio Marine Group (B)." Harvard Business School Supplement 721-418, December 2020.
      • December 2020
      • Case

      Tokio Marine Group (A)

      By: David J. Collis and Akiko Kanno
      Tokio Marine, Japan's leading insurance company, has spent nearly two decades building a global footprint in different insurance businesses around the world. As the company becomes majority non-domestic it has to make a choice of what organisation structure to adopt to...  View Details
      Keywords: Global Strategy; Organisational Design; Culture; Values; Global Strategy; Organizational Structure; Culture; Values And Beliefs; insurance Industry; Japan
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      Collis, David J., and Akiko Kanno. "Tokio Marine Group (A)." Harvard Business School Case 721-417, December 2020.
      • November 2020
      • Teaching Note

      DayTwo: Going to Market with Gut Microbiome

      By: Ayelet Israeli
      Teaching Note for HBS Case No. 519-010. DayTwo is a young Israeli startup that applies research on the gut microbiome and machine learning algorithms to deliver personalized nutritional recommendations to its users in order to minimize blood sugar spikes after meals....  View Details
      Keywords: Start-up Growth; Startup; Positioning; Targeting; Go To Market Strategy; B2b Vs. B2c; B2b2c; Health & Wellness; Ai; Machine Learning; Female Ceo; Female Protagonist; Science-based; Science And Technology Studies; Ecommerce; Applications; Dtc; Direct To Consumer Marketing; Us Health Care; "usa,"; Innovation; Pricing; Business Growth; Segmentation; Distribution Channels; Growth And Development Strategy; Business Startups; Science-based Business; Health; Innovation And Invention; Marketing; Technology; Business Growth And Maturation; Health Industry; Technology Industry; insurance Industry; Information Technology Industry; Food And Beverage Industry; Israel; United States
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      Israeli, Ayelet. "DayTwo: Going to Market with Gut Microbiome." Harvard Business School Teaching Note 521-052, November 2020.
      • November 2020
      • Case

      Roll-Ups and Surprise Billing: Collisions at the Intersection of Private Equity and Patient Care

      By: Trevor Fetter and Kira Seiger
      This case describes the increasing investment by private equity (PE) firms in patient care and other healthcare services. The case focuses on investments in physician staffing firms and roll-up strategy investments in physician practice management (PPM). Included in...  View Details
      Keywords: Business Ventures; Acquisition; Mergers And Acquisitions; Business Model; Change; Disruption; Fluctuation; Trends; Customers; Customer Value And Value Chain; Ethics; Fairness; Finance; Equity; insurance; Private Equity; Geography; Geographic Scope; Health; Health Care And Treatment; Markets; Demand And Consumers; Supply And Industry; Industry Structures; Ownership; Ownership Type; Private Ownership; Relationships; Agency Theory; Business And Community Relations; Business And Shareholder Relations; Business And Stakeholder Relations; Networks; Strategy; Competition; Consolidation; Expansion; Integration; Horizontal Integration; Vertical Integration; Value; Value Creation; Health Industry; insurance Industry; United States
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      Fetter, Trevor, and Kira Seiger. "Roll-Ups and Surprise Billing: Collisions at the Intersection of Private Equity and Patient Care." Harvard Business School Case 321-049, November 2020.
      • 2020
      • Chapter

      Climate Change Is Going to Transform Where and How We Build

      By: John D. Macomber
      As fires, floods, and droughts increasingly threaten homes, businesses, and other institutions, climate risk has become financial risk. This implies that homeowners and investors have been making location decisions without properly pricing the cost of potential peril,...  View Details
      Keywords: Climate Change; Housing; Mortgages; Geographic Location; Real Estate Industry
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      Macomber, John D. "Climate Change Is Going to Transform Where and How We Build." In Climate Change: The Insights You Need from Harvard Business Review. Vol. 12. HBR Insights Series. Boston, MA: Harvard Business Review Press, 2020.
      • September 2, 2020
      • Article

      How to Pay for Public Option Without Tax Hike

      By: Regina E. Herzlinger and Richard Boxer
      A “Public Option” for health insurance that uses Medicare provider pricing and is administered by private insurers whose overall pricing conforms to GAAP will attain important, bi-partisan goals. For the Democrats, its lower costs will enable enrollment of the...  View Details
      Keywords: Health Insurance; Public Option; Health Care And Treatment; insurance; Cost Management; United States
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      Herzlinger, Regina E., and Richard Boxer. "How to Pay for Public Option Without Tax Hike." RealClearPolicy (September 2, 2020).
      • 2020
      • Working Paper

      The Pass-Through of Uncertainty Shocks to Households

      By: Marco Di Maggio, Amir Kermani, Rodney Ramcharan, Vincent Yao and Edison Yu
      Using new employer-employee matched data, this paper investigates the impact of uncertainty, as measured by idiosyncratic stock market volatility, on individual outcomes. We find that firms provide at best partial insurance to their workers. An increase in firm-level...  View Details
      Keywords: Employment Risk; Consumption; Employment; Risk And Uncertainty; insurance; Household; Spending
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      Di Maggio, Marco, Amir Kermani, Rodney Ramcharan, Vincent Yao, and Edison Yu. "The Pass-Through of Uncertainty Shocks to Households." NBER Working Paper Series, No. 27646, August 2020.
      • August 2020
      • Supplement

      Souqalmal: The Choice Is Yours (B)

      By: V.G. Narayanan and Alpana Thapar
      Keywords: Accounting; insurance Industry; Middle East
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      Narayanan, V.G., and Alpana Thapar. "Souqalmal: The Choice Is Yours (B)." Harvard Business School Supplement 121-023, August 2020.
      • 2020
      • Working Paper

      Conflicting Interests and the Effect of Fiduciary Duty—Evidence from Variable Annuities

      By: Mark Egan, Shan Ge and Johnny Tang
      We examine the drivers of variable annuity sales and the impact of a proposed regulatory change. Variable annuities are popular retirement products with over $2 trillion in assets in the United States. Insurers typically pay brokers a commission for selling variable...  View Details
      Keywords: Variable Annuity; Brokers; Fiduciary Duty; Finance; Investment; insurance; Conflict Of Interests; Financial Services Industry; insurance Industry; United States
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      Egan, Mark, Shan Ge, and Johnny Tang. "Conflicting Interests and the Effect of Fiduciary Duty—Evidence from Variable Annuities." Harvard Business School Working Paper, No. 21-018, August 2020. (Revise and Resubmit at the Review of Financial Studies. Revised August 2020. NBER Working Paper Series, No. 27577, July 2020)
      • Article

      Do We Spend Too Much on Health Care?

      By: Katherine Baicker and Amitabh Chandra
      Health system reforms—such as changes in insurance design, patient cost sharing, payment reform, or price regulation—should be judged by whether they move us toward higher-value use of resources, rather than by whether they reduce spending.  View Details
      Keywords: Health Care And Treatment; Cost; Governing Rules, Regulations, And Reforms; Value Creation
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      Baicker, Katherine, and Amitabh Chandra. "Do We Spend Too Much on Health Care?" New England Journal of Medicine 383, no. 7 (August 13, 2020): 605–608.
      • July 28, 2020
      • Article

      Economic Vulnerability of Households with Essential Workers

      By: Grace McCormack, Christopher Avery, Ariella Kahn-Lang Spitzer and Amitabh Chandra
      The label of “essential worker” reflects society’s needs but does not mean that society has compensated those workers for additional risks incurred on the job during the current pandemic. When an essential worker contracts severe acute respiratory syndrome coronavirus...  View Details
      Keywords: Essential Workers; Health Pandemics; Household; Financial Condition; United States
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      McCormack, Grace, Christopher Avery, Ariella Kahn-Lang Spitzer, and Amitabh Chandra. "Economic Vulnerability of Households with Essential Workers." JAMA, the Journal of the American Medical Association 324, no. 4 (July 28, 2020): 388–390.
      • Article

      Forgoing Earned Incentives to Signal Pure Motives

      By: Erika L. Kirgios, Edward H. Chang, Emma E. Levine, Katherine L. Milkman and Judd B. Kessler
      Policy makers, employers, and insurers often provide financial incentives to encourage citizens, employees, and customers to take actions that are good for them or for society (e.g., energy conservation, healthy living, safe driving). Although financial incentives are...  View Details
      Keywords: Incentives; Motivation Laundering; Self-signaling; Motivation And Incentives; Behavior; Perception
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      Kirgios, Erika L., Edward H. Chang, Emma E. Levine, Katherine L. Milkman, and Judd B. Kessler. "Forgoing Earned Incentives to Signal Pure Motives." Proceedings of the National Academy of Sciences 117, no. 29 (July 21, 2020): 16891–16897.
      • Article

      Germany's Digital Health Reforms in the COVID-19 Era: Lessons and Opportunities for Other Countries

      By: Sara Gerke, Ariel D. Stern and Timo Minssen
      Reimbursement is a key challenge for many new digital health solutions, whose importance and value have been highlighted and expanded by the current COVID-19 pandemic. Germany’s new Digital Healthcare Act (Digitale–Versorgung–Gesetz or DVG) entitles all individuals...  View Details
      Keywords: Covid-19; Reimbursement; Digital Health Reforms; Health Pandemics; Health Care And Treatment; Online Technology; Governing Rules, Regulations, And Reforms; Germany
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      Gerke, Sara, Ariel D. Stern, and Timo Minssen. "Germany's Digital Health Reforms in the COVID-19 Era: Lessons and Opportunities for Other Countries." Art. 94. npj Digital Medicine 3 (2020).
      • July 2020
      • Article

      Lessons From The Impact of Price Regulation on The Pricing Of Anticancer Drugs in Germany

      By: Victoria D. Lauenroth, Aaron S. Kesselheim, Ameet Sarpatwari and Ariel Dora Stern
      Worldwide spending on prescription drugs has increased dramatically in recent years. Although this increase has been particularly pronounced in the U.S., it remains largely unaddressed there. In Europe, however, different approaches to regulating drug prices have been...  View Details
      Keywords: Pharmaceuticals; Prescription Drug Costs; Drug Pricing; Access To Care; Cost Reduction; Health Care And Treatment; Price; Governing Rules, Regulations, And Reforms; Cost Management; Germany
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      Lauenroth, Victoria D., Aaron S. Kesselheim, Ameet Sarpatwari, and Ariel Dora Stern. "Lessons From The Impact of Price Regulation on The Pricing Of Anticancer Drugs in Germany." Health Affairs 39, no. 7 (July 2020): 1185–1193.
      • June 30, 2020
      • Article

      Bipartisan Tax-Free Solution to Health Care Financing: Coupling HRAs With a Public Option

      By: Regina E. Herzlinger, Richard Boxer and James Wallace
      A combination of health insurance initiatives by the presumptive 2020 Democratic and Republican presidential nominees could expand health care coverage and significantly reduce costs, without raising taxes. Along the way, the combination could revitalize private...  View Details
      Keywords: Health Care Financing; Public Option; Health Reimbursement Arrangement (hra); Health Care And Treatment; insurance; Cost Management
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      Herzlinger, Regina E., Richard Boxer, and James Wallace. "Bipartisan Tax-Free Solution to Health Care Financing: Coupling HRAs With a Public Option." Health Affairs Blog (June 30, 2020).
      • June 2020 (Revised October 2020)
      • Case

      Muddy Waters vs. eHealth: The Debate of a 'Lifetime'

      By: Jonas Heese and Cristo Liautaud
      In May 2020, an analyst was assessing eHealth’s performance. eHealth was an online / tele-sales broker of health insurance products. The stock had recently hit all-time highs, closing at a peak of $146 on March 4, 2020. But now, May 4, 2020, eHealth traded at $103. The...  View Details
      Keywords: Revenue Recognition; Health; insurance; Online Technology; insurance Industry
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      Heese, Jonas, and Cristo Liautaud. "Muddy Waters vs. eHealth: The Debate of a 'Lifetime'." Harvard Business School Case 120-114, June 2020. (Revised October 2020.)
      • May 2020
      • Case

      Trust Merchant Bank

      By: Ramon Casadesus-Masanell, Pippa Tubman Armerding, Dilyana Karadzhova Botha and Salim Dewji
      Trust Merchant Bank (TMB), a leading bank in the Democratic Republic of Congo (DRC), needs to decide whether to enter the soon-to-be-liberalized insurance industry. Since its founding in 2004, TMB has played a pivotal role in reshaping the DRC banking landscape by...  View Details
      Keywords: Retail Banking; Financial Services; Financial Inclusion; Turnaround; Fintech; Banks And Banking; Financial Condition; insurance; Corporate Strategy; Expansion; Business Model; Family Business; Entrepreneurship; Technology; Monopoly; Banking Industry; insurance Industry; Africa; Congo, Democratic Republic Of The
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      Casadesus-Masanell, Ramon, Pippa Tubman Armerding, Dilyana Karadzhova Botha, and Salim Dewji. "Trust Merchant Bank." Harvard Business School Case 720-449, May 2020.
      • May 21, 2020
      • Article

      Primary Care Is Hurting: Why Aren't Private Insurers Pitching In?

      By: Leemore S. Dafny and J. Michael McWilliams
      Primary care clinicians are the front line for patients with suspected infection. We rely on them to diagnose, triage, and manage patients with potential or confirmed COVID infections. They are also responsible for keeping non-COVID medical conditions under control...  View Details
      Keywords: Covid-19; Primary Care; Health Pandemics; Health Care And Treatment; Financial Condition; insurance
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      Dafny, Leemore S., and J. Michael McWilliams. "Primary Care Is Hurting: Why Aren't Private Insurers Pitching In?" Health Affairs Blog (May 21, 2020).
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      Insurance
      Skip to Main Content Cold Call A podcast featuring faculty discussing cases they've written and the lessons they impart. Subscribe on iTunes 29 Sep...
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      Skip to Main Content Cold Call A podcast featuring faculty discussing cases they've written and the lessons they impart. Subscribe on iTunes 29 Sep...
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