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      Roll-Ups and Surprise Billing: Collisions at the Intersection of Private Equity and Patient Care
      Blackstone’s Julia Kahr at the Summit
      → Search All HBS Web
      • November 2020 (Revised 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. (Revised November 2020.)
      • April 2020
      • Teaching Note

      Cambridge Franchise Partners

      By: Richard S. Ruback, Royce Yudkoff and Ahron Rosenfeld
      Teaching Note for HBS No. 217-082. Cambridge Franchise Partners (CFP) was established by Matt Perelman and Alex Sloane (both HBS ’15) to pursue a roll-up strategy in the quick service restaurant (QSR) sector. Burger King (BK) approved CFP’s request to become a...  View Details
      Keywords: Roll-up; Franchise; Franchise Management; Small Firms Management; Franchise Ownership; Small Business; Management; Acquisition
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      Ruback, Richard S., Royce Yudkoff, and Ahron Rosenfeld. "Cambridge Franchise Partners." Harvard Business School Teaching Note 220-082, April 2020.
      • November 2019 (Revised December 2019)
      • Case

      Marcus by Goldman Sachs

      By: Rory McDonald, Samir Junnarkar and David Lane
      Five years on from the 2008 financial crisis, Goldman Sachs remained wounded. Revenues at the global investment bank had stagnated below pre-crisis levels, and the firm had yet to rebound from a substantial decline in securities-trading revenues. Marcus by Goldman...  View Details
      Keywords: Corporate Entrepreneurship; Banks And Banking; Innovation Leadership; Growth And Development Strategy; Growth Management; Organizational Culture; Financial Services Industry; United Kingdom
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      McDonald, Rory, Samir Junnarkar, and David Lane. "Marcus by Goldman Sachs." Harvard Business School Case 620-005, November 2019. (Revised December 2019.)
      • October 2019 (Revised November 2019)
      • Case

      C16 Biosciences: Lab-Grown Palm Oil

      By: Jeffrey J. Bussgang and Olivia Hull
      Synthetic biology start-up C16 Biosciences wants to solve a big problem: replace palm oil, a major contributor to deforestation and climate change, with a lab-grown substitute. CEO Shara Ticku has ambitious plans to supply her lab-grown palm oil to food manufacturers,...  View Details
      Keywords: Science-based Business; Environmental Sustainability; Social Entrepreneurship; Product Development; Product Positioning; Venture Capital; Strategy; Decision Making; Food And Beverage Industry; Consumer Products Industry
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      Bussgang, Jeffrey J., and Olivia Hull. "C16 Biosciences: Lab-Grown Palm Oil." Harvard Business School Case 820-008, October 2019. (Revised November 2019.)
      • 2020
      • Chapter

      Ethical Business, Corruption and Economic Development in Comparative Perspective

      By: Janet Hunter and G. Jones
      This chapter contextualises the drivers of corruption in Turkish business through comparisons with Japan and India in the late 19th century. It identifies the developmental state as a common driver of corruption. Catching up by using extensive state intervention had...  View Details
      Keywords: Corruption; Crime And Corruption; Economic Growth; Turkey; Middle East; Central Asia; Japan; India
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      Hunter, Janet, and G. Jones. "Ethical Business, Corruption and Economic Development in Comparative Perspective." Chap. 10 in Business, Ethics and Institutions: The Evolution of Turkish Capitalism in Global Perspectives, edited by Asli M. Colpan and G. Jones, 224–245. New York: Routledge, 2019.
      • June 2018
      • Case

      Meridian Systems

      By: Frank V. Cespedes and Michael J. Roberts
      The Meridian Systems case focuses on a start-up in the restaurant point of sale (POS) systems market. In early 2018, Meridian is getting ready to roll out a POS system based on a new technology—a tablet-based, Wi-Fi-enabled POS system (the "tablet" system, or...  View Details
      Keywords: Business Startups; Sales; Strategy; Salesforce Management; Organizational Structure; Technological Innovation; Marketing Strategy
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      Cespedes, Frank V., and Michael J. Roberts. "Meridian Systems." Harvard Business School Brief Case 918-533, June 2018.
      • September 2017
      • Case

      Blackstone's Julia Kahr at the Summit

      By: Paul A. Gompers, John D. Dionne and Amram Migdal
      In 2009, Blackstone, the New York-based alternative asset and financial services firm, committed to invest up to $750 million into Summit Materials, a new company in the aggregates sector (i.e., construction materials, such as crushed stone, sand, gravel, cement,...  View Details
      Keywords: Roll Up; Private Equity Roll Up; Aggregates; Aggregates Materials; Construction Materials; Business Ventures; Acquisition; Leveraged Buyouts; Business Growth And Maturation; Engineering; Construction; Finance; Capital; Equity; Private Equity; Financial Instruments; Investment; Housing; Management; Goals And Objectives; Growth And Development Strategy; Growth Management; Personal Development And Career; Management Teams; Planning; Problems And Challenges; Value; Valuation; Value Creation; Construction Industry; Financial Services Industry; United States
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      Gompers, Paul A., John D. Dionne, and Amram Migdal. "Blackstone's Julia Kahr at the Summit." Harvard Business School Case 218-002, September 2017.
      • March 2013
      • Case

      An Entrepreneur's New Product Development Journey

      By: Elie Ofek
      This case tracks the new product development process undertaken by Gauri Nanda, the founder and CEO of Nanda Home, as she ventures to innovate beyond her initial product launches. Having achieved commercial success with her first product Clocky, a roll away alarm clock...  View Details
      Keywords: Entrepreneurship; Decision Making; Product Development; Manufacturing Industry; Consumer Products Industry
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      Ofek, Elie. "An Entrepreneur's New Product Development Journey." Harvard Business School Case 513-098, March 2013.
      • October 2011
      • Case

      CNBM: Rolling Up China's Cement Industry

      By: Joseph L. Bower and G.A. Donovan
      The Chinese government has charged Song Zhiping with the job of rationalizing China's cement industry. He has acquired 200 plus companies, but the industry is still fractured. Can he succeed?  View Details
      Keywords: Industry Growth; Mergers And Acquisitions; Policy; Government And Politics; Construction Industry; Industrial Products Industry; China
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      Bower, Joseph L., and G.A. Donovan. "CNBM: Rolling Up China's Cement Industry." Harvard Business School Case 312-067, October 2011.
      • December 2009 (Revised January 2017)
      • Case

      Lyondell Chemical Company

      By: Stuart C. Gilson and Sarah Abbott
      Hit with an industry recession and the global financial crisis of 2008, in January 2009 LyondellBasell Industries AF S.C.A., one of the world's largest internationally diversified chemical companies headquartered in The Netherlands, placed its U.S. operations and a...  View Details
      Keywords: Restructuring; Financial Crisis; Borrowing And Debt; Capital Structure; Insolvency And Bankruptcy; Financing And Loans; International Finance; Crisis Management; Chemical Industry; Netherlands; United States
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      Gilson, Stuart C., and Sarah Abbott. "Lyondell Chemical Company." Harvard Business School Case 210-001, December 2009. (Revised January 2017.)
      • April 2009 (Revised August 2009)
      • Case

      Backchannelmedia: Making Television 'Clickable'

      By: Sunil Gupta, Kavita Shukla and Zachary Scott Clayton
      Backchannelmedia (BCM), a three-year-old start-up, intended to completely disrupt the world of advertising by transforming the way Americans watched television. BCM had developed a technology to make television "clickable," enabling viewers to interact with the content...  View Details
      Keywords: Entrepreneurship; Investment; Disruptive Innovation; Technological Innovation; Marketing Strategy; Partners And Partnerships; Competition
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      Gupta, Sunil, Kavita Shukla, and Zachary Scott Clayton. "Backchannelmedia: Making Television 'Clickable'." Harvard Business School Case 509-026, April 2009. (Revised August 2009.)
      • September 2006 (Revised October 2007)
      • Case

      Shinsei Bank: Developing an Integrated Firm

      By: Thomas J. DeLong and Masako Egawa
      Tom Pedersen, newly appointed chief learning officer (CLO) of Shinsei Bank in Japan, pondered how he could facilitate development of an integrated culture and transformation of the organization. Shinsei Bank had not developed longstanding tradition or a strong...  View Details
      Keywords: Integration; Mission And Purpose; Organizational Change And Adaptation; Talent And Talent Management; Organizational Culture; Performance Evaluation; Cooperation; Diversity; Japan
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      DeLong, Thomas J., and Masako Egawa. "Shinsei Bank: Developing an Integrated Firm." Harvard Business School Case 407-006, September 2006. (Revised October 2007.)
      • August 2006
      • Case

      Dreyer's Slow Churned(TM) Ice Cream

      By: Noel H. Watson, Steven C. Wheelwright and Brian DeLacey
      Examines capacity forecasting and planning in a complex new product introduction scenario. The introduction at Dreyer's, a large dairy snack manufacturer, involves not only a new product but a new manufacturing process and product package, thus implying a significant...  View Details
      Keywords: Advertising; Forecasting And Prediction; Growth And Development Strategy; Brands And Branding; Product Launch; Product Development; Planning; Food And Beverage Industry; United States
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      Watson, Noel H., Steven C. Wheelwright, and Brian DeLacey. "Dreyer's Slow Churned(TM) Ice Cream." Harvard Business School Case 607-018, August 2006.
      • November 2005 (Revised September 2007)
      • Case

      Beijing Hualian

      By: David E. Bell and Mary L. Shelman
      China's fifth largest domestic retailer faced intensifying competition from Wal-Mart and Carrefour with the opening of China's fast-growing retail market in January 2005. In response, Beijing Hualian developed a new "Family Store" format targeted at the nation's...  View Details
      Keywords: Marketing Strategy; Product Positioning; Consumer Behavior; Competition; Corporate Strategy; Retail Industry; China
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      Bell, David E., and Mary L. Shelman. "Beijing Hualian." Harvard Business School Case 906-403, November 2005. (Revised September 2007.)
      • January 2003 (Revised May 2005)
      • Case

      Zipcar: Refining the Business Model

      By: Myra M. Hart, Michael J. Roberts and Julia Stevens
      Zipcar is a start-up organized around the idea of "sharing" car usage via a membership organization. This case describes several iterations of the Zipcar business model and financial plan. These iterations include a very early version and a version developed just prior...  View Details
      Keywords: Service Operations; Renting Or Rental; Business Model; Business Plan; Entrepreneurship; Economic Growth; Management Skills; Transportation; Business Startups; Financial Strategy; Corporate Finance; Growth And Development Strategy; Transportation Industry; Service Industry
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      Hart, Myra M., Michael J. Roberts, and Julia Stevens. "Zipcar: Refining the Business Model." Harvard Business School Case 803-096, January 2003. (Revised May 2005.)
      • April 2002 (Revised May 2005)
      • Case

      GE's Digital Revolution: Redefining the E in GE

      By: Christopher A. Bartlett and Meg Glinska
      This case details the implementation of the e-business initiative--the last of Jack Welch's four company-wide strategic thrusts. First, it summarizes the 20-year change process that Welch led, detailing the initiatives he put in place. It then traces how Gerry Podesta,...  View Details
      Keywords: Change Management; Transformation; Decision Choices And Conditions; Leadership Style; Business Or Company Management; Organizational Culture; Organizational Structure; Performance Effectiveness; Corporate Strategy; Online Technology
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      Bartlett, Christopher A., and Meg Glinska. "GE's Digital Revolution: Redefining the E in GE." Harvard Business School Case 302-001, April 2002. (Revised May 2005.)
      • January 2002 (Revised July 2002)
      • Case

      Vialog Corporation

      By: Richard G. Hamermesh and Michele Lutz
      Traces the origin of Vialog Corp.--from its founding in 1996 through a roll-up of several independent teleconferencing companies in 1997 and its initial public offering (1999) and eventually to a potential merger or acquisition in June 2000. The company has grown...  View Details
      Keywords: History; Business Exit Or Shutdown; Internet; Corporate Entrepreneurship; Partners And Partnerships; Initial Public Offering; Business Growth And Maturation; Mergers And Acquisitions; Business Processes; Information Technology Industry; Europe
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      Hamermesh, Richard G., and Michele Lutz. "Vialog Corporation." Harvard Business School Case 802-008, January 2002. (Revised July 2002.)
      • January 1999 (Revised March 2004)
      • Case

      AMB Consolidation, The

      By: William J. Poorvu and Daniel J. Rudd
      Anne Shea, assistant vice president at the Curators' Fund (The Fund), is responsible for investing roughly $80 million in real-estate assets. Less than three years ago, Anne invested $40 million into a commingled fund run by AMB Institutional Realty Advisors, Inc., a...  View Details
      Keywords: Private Ownership; Conflict Of Interests; Industry Structures; Property; Investment; Public Ownership; Real Estate Industry
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      Poorvu, William J., and Daniel J. Rudd. "AMB Consolidation, The." Harvard Business School Case 899-144, January 1999. (Revised March 2004.)
      • December 1998 (Revised June 1999)
      • Case

      STT Aerospace

      By: Richard G. Hamermesh and Jeremy Dann
      Experienced entrepreneur Charles Damon conducted a "roll-up" from 1987-1994 within the commercial airliner interior products industry. Damon's company, STT Aerospace, took advantage of an industry-wide recession in the early 1990s by buying when asset prices were low....  View Details
      Keywords: Retention; Business Strategy; Selection And Staffing; Entrepreneurship; Financial Crisis; Growth And Development Strategy; Compensation And Benefits; Employee Stock Ownership Plan; Acquisition; Product Development; Aerospace Industry
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      Hamermesh, Richard G., and Jeremy Dann. "STT Aerospace." Harvard Business School Case 399-056, December 1998. (Revised June 1999.)
      • August 1998
      • Case

      HIMSCORP, Inc.

      By: William A. Sahlman, Michael J. Roberts and Laurence E. Katz
      Himscorp is an industry consolidation of records storage companies providing management and retrieval services of active medical records to healthcare institutions. Kent Dauten, a former general partner at Madison Dearborn Partners with 15 years of venture capital and...  View Details
      Keywords: Value Creation; Initial Public Offering; Business Exit Or Shutdown; Business Growth And Maturation; Decision Choices And Conditions; Consolidation; Information Industry
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      Sahlman, William A., Michael J. Roberts, and Laurence E. Katz. "HIMSCORP, Inc." Harvard Business School Case 899-021, August 1998.
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      Roll-Ups and Surprise Billing: Collisions at the Intersection of Private Equity and Patient Care
      Blackstone’s Julia Kahr at the Summit
      → Search All HBS Web
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