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    • All HBS Web  (49)
      • Faculty Publications  (13)

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      • February 2019
      • Article

      Does It Matter If Your Health Insurer Is For Profit? Effects of Ownership on Premiums, Insurance Coverage, and Medical Spending

      By: Leemore S. Dafny
      There is limited empirical evidence about the impact of for-profit health insurers on various outcomes. I study the effects of conversions to for-profit status by Blue Cross Blue Shield (BCBS) affiliates in 11 states, spanning 28 geographic markets. I find both the...  View Details
      Keywords: Health Insurance; Medical Loss Ratio; Blue Cross; Corporate Governance; Health; Insurance; For-Profit Firms; Insurance Industry; United States
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      Dafny, Leemore S. "Does It Matter If Your Health Insurer Is For Profit? Effects of Ownership on Premiums, Insurance Coverage, and Medical Spending." American Economic Journal: Economic Policy 11, no. 1 (February 2019): 222–265.
      • August 2014
      • Case

      Blue Cross Blue Shield of Florida, Inc.

      By: Regina E. Herzlinger and Meng Li
      Keywords: Health; Health Care Industry; Health Insurance; United States; Health Care and Treatment; Health Industry; United States; Florida
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      Herzlinger, Regina E., and Meng Li. "Blue Cross Blue Shield of Florida, Inc." Harvard Business School Case 315-009, August 2014.
      • March 2011 (Revised March 2011)
      • Case

      Horizon Blue Cross Blue Shield of New Jersey - Managing in the Shadow of Health Care Reform

      By: Felix Oberholzer-Gee, Raffaella Sadun and Richard G. Hamermesh
      Per the Patient Protection and Affordable Care Act (PPACA), which President Obama signed in 2010, states would be required to create state-wide health insurance marketplaces - the Health Benefit Exchanges (HBEs) - in which individuals and small employers could choose...  View Details
      Keywords: Insurance; Health Care and Treatment; Governing Rules, Regulations, and Reforms; Emerging Markets; Risk and Uncertainty; Health Industry; Insurance Industry; New Jersey
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      Oberholzer-Gee, Felix, Raffaella Sadun, and Richard G. Hamermesh. "Horizon Blue Cross Blue Shield of New Jersey - Managing in the Shadow of Health Care Reform." Harvard Business School Case 711-403, March 2011. (Revised March 2011.)
      • January 2008 (Revised August 2012)
      • Case

      Retail Sales of Health Insurance: Blue Cross Blue Shield of Florida

      By: Regina E. Herzlinger and Grady Clouse
      The BCBS of Florida is contemplating whether to enter the consumer-driven health care market and if so, whether to target such groups—and individuals—and in which of its geographic markets, and how.  View Details
      Keywords: Health Care and Treatment; Nonprofit Organizations; Strategy; Insurance; Insurance Industry; Florida
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      Herzlinger, Regina E., and Grady Clouse. "Retail Sales of Health Insurance: Blue Cross Blue Shield of Florida." Harvard Business School Case 308-089, January 2008. (Revised August 2012.)
      • July 1996
      • Teaching Note

      Empire Blue Cross and Blue Shield (A)-(H) TN

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Teaching Note for (9-195-216--223).  View Details
      Keywords: Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (A)-(H) TN." Harvard Business School Teaching Note 197-013, July 1996.
      • April 1995 (Revised August 1995)
      • Case

      Empire Blue Cross and Blue Shield (A)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Mounting financial losses and increasing public scrutiny present many challenges to the board of directors of a large nonprofit health insurer. This case series presents chronologically the increasing problems of the company.  View Details
      Keywords: Governing and Advisory Boards; Corporate Governance; Financial Condition; Organizational Culture; Problems and Challenges; Nonprofit Organizations; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (A)." Harvard Business School Case 195-216, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (B)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case.  View Details
      Keywords: Insurance Industry; Health Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (B)." Harvard Business School Supplement 195-217, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (C)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case.  View Details
      Keywords: Insurance Industry; Health Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (C)." Harvard Business School Supplement 195-218, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (D)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case.  View Details
      Keywords: Insurance Industry; Health Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (D)." Harvard Business School Supplement 195-219, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (E)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case.  View Details
      Keywords: Insurance Industry; Health Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (E)." Harvard Business School Supplement 195-220, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (F)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case.  View Details
      Keywords: Insurance Industry; Health Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (F)." Harvard Business School Supplement 195-221, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (G)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case.  View Details
      Keywords: Insurance Industry; Health Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (G)." Harvard Business School Supplement 195-222, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (H)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. Contains a denouement.  View Details
      Keywords: Insurance Industry; Health Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (H)." Harvard Business School Supplement 195-223, April 1995. (Revised August 1995.)
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