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- April 2024
- Article
Pay-As-You-Go Insurance: Experimental Evidence on Consumer Demand and Behavior
By: Raymond Kluender
Pay-as-you-go contracts reduce minimum purchase requirements which may increase market participation. We randomize the introduction and price(s) of a novel pay-as-you-go contract to the California auto insurance market where 17 percent of drivers are uninsured. The...
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Kluender, Raymond. "Pay-As-You-Go Insurance: Experimental Evidence on Consumer Demand and Behavior." Review of Financial Studies 37, no. 4 (April 2024): 1118–1148.
- March 2024
- Case
Hippo: Weathering the Storm of the Home Insurance Crisis
By: Lauren Cohen, Grace Headinger and Sophia Pan
Rick McCathron, CEO of Hippo, considered how the firm’s underwriting model could account for the effects of climate change. Along with providing smart home packages, targeting risk-friendly customers, and using data-driven pricing, the Insurtech used technologically...
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Keywords:
Fintech;
Underwriters;
Big Data;
Insurance Companies;
Global Warming;
Business Model Design;
Weather And Climate Change;
Weather Insurance;
Earnings;
Business Model;
Forecasting and Prediction;
Climate Change;
Environmental Sustainability;
Green Technology;
Technological Innovation;
Natural Environment;
Natural Disasters;
Weather;
Business Strategy;
Competitive Advantage;
Business Earnings;
Insurance;
Social Issues;
Insurance Industry;
United States;
California
- 2023
- Working Paper
When Insurers Exit: Climate Losses, Fragile Insurers, and Mortgage Markets
By: Pari Sastry, Ishita Sen and Ana-Maria Tenekedjieva
This paper studies how homeowners insurance markets respond to growing climate losses and how this impacts mortgage market dynamics. Using Florida as a case study, we show that traditional insurers are exiting high risk areas, and new lower quality insurers are...
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Keywords:
Insurance;
Natural Disasters;
Governing Rules, Regulations, and Reforms;
Insurance Industry;
Florida
Sastry, Pari, Ishita Sen, and Ana-Maria Tenekedjieva. "When Insurers Exit: Climate Losses, Fragile Insurers, and Mortgage Markets." Harvard Business School Working Paper, No. 24-051, February 2024. (SSRN Working Paper Series, No. 4674279, December 2023.)
- January 2024
- Case
Net Zero Insurance Alliance: An Alliance in Crisis
By: Peter Tufano and Karina Val
The Net Zero Insurance Alliance (NZIA), a UN-convened alliance of major global insurers, was formed in 2021, but by 2023 had lost over 60% of its members. While NZIA had enjoyed a rapid and productive start by setting standards for the industry and sharing best...
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- January 2024
- Article
Cost of Exempting Sole Orphan Drugs from Medicare Negotiation
By: Matthew Vogel, Olivia Zhao, William B. Feldman, Amitabh Chandra, Aaron S. Kesselheim and Benjamin N. Rome
Importance: The Inflation Reduction Act (IRA) requires Medicare to negotiate prices for some high-spending drugs but exempts drugs approved solely for the treatment of a single rare disease.
Objective: To estimate Medicare spending and global... View Details
Objective: To estimate Medicare spending and global... View Details
Vogel, Matthew, Olivia Zhao, William B. Feldman, Amitabh Chandra, Aaron S. Kesselheim, and Benjamin N. Rome. "Cost of Exempting Sole Orphan Drugs from Medicare Negotiation." JAMA Internal Medicine 184, no. 1 (January 2024): 63–69.
- December 12, 2023
- Article
Prices for Common Services at Quaternary vs Nonquaternary Hospitals
By: Brandon W. Yan, Maximilian J. Pany and Leemore S. Dafny
Using commercial health insurance claims data from 2017-2019, we assessed whether quaternary hospitals charged higher prices for common, unspecialized services also offered by nonquaternary hospitals. We found quaternary-hospital price premiums of 8.2 percent, on...
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Yan, Brandon W., Maximilian J. Pany, and Leemore S. Dafny. "Prices for Common Services at Quaternary vs Nonquaternary Hospitals." JAMA, the Journal of the American Medical Association 330, no. 22 (December 12, 2023): 2211–2213.
- 2023
- Article
Dynamic HTA for Digital Health Solutions: Opportunities and Challenges for Patient-Centered Evaluation
By: Jan B. Brönneke, Annika Herr, Simon Reif and Ariel D. Stern
Germany’s 2019 Digital Healthcare Act (Digitale-Versorgung-Gesetz, or DVG) created a number of opportunities for the digital transformation of the health care delivery system. Key among these was the creation of a reimbursement pathway for patient-centered digital...
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Keywords:
Digital Transformation;
Applications and Software;
Product Development;
Insurance;
Policy;
Health Industry;
Germany
Brönneke, Jan B., Annika Herr, Simon Reif, and Ariel D. Stern. "Dynamic HTA for Digital Health Solutions: Opportunities and Challenges for Patient-Centered Evaluation." International Journal of Technology Assessment in Health Care 39, no. 1 (2023).
- November 2023
- Case
Aviva plc: Examining Net Zero
By: Peter Tufano, Brian Trelstad and Matteo Gasparini
The board of Aviva Plc, one of the world’s largest insurers, must review its climate risk exposures and evaluate next steps. Risk experts at the firm have conducted a robust set of analyses prepared for its regulator, the Bank of England, simulating how various climate...
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- 2023
- Government Testimony
Congressional Statement for the Record, Hearing on Factors Influencing the High Cost of Insurance for Consumers
By: Ishita Sen
Sen, Ishita. "Congressional Statement for the Record, Hearing on Factors Influencing the High Cost of Insurance for Consumers." Government Testimony, U.S. House of Representatives, Committee on Financial Services, Subcommittee on Housing and Insurance, November 2023.
- September 2023 (Revised January 2024)
- Case
Forecasting Climate Risks: Aviva’s Climate Calculus
By: Mark Egan and Peter Tufano
In late 2021, Ben Carr, Director of Analytics and Capital Modeling at Aviva Plc (Aviva)—a leading insurer with core operations in the UK, Ireland and Canada,—was preparing for an upcoming presentation before the company's board which included its CEO, Amanda Blanc,...
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Keywords:
Climate Risk;
Climate Finance;
Forecasting;
Insurance;
Risk Measurement;
Climate Change;
Risk Management;
Forecasting and Prediction;
Insurance Industry;
United States
Egan, Mark, and Peter Tufano. "Forecasting Climate Risks: Aviva’s Climate Calculus." Harvard Business School Case 224-025, September 2023. (Revised January 2024.)
- Summer 2023
- Article
Do Policies to Increase Access to Treatment for Opioid Use Disorder Work?
By: Eric Barrette, Leemore S. Dafny and Karen Shen
Even among commercially insured individuals, opioid use disorder is undertreated in the United States: nearly half receive no treatment within six months of a new diagnosis. Using a difference-in-differences specification exploiting the extension of insurance parity...
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Keywords:
Opioid Treatment;
Medication-assisted Treatment;
Substance Use Disorder;
Private Insurance;
Insurance;
Health Care and Treatment
Barrette, Eric, Leemore S. Dafny, and Karen Shen. "Do Policies to Increase Access to Treatment for Opioid Use Disorder Work?" American Journal of Health Economics 9, no. 3 (Summer 2023): 297–330.
- 2023
- Working Paper
The Market for Sharing Interest Rate Risk: Quantities and Asset Prices
By: Umang Khetan, Jane Li, Ioana Neamtu and Ishita Sen
We study the extent of interest rate risk sharing across the financial system using granular positions and transactions data in interest rate swaps. We show that pension and insurance (PF&I) sector emerges as a natural counterparty to banks and corporations: overall,...
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Keywords:
Interest Rates;
Investment Funds;
Banks and Banking;
Insurance;
Investment Banking;
Risk and Uncertainty
Khetan, Umang, Jane Li, Ioana Neamtu, and Ishita Sen. "The Market for Sharing Interest Rate Risk: Quantities and Asset Prices." Harvard Business School Working Paper, No. 24-052, February 2024.
- June 2023
- Article
Regulatory Limits to Risk Management
By: Ishita Sen
Variable annuities, the largest liability of U.S. life insurers, are investment products containing long-dated minimum return guarantees. I show that guarantees with similar economic risks are treated differently by regulation and these differences impact insurers’...
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Keywords:
Interest Rate Risk;
Variable Annuities;
Capital Regulation;
Reinsurance;
Derivatives;
Risk Management;
Interest Rates;
Governing Rules, Regulations, and Reforms
Sen, Ishita. "Regulatory Limits to Risk Management." Review of Financial Studies 36, no. 6 (June 2023): 2175–2223.
- March 2023
- Supplement
Allianz Türkiye (B): Adapting to a Changing World
By: John D. Macomber and Fares Khrais
Keywords:
Insurance And Reinsurance;
Natural Disasters;
Turkey;
Insurance;
Climate Change;
Analytics and Data Science;
Insurance Industry;
Insurance Industry;
Turkey
Macomber, John D., and Fares Khrais. "Allianz Türkiye (B): Adapting to a Changing World." Harvard Business School Supplement 223-076, March 2023.
- March 2023
- Supplement
Allianz Türkiye (C): Managing the 2017 Hail Storm
By: John D. Macomber and Fares Khrais
Allianz Turkey is a property casualty insurance company operating in a region experiencing increasing losses from natural catastrophe events related to climate change, for example hail, wildfire, and flooding. There are also substantial other natural catastrophe...
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Keywords:
Insurance And Reinsurance;
Natural Disasters;
Turkey;
Insurance;
Climate Change;
Analytics and Data Science;
Insurance Industry;
Insurance Industry;
Turkey
Macomber, John D., and Fares Khrais. "Allianz Türkiye (C): Managing the 2017 Hail Storm." Harvard Business School Supplement 223-084, March 2023.
- March 2023 (Revised April 2024)
- Case
Allianz Türkiye: Adapting to Climate Change
By: John D. Macomber and Fares Khrais
Allianz Turkey is a property casualty insurance company operating in a region experiencing increasing losses from natural catastrophe events related to climate change, for example hail, wildfire, and flooding. There are also substantial other natural catastrophe...
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Keywords:
Insurance And Reinsurance;
Natural Disasters;
Turkey;
Insurance;
Climate Change;
Analytics and Data Science;
Insurance Industry;
Insurance Industry;
Turkey
Macomber, John D., and Fares Khrais. "Allianz Türkiye: Adapting to Climate Change." Harvard Business School Case 223-074, March 2023. (Revised April 2024.)
- February 2023 (Revised May 2023)
- Case
Accelerating the Accelerator: Raja Al Mazrouei at DIFC Fintech Hive
By: Linda A. Hill, Emily Tedards and Lydia Begag
In January 2023, Raja Al Mazrouei became the Managing Director and Acting CEO of Etihad Credit Insurance (ECI) in Dubai, UAE. In her previous role as the Executive Vice President of the DIFC Fintech Hive, she successfully built and led an accelerator program for...
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Keywords:
Organizational Change and Adaptation;
Organizational Culture;
Organizational Design;
Organizational Structure;
Management;
Strategy;
Technology Adoption;
Information Infrastructure;
Financial Management;
Financial Strategy;
Technological Innovation;
Digital Marketing;
Digital Strategy;
Digital Transformation;
Global Strategy;
Globalized Markets and Industries;
Banks and Banking;
Corporate Finance;
Leadership;
Leadership Development;
Leadership Style;
Financial Services Industry;
Technology Industry;
Banking Industry;
Middle East;
Singapore;
London;
United Arab Emirates;
Dubai
Hill, Linda A., Emily Tedards, and Lydia Begag. "Accelerating the Accelerator: Raja Al Mazrouei at DIFC Fintech Hive." Harvard Business School Case 423-064, February 2023. (Revised May 2023.)
- February 2023
- Article
A Different Framework to Achieve Universal Coverage in the U.S.
By: Katherine Baicker, Amitabh Chandra and Mark Shepard
This JAMA Forum discusses alternative ways to achieve universal coverage in the US such as administrative simplification in the Affordable Care Act plans to increase enrollment, having a basic policy that would be available to everyone, and options for supplemental...
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Baicker, Katherine, Amitabh Chandra, and Mark Shepard. "A Different Framework to Achieve Universal Coverage in the U.S." e230187. JAMA Health Forum 4, no. 2 (February 2023).
- February 2023
- Article
Increasing the Demand for Workers with a Criminal Record
By: Zoë Cullen, Will Dobbie and Mitchell Hoffman
State and local policies increasingly restrict employers’ access to criminal records, but without
addressing the underlying reasons that employers may conduct criminal background checks.
Employers may thus still want to ask about a job applicant’s criminal record...
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Cullen, Zoë, Will Dobbie, and Mitchell Hoffman. "Increasing the Demand for Workers with a Criminal Record." Quarterly Journal of Economics 138, no. 1 (February 2023): 103–150.
- January 2023
- Case
Thomas Buberl: Refounding AXA
By: Hubert Joly, Mihir Desai and Amram Migdal
In 2022, AXA and its CEO Thomas Buberl faced new types of challenges, including systemic risks such as climate change, geopolitical instability, public health crises, and social tensions caused by economic risks. AXA was one of the world’s largest insurers. Since...
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Keywords:
Change;
Change Management;
Transformation;
Transition;
Trends;
Environmental Management;
Climate Change;
Ethics;
Values and Beliefs;
Finance;
Insurance;
Management;
Management Succession;
Risk Management;
Organizations;
Corporate Social Responsibility and Impact;
Mission and Purpose;
Organizational Change and Adaptation;
Planning;
Strategic Planning;
Risk and Uncertainty;
Society;
Human Needs;
Social Issues;
Strategy;
Adaptation;
Business Strategy;
Corporate Strategy;
Insurance Industry;
Europe;
France;
Paris
Joly, Hubert, Mihir Desai, and Amram Migdal. "Thomas Buberl: Refounding AXA." Harvard Business School Case 523-059, January 2023.