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At the close of open-enrollment in March of 2014, Kevin Counihan, CEO of Access Health CT, Connecticut’s state health insurance exchange, stops to consider the success it has experienced so far and think about how to ensure its long-term…

On November 22, 2013, the direct-to-consumer genetic testing provider, 23andMe, received a letter from the U.S. Food and Drug Administration (FDA) ordering the company to halt the sale and promotion of its genetic testing kit. The FDA stated that the…

In 2014, Pfizer proposed a friendly acquisition of AstraZeneca, but the AstraZeneca board resisted over price and strategy concerns. Was this good for pharmaceutical consumers? Pfizer, like pharmaceutical companies in general, faced difficulties in…

Mental illness has been described as an epidemic affecting nearly a quarter of all Americans in their lifetimes, often during their most productive working years. Managers who can design organizations that maximize mental health can minimize these risks…

In June 2001, after winning the UK general elections by a landslide, which gave him a second term, Tony Blair invited Michael Barber (case protagonist) to establish and lead the Prime Minister Delivery Unit (PMDU): a small, dedicated performance…

This case presents organizational challenges facing a physician champion of the Patient-Centered Medical Home (PCMH). Dr. Julian Kuffler, working with his employer, the Mount Desert Island Hospital System (MDI), hoped to persuade the primary care…

This case provides an introduction to the structure and dynamics of nonprofit hospital governance in the U.S. A hospital CEO two years into her position is grappling with how to make her board a more effective governing body. The hospital’s competitive…

At the June 2007, Central City Medical Group (CCMG) board meeting, Deb Moore, Executive Director, reported that there were mounting tensions caused by the implementation of an electronic health record (EHR). Physician morale and productivity were…

Bill Hurt, the new CEO of Hillside Hospital, knew that the forecast was grim. The hospital’s service volumes and market share were dropping precipitously. The direct causes of the problems were numerous, but an indirect cause—and major barrier to…

“This patient might have died from complications related to her TPN (total parenteral nutrition) infusion,” said Dr. Isaac Johnson, Chief Medical Officer at Acme Medical Center (AMC). He was referring to problems that occurred during the treatment of a…