Health Care Services
Case studies in health care services.
The Cigna Group — How Far Should ClearCareRx Go?
In April 2023, Express Scripts announced ClearCareRx, a new pharmacy-benefit contract option for employers, health plans and government-employer clients. Read case
Aetna and the 2025 Medicare Advantage bid
It is 1 April 2024. CMS has just released its final payment announcement for the 2025 Medicare Advantage (MA) year. Aetna is preparing its 2025 plans, and its leadership team must decide how to balance medical-cost pressure, member value and competitive position as it sets bids and benefits. Read case
DaVita — Where Should It Add Kidney-Care Capacity?
On 29 September 2020, CMS published the final rule for the End-Stage Renal Disease Treatment Choices (ETC) Model. The mandatory model would change payments for selected dialysis facilities and managing clinicians beginning in 2021. Read case
Labcorp — How to Screen the Next Laboratory Partnerships?
Imagine joining Labcorp’s strategy group on March 1, 2024. The company has publicly emphasized becoming a partner of choice for health systems and local and regional laboratories. How should the group screen and sequence additional opportunities? Read case
Quest Diagnostics: How Far Should Integration Go?
On October 23, 2024, Quest Diagnostics had just reported a year of rapid expansion. In less than ten months, it had acquired laboratory businesses or selected assets in several markets and specialties. One day earlier, CEO Jim Davis said Quest was on track to complete eight acquisitions by year-end. Read case