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Healthcare Management Initiative


Research and News

New Cases


Disrupting Dengue with an Emerging Markets Launch Strategy

R. Aggarwal and S.E. Chick, 2016




Sanofi Pasteur’s newly approved dengue vaccine, Dengvaxia, was unusual in that it was launched in the Philippines and other at-risk countries. By choosing to “flip the model” – launch in an emerging market setting as opposed to developed markets – it had to overcome various obstacles across the value chain, from registration to financing to supply. The company spent 20 years and invested $1.7 billion to develop Dengvaxia, taking several high-risk decisions and making trade-offs along the way. The case highlights the stakeholder interdependencies and uncertainties that remained as the vaccine implementation programme crept closer. If successfully resolved, it could potentially offer a blueprint for others.


Mobile Health in Diabetes: mySugr's Monster Approach

K.J. Rose and S.E. Chick, 2016


Abstract: mySugr is a mobile health startup which allows us to explore several interlinked trends. One trend is the proliferation of health related applications, and an understanding of factors which seem to be related to success in the digital health space. Another trend is the role of patients in managing their own health, an issue of increasing importance as chronic diseases touch the lives of a growing number of individuals and consume an increasing part of the health budget. A third related concept is that of asset based approaches for health, a concept which seems to be linked to the success of a number of health apps.


Reorganizing Healthcare Delivery through a Value-Based Approach

R. Aggarwal and S.E. Chick, 2015

Abstract: Set in 2014, this case study examines the development and ongoing transition to value- and outcomes-based commissioning for diabetes care across North Central London (NCL). With the aim of improving health outcomes among their local populations, Clinical Commissioning Groups (CCGs) in NCL set out to tranform the delivery and funding of services. This involves incentivize providers to deliver on specific health outcomes that are important to patients via an integrated platform encompassing multiple entry points - primary, secondary, social care and community services.

Double Vision: Making Eye Care Accessible through Cross-Subsidization

R. Aggarwal and S.E. Chick, 2015

Abstract: Facing reduced government funding, yet committed to broadening access to its services, Sankara Eye Care, a chain of hospitals in India, was at a crossroads in 2015. Over the years it had developed a lean operational model to provide free care to approximately 80 percent of its non-paying patients (cross-subsidized by paying patients). Continuous improvements and further innovation, however, were needed to achieve its ambitious goal of expanding from 9 hospitals to 20 by 2020. The case highlights Sankara's key decisions, including issues of intrinsic and extrinsic motivation, moving from a charity to a business mindset, and determining the expansion strategy.

MBA Courses on Healthcare

For students interested in MBA courses, focused on healthcare or involving healthcare-specific case studies and examples, see the MBA Course Offering section for details.

NEW MBA Healthcare Mini-Elective Course: "Creating Value in Health"

Fontainebleau, May 2015 and Singapore, June 2015

Creating Value in Health is a new course which explores the complex context of health care delivery, and critical challenges that the whole health sector (providers, pharma, medtech, policy, payers …) are thinking about to improve value: health outcomes that matter to patients in a financially sustainable way. Focus will be on how the care delivery system works, how efforts are being made to improve it, and how it might be changed for the better. We will be taking a business model innovation and process improvement perspective which will give key insights for those wishing to enter or go deeper into this sector. We will explore how management and medicine interact in the trenches in implementing real sustainable change.

Upon completion of the course, participants will:

• gain a better understanding of the complexities, tensions, and sometimes misaligned incentives associated with both treatment and health creation,
• understand current trends in focusing on value and accountability in health care delivery,
• see examples of turning around complex service organizations such as hospitals,
• understand new trends and opportunities to innovate in both public and private sector health care organizations

For further details, see MBA Courses. If you have questions, please contact Professor Stephen Chick at

European Foundation for Management Development (EFMD) Case Writing Awards 2013

INSEAD HMI case study - Laastari: Building a Retail Health Clinic Chain by Stephen Chick and Ridhima Aggarwal - received recognition in the Entrepreneurship category as a 'Highly Commended Case'.

The Case Centre Awards and Competition 2014 Winner

INSEAD case study - GE Healthcare: Innovating for Emerging Markets (A) and A CSR Dilemma (B) by Jasjit Singh - won an award in the Strategy and General Management category.

Are Traditional Primary Care Clinics a Relic of the Past?

The primary care market presents a tremendous opportunity for innovation, with the development of a spectrum of compelling new delivery models – from retail health to concierge-type practices to telemedicine. This is a short thought piece on the topic.

Recent Press

Professor Narayan Pant, A Sustainable Healthcare System, Business Times, 12 June 2013.

Professor Pierre Chandon's recent paper,From Fan to Fat? Vicarious Losing Increases Unhealthy Eating but Self-Affirmation is an Effective Remedy" received wide press coverage including:


For Students

If you are a current or prospective MBA student, and would like to learn more about healthcare activities at INSEAD and get engaged, you may want to check out the MBA Healthcare Club and our Campus Activities.

For Alumni

The INSEAD Healthcare Alumni Network serves as a networking platform for more than 2000 alumni, enabling linkages and discussions among professionals working in the healthcare sector and associated fields.

For Industry Stakeholders

Healthcare Management Initiative research is aimed at addressing issues of long-term sustainability of the healthcare system through operational, behavioral, and strategic lenses. We thus work with all stakeholders in the healthcare value chain ranging from public sector to private firms and from product development to service delivery. If you are interested in collaborating on a project, please contact us.

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