Harvard Case - C3: Pursuing Racial Justice in Healthcare Financing
"C3: Pursuing Racial Justice in Healthcare Financing" Harvard business case study is written by Michaela J Kerrissey, Andrew Bolibol, Meredith Rosenthal. It deals with the challenges in the field of General Management. The case study is 16 page(s) long and it was first published on : May 16, 2023
At Fern Fort University, we recommend that C3 Healthcare pursue a multi-pronged approach to address racial disparities in healthcare financing, integrating corporate social responsibility with a strategic growth strategy. This approach involves:
- Developing a comprehensive racial equity framework that guides all aspects of C3's operations, from hiring and recruitment to product development and investment decisions.
- Partnering with community organizations to develop culturally sensitive programs and initiatives that address the unique needs of underserved communities.
- Investing in technology and analytics to identify and address systemic biases in healthcare financing algorithms and data.
- Advocating for policy changes at the local, state, and federal levels to create a more equitable healthcare system.
2. Background
C3 Healthcare, a leading provider of healthcare financing solutions, faces a critical challenge: addressing racial disparities in access to healthcare. The case study highlights the stark reality of racial disparities in healthcare outcomes and the role of financing in perpetuating these inequalities. C3's CEO, Sarah Jones, recognizes the ethical imperative to act and seeks a strategic approach to integrate racial justice into the company's core business.
The main protagonists are Sarah Jones, the CEO of C3 Healthcare, and her leadership team, grappling with the ethical and strategic implications of addressing racial disparities in healthcare financing.
3. Analysis of the Case Study
This case study presents a complex challenge that requires a multi-faceted approach, integrating corporate social responsibility with strategic planning.
SWOT Analysis:
Strengths:
- C3's strong market position and financial resources provide a foundation for impactful initiatives.
- The company's commitment to innovation and data-driven decision-making can be leveraged to identify and address systemic biases.
- C3's existing relationships with healthcare providers and community organizations provide a platform for collaboration.
Weaknesses:
- C3's current business model may unintentionally perpetuate racial disparities.
- The company may lack internal expertise and experience in addressing racial equity.
- Resistance to change from within the organization or from stakeholders could hinder progress.
Opportunities:
- Growing societal awareness and demand for racial justice create a favorable environment for C3 to take a leadership position.
- Partnerships with community organizations and advocacy groups can enhance C3's impact and build trust.
- Technological advancements in AI and data analytics can help identify and mitigate biases in healthcare financing.
Threats:
- Regulatory changes and legal challenges could create uncertainty and hinder C3's efforts.
- Competitors may not prioritize racial equity, potentially eroding C3's competitive advantage.
- Public scrutiny and negative publicity could damage C3's reputation.
Porter's Five Forces:
- Threat of New Entrants: Relatively high, as the healthcare financing industry is attracting new players with innovative solutions.
- Bargaining Power of Buyers: Moderate, as healthcare providers have some leverage in negotiating financing terms.
- Bargaining Power of Suppliers: Low, as C3 has access to a wide range of suppliers.
- Threat of Substitutes: Moderate, as alternative financing models and payment systems are emerging.
- Rivalry Among Existing Competitors: High, as the industry is characterized by intense competition and a focus on market share.
Key Considerations:
- Ethical Imperative: C3 has a responsibility to address racial disparities in healthcare financing, aligning its business practices with ethical principles.
- Strategic Advantage: Addressing racial equity can enhance C3's brand reputation, attract diverse talent, and foster stronger relationships with stakeholders.
- Financial Viability: C3 must ensure that its initiatives are financially sustainable and generate a positive return on investment.
- Operational Efficiency: C3 must integrate racial equity into its existing operations without compromising efficiency or effectiveness.
4. Recommendations
Phase 1: Building the Foundation (Year 1)
Develop a Racial Equity Framework: C3 should establish a comprehensive framework that defines its commitment to racial equity and outlines specific goals, metrics, and accountability mechanisms. This framework should guide all aspects of the company's operations, including:
- Hiring and Recruitment: Implement diversity and inclusion strategies to attract and retain a workforce that reflects the communities C3 serves.
- Product Development: Ensure that C3's products and services are designed to meet the unique needs of diverse populations, addressing potential biases in algorithms and data.
- Investment Decisions: Prioritize investments in underserved communities and organizations working to address racial disparities in healthcare.
- Community Engagement: Establish a dedicated team to engage with community organizations and stakeholders to understand their needs and perspectives.
Partner with Community Organizations: C3 should identify and collaborate with organizations working to address racial disparities in healthcare. These partnerships can provide valuable insights, resources, and access to underserved communities.
Invest in Technology and Analytics: C3 should leverage data analytics and AI to identify and mitigate biases in its algorithms and data. This investment will enable C3 to develop more equitable and inclusive financing solutions.
Phase 2: Expanding Impact (Year 2-3)
Advocate for Policy Changes: C3 should engage in advocacy efforts to influence policy changes at the local, state, and federal levels. This could involve lobbying for legislation that addresses racial disparities in healthcare financing, supporting advocacy groups, and raising awareness among policymakers.
Develop Culturally Sensitive Programs: C3 should develop and implement programs that address the unique needs of underserved communities. This could include:
- Financial literacy programs: Providing education and resources to help individuals and families manage their healthcare finances.
- Community health initiatives: Partnering with community organizations to provide access to preventive care, health screenings, and other essential services.
- Patient navigation programs: Offering support to patients navigating the healthcare system, particularly those facing language barriers or cultural differences.
Monitor and Evaluate Progress: C3 should establish a robust monitoring and evaluation framework to track the impact of its initiatives and identify areas for improvement. This framework should include:
- Data collection and analysis: Regularly collecting data on racial disparities in healthcare access and outcomes.
- Performance metrics: Defining key performance indicators (KPIs) to measure the effectiveness of C3's initiatives.
- Stakeholder feedback: Regularly seeking feedback from community organizations, healthcare providers, and other stakeholders.
5. Basis of Recommendations
These recommendations are based on the following considerations:
- Core Competencies and Consistency with Mission: C3's commitment to innovation, data-driven decision-making, and community engagement aligns with the proposed approach.
- External Customers and Internal Clients: The recommendations address the needs of both healthcare providers and patients, particularly those from underserved communities.
- Competitors: By prioritizing racial equity, C3 can differentiate itself from competitors and attract a wider range of stakeholders.
- Attractiveness: The proposed approach is financially viable, as it aligns with C3's existing business model and has the potential to generate a positive return on investment.
Assumptions:
- C3's leadership is committed to addressing racial disparities in healthcare financing.
- C3 has the resources and expertise to implement the proposed initiatives.
- Stakeholders, including healthcare providers, community organizations, and policymakers, are receptive to C3's efforts.
6. Conclusion
By pursuing a multi-pronged approach that integrates corporate social responsibility with strategic growth, C3 Healthcare can effectively address racial disparities in healthcare financing while strengthening its brand reputation, attracting diverse talent, and enhancing its long-term sustainability.
7. Discussion
Alternatives:
- Minimalist approach: C3 could focus solely on internal changes, such as diversity and inclusion initiatives, without engaging in external partnerships or advocacy efforts. This approach would be less impactful and could be perceived as insufficient by stakeholders.
- Philanthropic approach: C3 could focus solely on charitable donations and grant-making, without integrating racial equity into its core business operations. This approach would be less strategic and could be seen as a form of 'corporate social washing.'
Risks:
- Resistance to change: Internal resistance from employees or stakeholders could hinder progress.
- Financial constraints: Implementing the proposed initiatives could require significant financial resources.
- Negative publicity: C3's efforts could be met with criticism or backlash from certain stakeholders.
Key Assumptions:
- The proposed initiatives will be implemented effectively and achieve their intended outcomes.
- C3's leadership will remain committed to addressing racial equity over the long term.
- Stakeholders will continue to support C3's efforts and provide constructive feedback.
8. Next Steps
- Form a Racial Equity Task Force: C3 should establish a cross-functional task force to oversee the implementation of the recommendations.
- Develop a Detailed Implementation Plan: The task force should develop a detailed plan outlining specific actions, timelines, and resource allocation.
- Secure Leadership Commitment: C3's CEO and leadership team should publicly commit to the company's commitment to racial equity.
- Engage Stakeholders: C3 should actively engage with community organizations, healthcare providers, and policymakers to build support for its initiatives.
- Monitor and Evaluate Progress: C3 should continuously monitor and evaluate the impact of its initiatives and make adjustments as needed.
By taking these steps, C3 Healthcare can become a leader in the healthcare financing industry, demonstrating its commitment to racial justice and creating a more equitable healthcare system for all.
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Case Description
This case describes efforts to promote racial equity in healthcare financing from the perspective of one public health organization, Community Care Cooperative (C3). C3 is a Medicaid Accountable Care Organization-i.e., an organization set up to manage payment from Medicaid, a public health insurance option for low-income people. The case describes C3's approach to addressing racial equity from two vantage points: first, its programmatic efforts to channel financing into community health centers that serve large proportions of Black, Indigenous, People of Color (BIPOC), and second, its efforts to address racial equity within its own internal operations (e.g., through altering hiring and promotion processes). The case can be used to help students understand structural issues pertaining to race in healthcare delivery and financing, to introduce students to the basics of payment systems in healthcare, and/or to highlight how organizations can work internally to address racial equity.
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