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Harvard Case - Included Health: A Vision for Integrated Care in America

"Included Health: A Vision for Integrated Care in America" Harvard business case study is written by Robert Chess, Andrew Leon Hanna. It deals with the challenges in the field of Strategy. The case study is 20 page(s) long and it was first published on : Nov 14, 2023

At Fern Fort University, we recommend that Included Health pursue a multi-pronged growth strategy focused on strategic acquisitions, market expansion, and product innovation to solidify its position as a leading provider of integrated healthcare solutions. This strategy will leverage Included Health's core competencies in technology, data analytics, and care coordination to achieve sustainable competitive advantage in the rapidly evolving healthcare landscape.

2. Background

Included Health is a healthcare company offering a comprehensive suite of virtual and in-person services, including primary care, mental health, and chronic disease management. Founded in 2016, the company has grown rapidly through acquisitions and partnerships, establishing a strong presence in the US market.

The case study centers around Included Health's ambitious vision to become a leading player in the integrated care space. This vision is driven by the company's belief that the fragmented nature of the US healthcare system leads to suboptimal care, higher costs, and poor patient outcomes. Included Health aims to address these issues by offering a holistic, patient-centric approach that integrates various healthcare services under one roof.

Main Protagonists:

  • Mike Serbinis: CEO of Included Health, a visionary leader with a strong track record in building successful healthcare businesses.
  • Included Health's leadership team: A group of experienced professionals with expertise in healthcare, technology, and business strategy.

3. Analysis of the Case Study

SWOT Analysis:

Strengths:

  • Strong leadership: Led by a visionary CEO with proven experience in healthcare and technology.
  • Innovative technology platform: Utilizes data analytics and AI to personalize care and improve efficiency.
  • Integrated care model: Offers a comprehensive suite of services under one roof, addressing diverse healthcare needs.
  • Strong financial performance: Demonstrates rapid growth and profitability, attracting investor confidence.
  • Positive brand image: Recognized for its commitment to patient-centric care and innovative solutions.

Weaknesses:

  • Limited geographic reach: Primarily focused on the US market, leaving potential for expansion in other regions.
  • Competition from established players: Faces stiff competition from traditional healthcare providers and other virtual care companies.
  • Potential regulatory challenges: Navigating the complex and evolving healthcare regulatory landscape.
  • Dependence on technology: Vulnerability to technological disruptions and cybersecurity threats.
  • Scaling challenges: Maintaining quality and efficiency as the company grows rapidly.

Opportunities:

  • Growing demand for virtual care: Increasing consumer preference for convenient and accessible healthcare options.
  • Shift towards value-based care: Growing focus on improving patient outcomes and reducing healthcare costs.
  • Expansion into new markets: Opportunities to enter international markets with a strong demand for integrated care.
  • Strategic partnerships: Collaborating with other healthcare providers, insurers, and technology companies.
  • Product innovation: Developing new services and solutions to address emerging healthcare needs.

Threats:

  • Economic downturn: Potential impact on healthcare spending and consumer demand.
  • Technological disruptions: Emergence of new technologies and competitors in the virtual care space.
  • Regulatory changes: Unfavorable changes in healthcare regulations could hinder growth.
  • Cybersecurity threats: Potential for data breaches and reputational damage.
  • Competition from established players: Existing healthcare providers may adopt similar integrated care models.

Porter's Five Forces Analysis:

  • Threat of new entrants: Moderate, due to the high capital investment and regulatory hurdles in healthcare.
  • Bargaining power of buyers: Moderate, as consumers have increasing choices in healthcare providers.
  • Bargaining power of suppliers: Moderate, as Included Health relies on various suppliers for technology, infrastructure, and personnel.
  • Threat of substitute products: High, as alternative healthcare options like telehealth and self-care are becoming increasingly popular.
  • Rivalry among existing competitors: High, as the market is crowded with established players and new entrants.

Value Chain Analysis:

Included Health's value chain consists of:

  • Inbound logistics: Sourcing technology, infrastructure, and personnel.
  • Operations: Providing virtual and in-person healthcare services.
  • Outbound logistics: Delivering care to patients through various channels.
  • Marketing & Sales: Reaching potential customers and promoting services.
  • Customer service: Providing support and addressing patient concerns.
  • Technology & Analytics: Developing and maintaining the technology platform.
  • Human Resources: Recruiting, training, and managing employees.
  • Finance & Administration: Managing finances, legal matters, and corporate governance.

Business Model Innovation:

Included Health's business model is based on a value-based care approach that emphasizes patient outcomes and cost efficiency. The company leverages technology and data analytics to personalize care, improve patient engagement, and reduce unnecessary healthcare utilization. This model offers a unique value proposition compared to traditional healthcare providers, attracting patients seeking a more convenient, affordable, and effective healthcare experience.

Corporate Governance:

Included Health has a strong corporate governance framework, with a board of directors composed of experienced healthcare and business professionals. The company is committed to transparency, accountability, and ethical business practices.

4. Recommendations

Strategic Acquisitions:

  • Target companies with complementary services and geographic reach: Acquire companies offering specialized services like behavioral health, pharmacy, or home care to expand the scope of services.
  • Focus on regional acquisitions to expand geographic footprint: Acquire companies in key markets to gain market share and expand reach.
  • Utilize a combination of cash and stock to finance acquisitions: Maximize shareholder value and attract target companies.

Market Expansion:

  • Target specific market segments with high growth potential: Focus on segments like millennials, seniors, and individuals with chronic conditions.
  • Develop targeted marketing campaigns: Utilize digital channels, social media, and partnerships with employers to reach specific target audiences.
  • Explore new markets internationally: Leverage the growing demand for integrated care in emerging markets like Asia and Latin America.

Product Innovation:

  • Develop new digital health solutions: Invest in AI-powered tools for disease management, personalized health coaching, and remote patient monitoring.
  • Expand telehealth services: Offer virtual consultations with specialists, mental health professionals, and other healthcare providers.
  • Integrate wearable technology: Utilize data from wearable devices to monitor patient health and provide personalized insights.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  • Core competencies: Leverage Included Health's strengths in technology, data analytics, and care coordination to drive growth.
  • External customers: Address the growing demand for convenient, affordable, and effective healthcare solutions.
  • Internal clients: Empower employees with the resources and support to deliver exceptional patient care.
  • Competitors: Stay ahead of the competition by continuously innovating and expanding services.
  • Attractiveness: The recommendations are expected to generate positive ROI and contribute to long-term growth.

Assumptions:

  • The healthcare industry will continue to shift towards value-based care models.
  • Consumer demand for virtual and integrated care services will continue to grow.
  • Technological advancements will continue to drive innovation in the healthcare sector.

6. Conclusion

By pursuing a strategic growth strategy focused on acquisitions, market expansion, and product innovation, Included Health can solidify its position as a leading provider of integrated healthcare solutions. This strategy will leverage the company's core competencies and capitalize on the growing demand for value-based care, enabling Included Health to achieve sustainable competitive advantage and deliver exceptional patient outcomes.

7. Discussion

Alternatives:

  • Organic growth: Focus on internal growth through product development and marketing efforts.
  • Joint ventures: Partner with other healthcare providers to expand services and reach new markets.
  • Focus on specific niche markets: Specialize in providing care for specific patient populations, like those with chronic diseases.

Risks:

  • Integration challenges: Successfully integrating acquired companies and ensuring seamless service delivery.
  • Competition: Facing intense competition from established players and new entrants in the integrated care space.
  • Regulatory changes: Navigating the complex and evolving healthcare regulatory landscape.
  • Technology disruptions: Keeping pace with rapid technological advancements and adapting to new technologies.

Key Assumptions:

  • The healthcare industry will continue to evolve towards value-based care models.
  • Consumer demand for virtual and integrated care services will continue to grow.
  • Included Health will be able to successfully integrate acquired companies and leverage their resources.

8. Next Steps

  • Develop a detailed strategic plan: Outline specific goals, timelines, and resource allocation for each growth strategy.
  • Identify and evaluate potential acquisition targets: Conduct due diligence and assess the potential benefits of each acquisition.
  • Develop a comprehensive marketing strategy: Target specific market segments and utilize various channels to reach potential customers.
  • Invest in product development and innovation: Develop new digital health solutions and expand telehealth services.
  • Monitor progress and adapt the strategy as needed: Continuously evaluate the effectiveness of the growth strategy and make adjustments based on market trends and competitive landscape.

By taking these steps, Included Health can effectively implement its growth strategy and achieve its ambitious vision of becoming a leading player in the integrated care space.

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Case Description

This case tells the story of Included Health, a U.S. health care venture born from the unification of a major virtual care provider and two health care navigation platforms. The company's overarching mission is to raise the standard of health care for everyone by becoming a single source where all of a patient's services are provided - such that the patient is fully supported physically and financially. As of late 2023, it served tens of millions of individual members across America, counting as clients 32 of the Fortune 100 companies. We enter the case almost three years since the merger of the health navigation platform that Included Health's CEO Owen Tripp first founded, Grand Rounds, and the virtual care provider Doctor On Demand. He and Dr. Ami Parekh, the chief health officer, are at a crossroads. As the case describes their options for strategic direction going forward, Included Health becomes a window into several important industry themes: rethinking future models of in-person care, government regulation of virtual care after its boom during the COVID-19 pandemic, opportunities and challenges of incorporating AI, the increasing "consumerism" in health care, the primary care doctor shortage, and more.

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