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Harvard Case - Unite Us and the Business of Health Equity

"Unite Us and the Business of Health Equity" Harvard business case study is written by Kevin Schulman, Megan Eluhu. It deals with the challenges in the field of Strategy. The case study is 26 page(s) long and it was first published on : Jun 13, 2023

At Fern Fort University, we recommend that Unite Us pursue a multi-pronged strategy to solidify its position as a leader in the health equity space. This strategy involves leveraging its existing network and data infrastructure to expand its reach and impact, while simultaneously developing innovative solutions to address the complex social determinants of health. We believe this approach will enable Unite Us to achieve sustainable growth, create significant social impact, and establish a strong competitive advantage in the evolving landscape of healthcare.

2. Background

Unite Us is a non-profit organization that operates a technology platform connecting individuals with social services and healthcare resources. The platform aims to address health equity by breaking down silos between different sectors and facilitating seamless access to vital services. The case study highlights Unite Us's success in establishing a robust network of partners and its commitment to leveraging data-driven insights to improve service delivery. However, the organization faces challenges in scaling its operations, securing sustainable funding, and navigating the complex regulatory environment.

3. Analysis of the Case Study

Strategic Analysis:

  • Porter's Five Forces: The healthcare sector is characterized by high bargaining power of buyers (patients) due to limited price sensitivity. The industry also faces high threat of new entrants due to the increasing adoption of digital health solutions. The threat of substitutes is moderate, with alternative models like community health centers and direct-to-consumer telehealth platforms emerging. The rivalry among existing competitors is intense, with players like CareOregon and Health Leads vying for market share.
  • SWOT Analysis:
    • Strengths: Strong network of partners, data-driven approach, proven track record of success, commitment to social impact.
    • Weaknesses: Limited funding, dependence on grants and partnerships, challenges in scaling operations, limited brand awareness.
    • Opportunities: Growing demand for health equity solutions, increasing adoption of digital health technologies, potential for new partnerships with healthcare providers, expansion into new markets.
    • Threats: Competition from established players, regulatory uncertainty, potential for data privacy concerns, funding challenges.
  • Value Chain Analysis: Unite Us's value chain consists of:
    • Inbound Logistics: Building relationships with social service organizations and healthcare providers.
    • Operations: Developing and maintaining the technology platform, facilitating data exchange, and providing support services.
    • Outbound Logistics: Connecting individuals with relevant resources and tracking service utilization.
    • Marketing & Sales: Raising awareness about the platform, building partnerships, and promoting its value proposition.
    • Service: Providing ongoing support to partners and users, monitoring service delivery, and collecting data for continuous improvement.

Financial Analysis:

  • Unite Us relies heavily on grants and partnerships for funding. This creates a dependence on external sources and limits its financial flexibility.
  • The organization needs to develop a sustainable revenue model to ensure long-term financial stability. This could involve exploring options like subscription-based services for healthcare providers, partnerships with insurance companies, or government contracts.

Marketing Analysis:

  • Unite Us needs to raise its brand awareness and establish itself as a leading provider of health equity solutions.
  • The organization can leverage social media, public relations, and targeted marketing campaigns to reach potential users and partners.
  • Building strong relationships with key stakeholders, including policymakers, community leaders, and healthcare providers, is crucial for building trust and credibility.

Operational Analysis:

  • Unite Us needs to develop a scalable operational model to handle increasing demand for its services.
  • This involves investing in technology infrastructure, automating processes, and optimizing workflows.
  • The organization also needs to ensure data security and compliance with relevant regulations.

4. Recommendations

1. Expand Reach and Impact:

  • Market Expansion: Utilize a market development strategy to expand into new geographic regions, particularly those with high concentrations of underserved populations. This can be achieved through strategic partnerships with local organizations and government agencies.
  • Service Diversification: Expand the range of services offered on the platform to include additional social determinants of health, such as housing, transportation, and employment. This can be achieved through strategic alliances with organizations specializing in these areas.
  • Data-Driven Innovation: Develop innovative data analytics tools and dashboards to provide real-time insights into service utilization, identify gaps in service delivery, and measure the impact of interventions. This can be achieved through partnerships with technology companies specializing in AI and machine learning.

2. Enhance Financial Sustainability:

  • Revenue Diversification: Explore new revenue streams beyond grants and partnerships, such as subscription-based services for healthcare providers, partnerships with insurance companies, or government contracts.
  • Cost Optimization: Implement cost-saving measures by streamlining operations, automating processes, and leveraging economies of scale.
  • Impact Investment: Engage with impact investors and philanthropic organizations to secure long-term funding and support for its mission.

3. Build a Strong Brand:

  • Strategic Communications: Develop a comprehensive communications strategy to raise awareness of Unite Us's mission and value proposition. This can involve leveraging social media, public relations, and targeted marketing campaigns.
  • Thought Leadership: Position Unite Us as a thought leader in the health equity space by publishing research, participating in industry events, and collaborating with academic institutions.
  • Community Engagement: Engage with local communities to build trust and support, and to ensure that the platform meets the needs of the people it serves.

5. Basis of Recommendations

These recommendations are based on a thorough analysis of Unite Us's strengths, weaknesses, opportunities, and threats. They align with the organization's mission to improve health equity by providing access to essential services. The recommendations also consider the competitive landscape, the evolving regulatory environment, and the increasing adoption of digital health technologies.

1. Core Competencies and Consistency with Mission: The recommendations focus on leveraging Unite Us's core competencies in technology, data analytics, and network building to expand its reach and impact. They are consistent with the organization's mission to address health equity by providing access to essential services.

2. External Customers and Internal Clients: The recommendations prioritize the needs of both external customers (individuals seeking services) and internal clients (healthcare providers and social service organizations). They aim to improve the user experience for both groups and to facilitate seamless collaboration between partners.

3. Competitors: The recommendations are designed to help Unite Us stay ahead of the competition by differentiating its services, expanding its reach, and developing innovative solutions.

4. Attractiveness: The recommendations are expected to generate positive returns on investment by increasing revenue, reducing costs, and improving efficiency. They are also likely to attract new partners and investors, further strengthening Unite Us's financial position.

Assumptions:

  • The demand for health equity solutions will continue to grow.
  • The adoption of digital health technologies will continue to accelerate.
  • Unite Us will be able to secure funding to support its expansion plans.
  • The regulatory environment will remain supportive of Unite Us's mission.

6. Conclusion

Unite Us is well-positioned to become a leading force in the health equity space. By implementing the recommendations outlined in this case study, the organization can solidify its position as a trusted provider of essential services, expand its reach to underserved communities, and create a sustainable and impactful business model.

7. Discussion

Alternatives:

  • Mergers and Acquisitions: Unite Us could consider acquiring smaller organizations with complementary services or expertise. However, this approach carries significant risks and requires careful due diligence.
  • Focus on a Niche Market: Unite Us could choose to focus on a specific population segment or geographic region, rather than trying to serve everyone. This could allow the organization to develop specialized solutions and become a leader in a particular area.

Risks:

  • Competition: The health equity space is becoming increasingly competitive, and Unite Us needs to be prepared to adapt to changing market dynamics.
  • Data Security: Unite Us handles sensitive personal data, and it must ensure that its systems are secure and compliant with relevant regulations.
  • Funding Challenges: Securing sustainable funding will be crucial for Unite Us's long-term success.

Key Assumptions:

  • The demand for health equity solutions will continue to grow.
  • The adoption of digital health technologies will continue to accelerate.
  • Unite Us will be able to secure funding to support its expansion plans.
  • The regulatory environment will remain supportive of Unite Us's mission.

8. Next Steps

Timeline:

  • Year 1: Implement market expansion strategy, develop new data analytics tools, and launch a comprehensive communications campaign.
  • Year 2: Explore new revenue streams, optimize operations, and build strategic partnerships with key stakeholders.
  • Year 3: Expand into new markets, solidify financial sustainability, and establish Unite Us as a thought leader in the health equity space.

Key Milestones:

  • Secure funding for expansion plans.
  • Launch new data analytics tools and dashboards.
  • Develop a comprehensive communications strategy.
  • Establish strategic partnerships with key stakeholders.
  • Expand into new geographic regions.
  • Achieve financial sustainability.

By taking these steps, Unite Us can achieve its mission of improving health equity and build a sustainable and impactful business model for the future.

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Case Description

Health equity became a hot topic during the pandemic, when health care disparities and higher mortality rates for Black and Latino patients became front-page news. New discussions about the structural determinants of health in the United States looked deeply at the impact of racial disparities and racism on health behaviors, clinical care, social and economic factors, and physical environment on health outcomes. The Unite Us technology platform was devoted to helping identify, deliver, and pay for services that affected whole-person health, with the goal of screening at-risk individuals for referrals to broader assistance from government services and community-based organizations. Could Unite Us and its partners build the coordinated care networks to provide whole-person health to populations that had long borne the brunt of racial disparities-and reduce health care costs?

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