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Our resources thrust participants into the heart of real-world scenarios, from crisis management in the UK during the Covid-19 pandemic to cross-party education reform in Brazil.

Many of our resources are available on The Case Centre distribution platform. Educators who are registered with the site can access free review copies of our case studies, teaching notes, and other materials.

To inquire about our other cases or background materials, please contact us at casecentre@bsg.ox.ac.uk.

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A rally for the Affordable Care Act in the US

Healthcare in Halcyon

While millions of Americans gained health insurance after the Affordable Care Act was implemented in 2010, insurance markets in many states remained tenuous. Halcyon, a fictional US state, saw insurers exiting the system, premiums rising, and the number of uninsured people growing. The head of the state’s health commission was considering a potential solution: would shifting to an ‘opt-out’ system for basic health insurance stabilise the market?

In 2017, healthcare in the United States was regulated by the Affordable Care Act (ACA). The ACA mandated all individuals to have health insurance or pay a penalty. While millions of people across the United States gained health insurance as a result of the ACA, the insurance market in many states was tenuous. Further, many Americans viewed the ACA as an unnecessary government intrusion on individual rights.

In the context of a fictional US state, this case explores the factors that contributed to the failure of the healthcare market. It explores new insights derived from behavioural economics to increase consumer choice, boost coverage, and lower overall costs of healthcare.

Co-authored with Karen Croxson

Authors:
Length of Teaching:
1-2 hours
Learning Objectives:
  1. Understand market failure and its sources;
  2. Assess government responses to market failures;
  3. Illustrate barriers to implementation.
More Info
Swiss Guard on the entrance of Vatican. Photo: Livioandronico2013 - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=61471124

Of faith and fortunes: reforming the Vatican’s finances

The Vatican Bank, central to the mission of the Catholic Church, largely operated outside the global financial regulatory system, but its culture of secrecy had gained notoriety for enabling financial irregularities. In 2012, Rene Bruelhart, a Swiss lawyer, was appointed as director of the Vatican’s financial regulator to address these concerns. As a relative outsider, what steps could he take to achieve organisational change at the tradition-bound Vatican?

The Vatican Bank was central to the global mission of the Catholic Church, helping move money where it was most needed to meet the Church’s objectives. The bank largely operated outside the global financial regulatory system. This arrangement had historically enabled the Church to operate where others could not, for instance to support the pro-democracy Solidarność (solidarity) movement in communist Poland.

In recent years, however, the bank’s culture of secrecy had gained notoriety for enabling financial irregularities. Rene Bruelhart, a Swiss lawyer who had previously helped reform Lichtenstein’s banking system, was appointed in 2012 as director of the Financial Information Authority (the Vatican’s financial regulator) to address the concerns and scandals at the Vatican Bank. As a relative outsider to the tradition-bound Vatican, Bruelhart considered his options. How broadly or narrowly should he define his objectives? How should he pace his reform in a setting that was resistant to external interference? How could he build a constructive dialogue with both internal and external stakeholders?

Length of Teaching:
1-2 hours
Learning Objectives:
  1. Equip participants to design and drive change in tradition-bound organisations;
  2. Identify and define problems to help set priorities.
More Info
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