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Which framework to use? "Whether or not 2 Hospital's should merge"

Hi everyone, 

I will probably get a case regarding whether or not 2 hospitals should merge together. I've never done a case interview before and I'm kind of drowning in how to do it. As far as I can tell I will get a 'briefing' with the case information and then have around 15 min to structure a presentation/pitch; so not a lot of time. 

And then the second part is implementation strategy, given that I would go ahead with the merger. So a timeline with how long the merger would take and which stakeholders 
- which stakeholders and why
- where in the timeline and why 
 

Help is greatly apprechiated!!!! 

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Top answer
German
Coach
on Dec 12, 2024
Ex McKinsey, Kearney | 100+ Interviews Conducted | Inhouse Consulting | Global Perspective

Hey!
When tackling this case, think from first principles. Break the problem into logical steps:

1. Why merge?

Understand the problem or goal the merger aims to address. Common reasons include:

  • Operational efficiency gains (e.g., shared central resources like labs, procurement).
  • Cost reduction through economies of scale.
  • Improved patient outcomes (e.g., combining specialties or expertise).
  • Market positioning to strengthen competitiveness or expand geographic reach.

2. Should they merge?

Based on the identified goal, analyze whether the merger will achieve it. Focus on quantitative data provided in the briefing (e.g., cost savings projections, patient volume increases). Form hypotheses and test them against the data to justify the merger.

3. Can they merge?

Evaluate feasibility:

  • Financial resources: Can they afford the upfront costs of merging (e.g., integration costs)?
  • Time and leadership bandwidth: Are stakeholders aligned, and is the timeline realistic?
  • Cultural and operational fit: Will their structures and processes integrate well?

4. Consider alternatives

If the goal is, for example, higher cost efficiency, explore whether other solutions (e.g., outsourcing, partnerships, process optimization) could achieve the same outcome with fewer risks or costs.

Implementation strategy:

For the timeline and stakeholders, focus on:

  • Key phases: Planning, integration, monitoring outcomes.
  • Stakeholders: Leadership (for strategy), medical staff (for operations), patients (for communication and care continuity).
  • Timeline reasoning: Base the order and duration of phases on complexity and resource availability.

Approach the case step by step, stay structured, and link your recommendations to clear reasoning.

Good luck! ;)

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