Bain Medium Profitability

Alfa Dental

ProHub Comment

This is a candidate-led profitability case focused on diagnosing why the addition of a large dental chain (Eastern Dental) has caused Alfa Dental's profits to decline despite increased volume. The case teaches diagnostic thinking about cost-revenue misalignment in partnership/network models and strategic pricing decisions. The key insight is that Eastern Dental's rapid growth in patient visits—driven by successful business strategies—is increasing Alfa's costs (fee-for-service payments) faster than their fixed insurance premium revenues grow.

Estimated Time 15 minutes
Difficulty Medium
Source PeterK
50 / 100
Alfa Dental is a major dental insurance company that partners with various dental practices. In 2018 they included a new large dental chain Eastern Dental to their network and their profitability started declining. The CEO asked your team to assess this problem and recommend plan to improve profitability. It’s early 2020 (before the pandemic).

Clarifying Information

  1. The Alfa Dental’s economics is healthy (profitability is stable) if considered without Eastern Dental
  2. Eastern Dental operates 100 dental offices primarily in Arizona
  3. Eastern Dental has a fee-for-service agreement, according to which Alfa Dental pays for each service rendered (unlike value-based agreements)
  4. Eastern Dental provides the whole spectrum of dental services
  5. The client didn’t share any specific profitability goal