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LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India Negotiation Strategy / MBA Resources

Introduction to Negotiation Strategy

Negotiation Strategy solution for LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India case study


At Oak Spring University, we provide corporate level professional Negotiation Strategy and other business case study solution. LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India case study is a Harvard Business School (HBR) case study written by S. Ramakrishna Velamuri, Wei Zhang, Priya Anant, Monidipa Mukherjee. The LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India (referred as “Lifespring Hospitals” from here on) case study provides evaluation & decision scenario in field of Strategy & Execution. It also touches upon business topics such as - negotiation strategy , negotiation framework, Strategy.

Negotiation strategy solution for case study LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India ” provides a comprehensive framework to analyse all issues at hand and reach a unambiguous negotiated agreement. At Oak Spring University, we provide comprehensive negotiation strategies that have proven their worth both in the academic sphere and corporate world.


BATNA in Negotiation Strategy


Three questions every negotiator should ask before entering into a negotiation process-

What’s my BATNA (Best Alternative To a Negotiated Agreement) – my walkaway option if the deal fails?

What are my most important interests, in ranked order?

What is the other side’s BATNA, and what are his interests?



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Case Description of LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India Case Study


This case highlights the journey of an organization that was set up in Hyderabad, in southern India, to provide affordable maternal care services to women from low-income urban families. LifeSpring Hospitals grew from a single hospital into a chain of nine hospitals, all in Hyderabad, in only five years. The chief executive officer has spent this initial period trying out new methods, continuously fine-tuning the model and learning from this process of experimentation. As the company seeks to scale the business to 200 hospitals, the chief executive officer must decide whether or not the business model is defined clearly enough to warrant the start of a rapid scaling process. The case is unique because it juxtaposes a commitment to high-quality health care service delivery through processes and protocols with a commitment to making maternal care affordable to low-income urban women. LifeSpring Hospitals tries to achieve these seemingly disparate objectives by attempting to create a financially sustainable business model. Authors S. Ramakrishna Velamuri, Priya Anant, and Monidipa Mukherjee are affiliated with Indian School of Business. Author Wei Zhang is affiliated with CEIBS Health Care Policy Management Center


Case Authors : S. Ramakrishna Velamuri, Wei Zhang, Priya Anant, Monidipa Mukherjee

Topic : Strategy & Execution

Related Areas : Strategy




Seven Elemental Tools of Negotiation that can be used in LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India solution


1. Satisfies everyone’s core interests (yours and theirs)


By interests, we do not mean the preconceived demands or positions that you or the other party may have, but rather the underlying needs, aims, fears, and concerns that shape what you want. Negotiation is more than getting what you want. It is not winning at all cost. Number of times Win-Win is better option that outright winning or getting what you want.





2. Is the best of many options

Options are the solutions you generate that could meet your and your counterpart’s interests . Often people come to negotiations with very fixed ideas and things they want to achieve. This strategy leaves unexplored options which might be even better than the one that one party wanted to achieve. So always try to provide as many options as possible during the negotiation process . The best outcome should be out of many options rather than few options.


3. Meets legitimate, fair standards

When soft bargainers meet hard bargainers there is always the danger of soft bargainers ceding more than what is necessary. To avoid this scenario you should always focus on legitimate standards or expectations, clearly understanding the arbitrage . Standards are often external and objective measures to assess the fairness such as rules and regulations, financial values & resources , market prices etc. If the negotiated agreement is going beyond the industry norms or established standards of fairness then it is prudent to get out of the negotiation.


4. Is better than your alternatives or BATNA

Every negotiators going into the negotiations should always work out the “what if” scenario. The negotiating parties in the “LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India” has three to four plausible scenarios. The negotiating protagonist needs to have clear idea of – what will happen if the negotiations fail. To put it in the negotiating literature – BATNA - Best Alternative to a Negotiated Agreement. If the negotiated agreement is not better than BATNA (Negotiations options), then there is no point in accepting the negotiated solution.


5. Is comprised of clear, realistic commitments

One of the biggest problems in implementing the negotiated agreements in corporate world is – the ambiguity in the negotiated agreement. Sometimes the negotiated agreements are not realistic or various parties interpret the outcomes based on their understanding of the situation. It is critical to do negotiations as water tight as possible so that there is less scope for ambiguity.


6. Is the result of effective communication?

Many negotiators make the mistake of focusing only on the substance of the negotiation (interests, options, standards, and so on). How you communicate about that substance, however, can make all the difference. The language you use and the way that you build understanding, jointly solve problems, and together determine the process of the negotiation with your counterpart make your negotiation more efficient, yield clear agreements that each party understands, and help you build better relationships.


7. Managing relationship with counterparty

Another critical factor in the success of your negotiation is how you manage your relationship with your counterpart and other people doing the mediation. According to “S. Ramakrishna Velamuri, Wei Zhang, Priya Anant, Monidipa Mukherjee”, the protagonist may want to establish a new connection or repair a damaged one; in any case, you want to build a strong working relationship built on mutual respect, well-established trust, and a side-by-side problem- solving approach.




Different types of negotiators – what is your style of negotiation

According to Harvard Business Review , there are three types of negotiators – Hard Bargainers, Soft Bargainers, and Principled Bargainers.

Hard Bargainers – These people see negotiations as an activity that they need to win. They are less focused less on the real objectives of the negotiations but more on winning. In the “LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India ”, do you think a hard bargaining strategy will deliver desired results? Hard bargainers are easy to negotiate with as they often have a very predictable strategy

Soft Bargainers – These people are focused on relationship rather than hard outcomes of the negotiations. It doesn’t mean they are pushovers. These negotiators often scribe to long term relationship rather than immediate bargain.

Principled Bargainers – As explained in the seven elemental tools of negotiations above, these negotiators are more concern about the standards and norms of fairness. They often have inclusive approach to negotiations and like to work on numerous solutions that can improve the BATNA of both parties.

Open lines of communication between parties in the case study “LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India” can make for an effective negotiation strategy and will make it easier to negotiate with this party the next time as well.





NPV Analysis of LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India



References & Further Readings

S. Ramakrishna Velamuri, Wei Zhang, Priya Anant, Monidipa Mukherjee (2018), "LifeSpring Hospitals: Delivering Affordable, High-quality Maternal Health Care in India Harvard Business Review Case Study. Published by HBR Publications.


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