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Ecosystem disruption and regulatory positioning: Entry strategies of digital health startup orchestrators and complementors

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  • Cozzolino, Alessio
  • Geiger, Susi

Abstract

Through a multiple case study of six digital startups in the healthcare ecosystem, we develop a framework of entry through innovation in a regulated ecosystem. The framework reveals the interplay of two dimensions that have not been examined in conjunction so far: 1) the degree of ecosystem disruption brought by the entrant's innovation; 2) the impact of regulation/policy on the entrant's innovation. Based on these two dimensions, our data reveal four scenarios for entrants: dual constraint; regulatory-enabled orchestration; regulatory-constrained complementation; and dual enablement. The paper provides several contributions to ecosystem research, including a new definition of ecosystem disruption, the joint consideration of two key dimensions of ecosystem entry, and an emergent framework illustrating specific strategies, governance mechanisms, and the likelihood of success for each entry scenario. We show that start-up entrants can be successful orchestrators if they are enabled by regulation, that they can shift their positioning to seize enabling regulations, and that being an orchestrator or a complementor is a strategic choice related to an entrant's ecosystem disruption strategy.

Suggested Citation

  • Cozzolino, Alessio & Geiger, Susi, 2024. "Ecosystem disruption and regulatory positioning: Entry strategies of digital health startup orchestrators and complementors," Research Policy, Elsevier, vol. 53(2).
    • Handle: RePEc:eee:respol:v:53:y:2024:i:2:s004873332300197x
    DOI: 10.1016/j.respol.2023.104913
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    as
    1. Aversa, Paolo & Guillotin, Olivier, 2018. "Firm technological responses to regulatory changes: A longitudinal study in the Le Mans Prototype racing," Research Policy, Elsevier, vol. 47(9), pages 1655-1673.
    2. MacDuffie, John Paul, 2018. "Response to Perkins and Murmann: Pay Attention to What Is and Isn't Unique about Tesla," Management and Organization Review, Cambridge University Press, vol. 14(3), pages 481-489, September.
    3. Geiger, Susi & Kjellberg, Hans, 2021. "Market mash ups: The process of combinatorial market innovation," Journal of Business Research, Elsevier, vol. 124(C), pages 445-457.
    4. Alessio Cozzolino & Gianmario Verona & Frank T. Rothaermel, 2018. "Unpacking the Disruption Process: New Technology, Business Models, and Incumbent Adaptation," Journal of Management Studies, Wiley Blackwell, vol. 55(7), pages 1166-1202, November.
    5. Ron Adner & Rahul Kapoor, 2016. "Innovation ecosystems and the pace of substitution: Re-examining technology S-curves," Strategic Management Journal, Wiley Blackwell, vol. 37(4), pages 625-648, April.
    6. Teece, David J., 2018. "Profiting from innovation in the digital economy: Enabling technologies, standards, and licensing models in the wireless world," Research Policy, Elsevier, vol. 47(8), pages 1367-1387.
    7. Shahzad (Shaz) Ansari & Raghu Garud & Arun Kumaraswamy, 2016. "The disruptor's dilemma: TiVo and the U.S. television ecosystem," Strategic Management Journal, Wiley Blackwell, vol. 37(9), pages 1829-1853, September.
    8. Yuliya Snihur & Llewellyn D. W. Thomas & Robert A. Burgelman, 2018. "An Ecosystem‐Level Process Model of Business Model Disruption: The Disruptor's Gambit," Journal of Management Studies, Wiley Blackwell, vol. 55(7), pages 1278-1316, November.
    9. Paolo Aversa & Annelore Huyghe & Giulia Bonadio, 2021. "First Impressions Stick: Market Entry Strategies and Category Priming in the Digital Domain," Journal of Management Studies, Wiley Blackwell, vol. 58(7), pages 1721-1760, November.
    10. Ron Adner & Rahul Kapoor, 2010. "Value creation in innovation ecosystems: how the structure of technological interdependence affects firm performance in new technology generations," Strategic Management Journal, Wiley Blackwell, vol. 31(3), pages 306-333, March.
    11. Rahul Kapoor, 2018. "Ecosystems: broadening the locus of value creation," Journal of Organization Design, Springer;Organizational Design Community, vol. 7(1), pages 1-16, December.
    12. Nathan Furr & Rahul Kapoor, 2018. "Capabilities, technologies, and firm exit during industry shakeout: Evidence from the global solar photovoltaic industry," Strategic Management Journal, Wiley Blackwell, vol. 39(1), pages 33-61, January.
    13. Siobhan O'Mahony & Rebecca Karp, 2022. "From proprietary to collective governance: How do platform participation strategies evolve?," Strategic Management Journal, Wiley Blackwell, vol. 43(3), pages 530-562, March.
    14. Finch, John & Geiger, Susi & Reid, Emma, 2017. "Captured by technology? How material agency sustains interaction between regulators and industry actors," Research Policy, Elsevier, vol. 46(1), pages 160-170.
    15. Arun Kumaraswamy & Raghu Garud & Shahzad (Shaz) Ansari, 2018. "Perspectives on Disruptive Innovations," Journal of Management Studies, Wiley Blackwell, vol. 55(7), pages 1025-1042, November.
    16. Gawer, Annabelle, 2014. "Bridging differing perspectives on technological platforms: Toward an integrative framework," Research Policy, Elsevier, vol. 43(7), pages 1239-1249.
    17. Hakan Ozalp & Carmelo Cennamo & Annabelle Gawer, 2018. "Disruption in Platform‐Based Ecosystems," Journal of Management Studies, Wiley Blackwell, vol. 55(7), pages 1203-1241, November.
    18. Brice Dattée & James Barlow, 2017. "Multilevel Organizational Adaptation: Scale Invariance in the Scottish Healthcare System," Organization Science, INFORMS, vol. 28(2), pages 301-319, April.
    19. Douglas P. Hannah & Kathleen M. Eisenhardt, 2018. "How firms navigate cooperation and competition in nascent ecosystems," Strategic Management Journal, Wiley Blackwell, vol. 39(12), pages 3163-3192, December.
    20. Snihur, Yuliya & Thomas, Llewellyn D. W. & Burgelman, Robert A., 2018. "An Ecosystem-Level Process Model of Business Model Disruption: The Disruptor's Gambit," Research Papers 3662, Stanford University, Graduate School of Business.
    21. Michael G. Jacobides & Carmelo Cennamo & Annabelle Gawer, 2018. "Towards a theory of ecosystems," Strategic Management Journal, Wiley Blackwell, vol. 39(8), pages 2255-2276, August.
    22. Brice Dattée & Oliver Alexy & Erkko Autio, 2018. "Maneuvering in Poor Visibility : How Firms Play the Ecosystem Game when Uncertainty is High," Post-Print hal-02312003, HAL.
    23. Rahul Kapoor & Nathan R. Furr, 2015. "Complementarities and competition: Unpacking the drivers of entrants' technology choices in the solar photovoltaic industry," Strategic Management Journal, Wiley Blackwell, vol. 36(3), pages 416-436, March.
    24. Christina M. Dalton & Sara B. Holland, 2019. "Why Do Firms Use Insurance to Fund Worker Health Benefits? The Role of Corporate Finance," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 86(1), pages 183-212, March.
    25. Rodolphe Durand & Robert M. Grant & Tammy L. Madsen & Sinziana Dorobantu & Aseem Kaul & Bennet Zelner, 2017. "Nonmarket strategy research through the lens of new institutional economics: An integrative review and future directions," Strategic Management Journal, Wiley Blackwell, vol. 38(1), pages 114-140, January.
    26. Clayton M. Christensen & Rory McDonald & Elizabeth J. Altman & Jonathan E. Palmer, 2018. "Disruptive Innovation: An Intellectual History and Directions for Future Research," Journal of Management Studies, Wiley Blackwell, vol. 55(7), pages 1043-1078, November.
    27. Susi Geiger, 2020. "Silicon Valley, disruption, and the end of uncertainty," Journal of Cultural Economy, Taylor & Francis Journals, vol. 13(2), pages 169-184, March.
    28. Melissa E. Graebner, 2004. "Momentum and serendipity: how acquired leaders create value in the integration of technology firms," Strategic Management Journal, Wiley Blackwell, vol. 25(8‐9), pages 751-777, August.
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