Publications

27 Aug 2013
First Look

First Look: August 27

https://www.hbs.edu/faculty/Pages/item.aspx?num=45271 August 2013 Journal of Health Economics Consumers' Misunderstanding of Health Insurance By: Loewenstein, George, Joelle Y. Friedman, Barbara McGill, Sarah... View Details

Keywords: Sean Silverthorne

Mar 2012
Article

How to Make Finance Work

and generated new ones. The rest of the economy, however, has not been well served by the financial sector's boom. First, the shift from deposit-based banking to a market-based "shadow banking" system, without adequate regulatory adjustments, has left the... View Details

Program

Advanced Management Program

financing, and outperforming the competition Deploy a broadly informed global perspective as you evaluate markets, analyze competitive forces, and establish corporate strategy Navigate the global financial system while capturing... View Details

2023
Article

A Randomized Trial of Behavioral Nudges Delivered through Text Messages to Increase Influenza Vaccination among Patients with an Upcoming Primary Care Visit

By: Mitesh S. Patel, Katherine L. Milkman, Linnea Gandhi, Heather N. Graci, Dena Gromet, Hung Ho, Joseph S. Kay, Timothy W. Lee, Jake Rothschild, Modupe Akinola, John Beshears, Jonathan E. Bogard, Alison Buttenheim, Christopher Chabris, Gretchen B. Chapman, James J. Choi, Hengchen Dai, Craig R. Fox, Amir Goren, Matthew D. Hilchey, Jillian Hmurovic, Leslie John, Dean Karlan, Melanie Kim, David Laibson, Cait Lamberton, Brigitte C. Madrian, Michelle N. Meyer, Maria Modanu, Jimin Nam, Todd Rogers, Renante Rondina, Silvia Saccardo, Maheen Shermohammed, Dilip Soman, Jehan Sparks, Caleb Warren, Megan Weber, Ron Berman, Chalanda N. Evans, Seung Hyeong Lee, Christopher K. Snider, Eli Tsukayama, Christophe Van den Bulte, Kevin G. Volpp and Angela L. Duckworth

Purpose: To evaluate if nudges delivered by text message prior to an upcoming primary care visit can increase influenza vaccination rates.
Design: Randomized, controlled trial.
Setting: Two health systems in the Northeastern US between September 2020 and... View Details

Keywords: Vaccination; Health Care and Treatment; Interpersonal Communication; Communication Technology; Behavior; Health Industry

January 2023 (Revised April 2024)
Case

First to Fight? Culture, Tradition, and the United States Marine Corps (USMC)

By: Ranjay Gulati, Akhil Iyer and Joel Malkin

Over a history of more than 240 years, the United States Marine Corps has forged a distinct culture and institutional identity centered on its “warrior ethos.” In the wars of American history, Marines fought with uncommon valor, rising to international prominence for... View Details

Keywords: Change Management; Transformation; Talent and Talent Management; Government Administration; Management Practices and Processes; Management Systems; Organizational Change and Adaptation; Organizational Culture; Performance Effectiveness; United States

09 Jul 2019
Blog Post

Solving the Complexities of the Biotechnology Industry

Azita Sharif (MBA 2000) is the Founder and Chief Executive Officer of DSI- Precision Medicine Biobanking & BINDS (Bio-Informatics Network for Discovery Science). Her goal is to positively impact human and public health using... View Details

February 2023
Case

Ransomware Attack at Springhill Medical Center

By: Suraj Srinivasan and Li-Kuan (Jason) Ni

In July, 2019, Springhill Medical Center (“SMC”) in Mobile, Alabama, fell prey to a malicious ransomware attack that crippled the hospital’s internal network systems and public-facing web page. While the hospital rushed to securely restore the network, medical... View Details

October 2021 (Revised February 2022)
Case

Hospital 57357: Aligning Performance Towards a Vision of a Cancer-Free Childhood

By: Susanna Gallani and Youssef Abdel Aal

The case follows the Children Cancer Hospital in Egypt, also known as Hospital 57357, as it goes through the roll-out of a new performance management system, which Dr. Sherif Abouel Naga, founder and CEO of the hospital, had championed. This was a critical juncture as... View Details

Keywords: Healthcare; Performance Management; Performance Incentives; Strategic Alignment; Health Care and Treatment; Nonprofit Organizations; Strategy; Alignment; Performance Evaluation; Mission and Purpose; Change Management; Health Industry; Egypt; Middle East

Dominant theories of state formation and nation-building lean heavily on the classic European tale of the simultaneous development of a ‘fiscal state’ and a ‘nation state’. However, this Euro-centered narrative does not factor in that more than two-thirds of the... View Details

August 2006 (Revised September 2007)
Supplement

Istituto Clinico Humanitas (C): Pronto Soccorso

By: Richard M.J. Bohmer

Follows on from the cases Istituto Clinico Humanitas (A) and (B). Describes the design and running of the new Humanitas Emergency Department. Istituto Clinico Humanitas has developed a very efficient operating system for dealing with elective (largely surgical)... View Details

Keywords: Health Care and Treatment; Organizational Change and Adaptation; Service Operations; Service Delivery; Customer Focus and Relationships; Health Industry; Italy

09 Apr 2013
First Look

First Look: April 9

Cases & Course Materials Harvard Business School Case 612-016 Lowell General Physician Hospital Organization This case focuses on the Alternative Quality Contract (AQC), a novel payment program designed to incentivize providers to deliver less costly, high... View Details

Keywords: Sean Silverthorne

18 Oct 2021
Blog Post

Embracing Activism for Social Change

In 2020, the city of Detroit logged some 7,000 calls involving mental health emergencies—a critical issue, notes Detroit Mayor Mike Duggan, who says, “When the mentally ill turn to the police for a response, the View Details

2013
Working Paper

Increased Speed Equals Increased Wait: The Impact of a Reduction in Emergency Department Ultrasound Order Processing Time

By: Jillian Berry Jaeker, Anita L. Tucker and Michael H. Lee

We exploit an exogenous process change at two emergency departments (EDs) within a health system to test the theory that increasing capacity in a discretionary work setting increases wait times due to additional services being provided to customers as a consequence of... View Details

Keywords: Technology; Demand and Consumers; Service Delivery; Health Care and Treatment; Business Processes; Health Industry

Read Now

January 1990 (Revised March 1991)
Case

American Red Cross Blood Services: Northeast Region

By: Robert L. Simons

Recounts the financial difficulties and management changes experienced by American Red Cross Blood Services: Northeast Region (NER) during the 1980s. After summarizing industry-wide changes in the collection, testing, and distribution of blood and blood products, the... View Details

Keywords: Change Management; Budgets and Budgeting; Financial Management; Restructuring; Health; SWOT Analysis; Social Enterprise; Marketplace Matching; Management Style; Organizational Culture; Organizational Change and Adaptation; Health Industry; Health Industry; North and Central America

July 2002 (Revised August 2002)
Case

Washington Hospital Center (B): The Power of Insight

By: Rosabeth M. Kanter and Michelle Heskett

Dr. Craig Feied considers how to take a major technical innovation beyond his own department into a large hospital system. Reviews how proprietary information systems became indispensable in the department of emergency medicine and what it took to introduce the change... View Details

Keywords: Change Management; Health Care and Treatment; Nonprofit Organizations; Medical Specialties; Organizational Culture; Crisis Management; Technological Innovation; Higher Education; Adoption; Health Industry; District of Columbia

April 2008 (Revised May 2008)
Case

Commonwealth Care Alliance: Elderly and Disabled Care

By: Michael E. Porter and Jennifer F Baron

Individuals enrolled in both Medicare and Medicaid, known as dual eligibles, are among the highest-cost beneficiaries in the US. Commonwealth Care Alliance, a small nonprofit insurer and care delivery system in Massachusetts, operated under a public demonstration... View Details

Keywords: Programs; Public Sector; Alliances; Policy; Age; Service Delivery; Value; Health Care and Treatment; Welfare; Health Industry; Health Industry; Massachusetts

20 Nov 2018
First Look

New Research and Ideas, November 20, 2018

Abstract—In a survey of the NEJM Catalyst Insights Council in July 2018, 42% of respondents say they think value-based reimbursement models will be the primary revenue model for U.S. health care. Indeed, this transition is already... View Details

Keywords: Dina Gerdeman

August 2016
Case

VMD Medical Imaging Center

By: Susanna Gallani and Eva Labro

VMD Medical Imaging Center, a local independent provider of medical imaging services, is facing some important challenges. Despite efficiency improvements and cost cutting initiatives carried out over the past few years, their profitability is shrinking; their prices... View Details

Keywords: Costing; Death Spiral; Transfer Pricing; Activity Based Costing and Management; Competitive Strategy; Medical Specialties; Health Industry