Publications

Article

A Blueprint for Pharmacy Benefits Managers to Increase Value

By: William Shrank, Michael E. Porter, Sachin H. Jain and Niteesh K. Choudhary

Pharmacy benefits managers (PBMs) have a unique opportunity to promote public health and generate value in the healthcare system. However, PBMs are largely evaluated on their ability to control costs rather than improve health. PBMs should be evaluated along three... View Details

Keywords: Opportunities; Health; System; Cost Management; Partners and Partnerships; Motivation and Incentives; Value; Innovation and Invention; Performance Effectiveness; Health Industry; Pharmaceutical Industry

2014
Working Paper

Bride Price and the Returns to Education

By: Nava Ashraf, Natalie Bau, Nathan Nunn and Alessandra Voena

Traditional cultural practices can play an important role in development, but can also inspire condemnation. The custom of bride price, prevalent throughout sub-Saharan Africa and in parts of Asia as a payment of the groom to the family of the bride, is one example. In... View Details

Keywords: Zambia; Indonesia

November 2020
Case

Guild Education: Unlocking Opportunity for America's Workforce

By: William A. Sahlman, Michael D. Smith, Nicole Tempest Keller and Alpana Thapar

Founded in 2015, Guild Education is an education marketplace that connects employers and universities to provide employees with ‘education as a benefit.’ The Denver-based company is transforming traditional tuition assistance programs by facilitating direct payment by... View Details

Keywords: Education; Digital Platforms; Information Technology; Employees; Social Enterprise; Education Industry; Technology Industry; Colorado

January 2017
Case

Kada Orthopedics: A Bone of Contention

By: Kevin Schulman and Matt Strickland

Kada Orthopedics is a small implantable orthopedic device manufacturer founded by industry veterans trying to sell stable-technology products to an increasingly cost-conscious healthcare market. Although they have marginally successful product in early 2016, the... View Details

Keywords: Market Design; Growth And Development Strategy; Health Care; Business Startup; Growth and Development; Health Care and Treatment; Medical Specialties; Business Startups; Supply and Industry; Medical Devices and Supplies Industry; United States

22 May 2020
In Practice

Post-COVID Health Care: More Screens, Less Red Tape?

they said: Hospitals will rethink payment and operating models Leemore S. Dafny: Physician organizations will expand The decline in independent physician practices will... View Details

Keywords: by Danielle Kost

April 2017
Supplement

Imprimis (B)

By: Ramon Casadesus-Masanell, Karen Elterman and Marc Appel

This case is a supplement to Imprimis (A). It describes the company’s decision to enter into the pharmaceutical compounding business in 2013–2014. Imprimis purchased a compounded ophthalmological medication called Dropless Therapy, which was injected into patients’... View Details

Keywords: Healthcare; Drug Compounding; Drug Development; Pharmaceuticals; Small Business; Decision-making, Business Model; Mark Baum; Imprimis; Decision Making; Strategy; Health Care and Treatment; Policy; Pharmaceutical Industry; United States

2017
Working Paper

Tort Reform and Innovation

By: Alberto Galasso and Hong Luo

Current academic and policy debates focus on the impact of tort reforms on physicians’ behavior and medical costs. This paper examines whether these reforms also affect incentives to develop new technologies. We develop a theoretical model which predicts that the... View Details

Keywords: Lawsuits and Litigation; Laws and Statutes; Innovation and Invention; Medical Devices and Supplies Industry

September 2002 (Revised April 2006)
Case

Istituto Clinico Humanitas (A)

By: Richard M.J. Bohmer, Gary P. Pisano and Ning Tang

Istituto Clinico Humanitas is a newly built private hospital, south of Milan, Italy, that has attained unusual profitability while treating public system patients. The hospital was built and is managed by Techosp, a subsidiary of Techint, a global engineering and... View Details

Keywords: Health Care and Treatment; Management Analysis, Tools, and Techniques; Management Systems; Infrastructure; Managerial Roles; Integration; Performance; Health Industry; Milan

August 2017
Article

Tort Reform and Innovation

By: Alberto Galasso and Hong Luo

Current academic and policy debates focus on the impact of tort reforms on physicians’ behavior and medical costs. This paper examines whether these reforms also affect incentives to develop new technologies. We develop a theoretical model that predicts that the impact... View Details

Keywords: Governing Rules, Regulations, and Reforms; Health Care and Treatment; Technological Innovation; Legal Liability; Medical Devices and Supplies Industry

Article

Undermining Value-Based Purchasing — Lessons from the Pharmaceutical Industry

By: Leemore S. Dafny, Christopher Ody and Matt Schmitt

The analogy between value-based purchasing in pharmaceuticals and the new frontier of alternative payment models for health care providers is relatively straightforward. Insurers are increasingly demanding steep discounts from providers in exchange for inclusion in... View Details

Keywords: Drug Copayment Coupons; Prescription Drug Policy; Health Care and Treatment; Insurance; Cost; Policy; Pharmaceutical Industry

28 May 2008
First Look

First Look: May 28, 2008

salespeople to play timing games (behaviors that increase incentive payments without providing incremental benefits to the firm) with their order submissions. We find that lump-sum bonuses primarily motivate... View Details

Keywords: Martha Lagace

2021
Working Paper

Time Dependence and Preference: Implications for Compensation Structure and Shift Scheduling

By: Doug J. Chung, Byungyeon Kim and Byoung G. Park

This study jointly examines agents’ time dependence—period effects within instantaneous utility—and time preference—behavior on discounting future utility. The study considers the start- and end-of-period effects for time dependence and exponential and hyperbolic... View Details

Keywords: Time Preferences; Present Bias; Hyperbolic Discounting; Compensation; Dynamic Structural Models; Identification; Time Management; Motivation and Incentives; Behavior; Performance; Compensation and Benefits

SSRN

Spring 2015
Article

Sovereign Debt Restructuring: Evaluating the Impact of the Argentina Ruling

By: Laura Alfaro

Recent rulings in the ongoing litigation over the pari passu clause in Argentinian sovereign debt instruments have generated considerable controversy. Some official-sector participants and academic articles have suggested that the rulings will disrupt or impede... View Details

March 2013
Other Article

Redesigning Primary Care: A Strategic Vision to Improve Value by Organizing Around Patients' Needs

By: Michael E. Porter, Erika A. Pabo and Thomas H. Lee

Primary care in the United States currently struggles to attract new physicians and to garner investments in infrastructure required to meet patients' needs. We believe that the absence of a robust overall strategy for the entire spectrum of primary care is a... View Details

Keywords: Health

12 Jul 2006
Research & Ideas

Competition the Cure for Healthcare

business unit structures in management thinking, except that healthcare is still stuck in the functional model. These forms of competition and organization have also been institutionalized in medical education and in physician... View Details

Keywords: by Roger Thompson; Health

2023
Working Paper

Point Four and the Politics of Foreign Direct Investment in the United States during the Early Cold War

By: Melanie Sheehan

This article traces business influence in the formulation of the Point Four technical assistance program, the first US Cold War-era international development program. It focuses specifically on business interest associations’ efforts to secure federal incentives to... View Details

Keywords: Point Four Program; Business Interest Association; International Development; Cold War; Foreign Direct Investment; Business History; Business and Government Relations