Publications

March 2018
Article

Hospital Budget Systems are Holding Back Innovation

By: Robert S. Kaplan, Michael S. Jellinek and Derek A. Haas

Nearly 800 digital health startups were funded in 2017, an all-time high. Each of the new companies offers the hope of transforming the performance of the U.S. health care system. The audience for such innovation wants to be receptive: A recent American Hospital... View Details

Article

Health Equity, Schooling Hesitancy, and the Social Determinants of Learning

By: Meira Levinson, Alan C. Geller, Joseph G. Allen and John D. Macomber

At least 62 million K-12 students in North America—disproportionately low-income children of color— have been physically out of school for over a year due to the COVID-19 pandemic. These children are at risk of significant academic, social, mental, and physical harm... View Details

Keywords: COVID-19; Public Health; Air Quality; Social Determinants Of Health; Schooling Hesitancy; Vaccine Hesitancy; Racial Injustice; Inequity; Inequality; Health Pandemics; Education; Health Care and Treatment; Policy; Race; Equality and Inequality

2019
Working Paper

Thinking Outside the Box (12): The Benefits of Increased Transparency in Employer-Sponsored Health Insurance for the 180 Million Insured

By: Regina E. Herzlinger and Barak D. Richman

Economists have long noted that the tax exclusion of employer-sponsored insurance (ESI) caused workers to purchase health plans that differ in price and other characteristics from those they would otherwise choose for themselves. We explore the short-term and long-term... View Details

Keywords: After-tax Income; Consumer-driven Health Care; Health Care Costs; Health Insurance; Income Inequality; Tax Policy; Health Care and Treatment; Cost; Insurance; Income; Equality and Inequality; Taxation; Policy; United States

December 2016
Article

Health Care Needs Real Competition

By: Leemore S. Dafny and Thomas H. Lee

The U.S. health care system is inefficient, unreliable, and crushingly expensive. There is no shortage of proposed solutions, but central to the best of them is the idea that health care needs more competition. In other sectors, competition improves quality and... View Details

Keywords: Competition; Health Care and Treatment; Health Industry; United States

Register to Read

Research Summary

Cost Management and Management Control Systems in Hospitals

By: V.G. Narayanan

Hospitals tend not to have very good cost accounting and control systems. More broadly, there is enormous opportunity for managing costs and aligning incentives in the health care industry. I am studying how cost accounting methods can be used to... View Details

August 2001 (Revised March 2008)
Case

Helios Health (A)

By: Regina E. Herzlinger and Alfred Martin

Helios PC system provides personalized drug information to the patients in the doctor's waiting room. It has met with considerable consumer acceptance and a very high return for the drug companies that sponsor it. What price should it charge them for the service? View Details

Keywords: Entrepreneurship; Price; Health Care and Treatment; Information Publishing; Innovation and Invention; Product Marketing; Demand and Consumers; Health Industry; Health Industry

23 Nov 2009
Research & Ideas

Management’s Role in Reforming Health Care

between the above two operating systems. Because each of the four components of a system for delivering health care continues to change, ongoing redesign—that both reacts to, and creates, new knowledge and... View Details

Keywords: by Martha Lagace; Health

November 2011 (Revised August 2012)
Case

Healthymagination at GE Healthcare Systems

By: Vineet Kumar and V. Kasturi Rangan

Jeff Immelt, the CEO of GE, introduced a new innovation strategy named "healthymagination" in 2009. With cost, quality, and access as its three pillars, healthymagination ensures a strong focus for new product introduction efforts all around GE. But will this focus... View Details

Keywords: Innovation and Invention; Product Marketing; Marketing Strategy; Health Industry; Health Industry

Educators

05 Mar 2010
News

Health Care: The Simple Solution

February 2008
Teaching Note

ThedaCare: System Strategy (TN)

By: Michael E. Porter and Sachin H. Jain

Teaching Note for 708-424. View Details

Keywords: Health Industry; United States

January 2010
Case

Ledina Lushko: Navigating Health Care Delivery

By: Sachin H Jain, Michael E. Porter, Fatima Akrouh and Carolyn Daly

Ledina Lushko was diagnosed with Adrenal Cortical Carcinoma in 2008 and sought care at a highly regarded medical institution in the United States. This case lays out her journey through the health care system in detail and all of the effort involved in finding... View Details

Keywords: Health; Health Care and Treatment; Health Disorders; Service Delivery; Health Industry; United States

Educators

05 Sep 2012
What Do You Think?

Will Business Management Save US Health Care?

Wittenberg put it, " management will never fix the health care system (it) can promote standardization and mass production (but) the actions of individual managers will have no effect on the overall... View Details

Keywords: by Jim Heskett; Health

July 2012
Case

Performance Management at Vitality Health Enterprises, Inc.

By: John Bingham and Michael Beer

Vitality Health Enterprises, a medium-sized firm that manufactures health and personal care products, has experienced six straight quarters of strong revenue growth. James Hoffman, the new Senior Vice President of Human Resources, fears that the chain of success is... View Details

Keywords: Performance Evaluation; Motivation and Incentives; Compensation and Benefits; Talent and Talent Management; Health Industry; Health Industry; Health Industry; United States

Educators

Web

HBS Health Care Initiative - Blog: Health Supplement

Entrepreneurship Health Care Innovation Health Care Investment Health Care at HBS Insurance/payor Medical devices/diagnostics Precision Medicine Public View Details

Article

Designing Transparency Systems for Medical Care Prices

By: David Cutler and Leemore S. Dafny

In the contentious political environment surrounding health care reform, calls for increased price transparency in health care are among the few areas of general agreement. But the wrong kind of transparency could actually harm patients, rather than help them. View Details

Keywords: Transparency; Health Care and Treatment; Price