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  • March 30, 2020
  • Article

Why Is the U.S. Behind on Coronavirus Testing?

By: Stefan Thomke
Coronavirus testing is needed to address the uncertainty in making decisions about patient treatment, resource allocation, policy, and so much more. Answers to questions such as “When should we relax social distancing measures—and for whom?” or “How many ventilators... View Details
Keywords: Testing; Coronavirus; Culture; Trump; Data; Experiments; Health Pandemics; Health Testing and Trials; Government and Politics; United States
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Thomke, Stefan. "Why Is the U.S. Behind on Coronavirus Testing?" Harvard Business Review Digital Articles (March 30, 2020).
  • Article

Adding Value by Talking More

By: Robert S. Kaplan, Derek A. Haas and Jonathan Warsh
The prevailing fee-for-service payment model has led health care administrators and physician practices to impose severe constraints on the time physicians spend talking, for which they are reimbursed poorly or not at all. New value-based reimbursement models, however,... View Details
Keywords: Value Creation; Cost Management; Health Care and Treatment; Customer Focus and Relationships; Health Industry
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Kaplan, Robert S., Derek A. Haas, and Jonathan Warsh. "Adding Value by Talking More." New England Journal of Medicine 375, no. 20 (November 17, 2016): 1918–1920.
  • 2020
  • Working Paper

Socioeconomic Network Heterogeneity and Pandemic Policy Response

By: Abhishek Nagaraj, Mohammad Akbarpour, Cody Cook, Aude Marzuoli, Simon Mongey, Matteo Saccarola, Pietro Tebaldi, Shoshana Vasserman and Hanbin Yang
We develop and implement a heterogeneous-agents network-based empirical model to analyze alternative policies during a pandemic outbreak. We combine several data sources, including information on individuals’ mobility and encounters across metropolitan areas,... View Details
Keywords: Health Pandemics; Policy; Outcome or Result; Analysis
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Nagaraj, Abhishek, Mohammad Akbarpour, Cody Cook, Aude Marzuoli, Simon Mongey, Matteo Saccarola, Pietro Tebaldi, Shoshana Vasserman, and Hanbin Yang. "Socioeconomic Network Heterogeneity and Pandemic Policy Response." Working Paper, June 2020.
  • September 2017
  • Editorial

Helping Patients with Cancer Navigate Narrow Networks

By: Stephen M. Schleicher, Emeline M. Aviki and Thomas W. Feeley
The Affordable Care Act of 2010 (ACA) was designed primarily to improve patient access to affordable health care. The access-expanding provisions of the ACA included federal- and state-based health insurance exchanges with minimum coverage requirements and preexisting... View Details
Keywords: Health Care and Treatment; Insurance; Problems and Challenges; United States
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Schleicher, Stephen M., Emeline M. Aviki, and Thomas W. Feeley. "Helping Patients with Cancer Navigate Narrow Networks." Journal of Clinical Oncology 35, no. 27 (September 2017): 3095–3096.
  • May 2017
  • Article

Behavioral Processes in Long-Lag Interventions

By: Dale T. Miller, Jennifer E. Dannals and Julian Zlatev
We argue that psychologists who conduct experiments with long lags between the manipulation and the outcome measure should pay more attention to behavioral processes that intervene between the manipulation and the outcome measure. Neglect of such processes, we contend,... View Details
Keywords: Field Experiments; Interventions; Behavioral Mediation; Theories Of Change; Longitudinal Studies; Behavior; Research; Change; Theory
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Miller, Dale T., Jennifer E. Dannals, and Julian Zlatev. "Behavioral Processes in Long-Lag Interventions." Perspectives on Psychological Science 12, no. 3 (May 2017): 454–467.
  • August 2014
  • Article

Religion, Politician Identity and Development Outcomes: Evidence from India

By: Sonia Bhalotra, Irma Clots-Figueras, Guilhem Cassan and Lakshmi Iyer
This paper investigates whether the religious identity of state legislators in India influences development outcomes, both for citizens of their religious group and for the population as a whole. Using an instrumental variables approach derived from a regression... View Details
Keywords: Politician Identity; Infant Mortality; Primary Education; India; Muslim; Fairness; Religion; Government and Politics; India
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Bhalotra, Sonia, Irma Clots-Figueras, Guilhem Cassan, and Lakshmi Iyer. "Religion, Politician Identity and Development Outcomes: Evidence from India." Journal of Economic Behavior & Organization 104 (August 2014): 4–17.
  • August 2010 (Revised March 2012)
  • Case

The UCLA Medical Center: Kidney Transplantation

By: Michael E. Porter, Jennifer F Baron, Jacob Mathew Chacko and Robin Jian Tang
In 2010, organ transplantation remained among the few sets of medical conditions in the U.S. for which bundled payments were a dominant reimbursement model, and for which patient health outcomes were universally measured and reported. In 1986, UCLA Medical Center was... View Details
Keywords: Insurance; Health Care and Treatment; Health Disorders; Measurement and Metrics; Outcome or Result; Competitive Strategy; Integration; Health Industry; California
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Porter, Michael E., Jennifer F Baron, Jacob Mathew Chacko, and Robin Jian Tang. "The UCLA Medical Center: Kidney Transplantation." Harvard Business School Case 711-410, August 2010. (Revised March 2012.)
  • September 2016
  • Article

Communicating Value in Healthcare Using Radar Charts: A Case Study of Prostate Cancer

By: Nikhil G. Thaker, Tariq N. Ali, Michael E. Porter, Thomas W. Feeley, Robert S. Kaplan and Steven J. Frank
Question: Can we create a value-based tool to visualize the outcomes and cost of various treatments that could facilitate patient-centered decision making?

Summary Answer: We developed a standardized value framework by using radar charts to visualize and... View Details
Keywords: Decision Making; Health Care and Treatment; Health Industry
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Thaker, Nikhil G., Tariq N. Ali, Michael E. Porter, Thomas W. Feeley, Robert S. Kaplan, and Steven J. Frank. "Communicating Value in Healthcare Using Radar Charts: A Case Study of Prostate Cancer." Journal of Oncology Practice 12, no. 9 (September 2016): 813–820.
  • July 2014
  • Article

Second-Opinion Pathologic Review is a Patient Safety Mechanism That Helps Reduce Error and Decrease Waste

By: Lavinia Middleton, Thomas W. Feeley, Heidi W. Albright, Ronald Walters and Stanley Hamilton
We have a crisis in health care delivery, originating from increasing health care costs and inconsistent quality-of-care measures. During the past several years, value-based health care delivery has gained increasing attention as an approach to control costs and... View Details
Keywords: Pathology; Diagnostic Errors; Health Care and Treatment; Health Industry; North and Central America
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Middleton, Lavinia, Thomas W. Feeley, Heidi W. Albright, Ronald Walters, and Stanley Hamilton. "Second-Opinion Pathologic Review is a Patient Safety Mechanism That Helps Reduce Error and Decrease Waste." Journal of Oncology Practice 10, no. 4 (July 2014): 275–280. (e-Pub 4/2014. PMID: 24695900.)
  • June 2014
  • Article

Improving Value with TDABC

By: Robert S. Kaplan
The article discusses the benefits of time-driven activity-based costing (TDABC) combined with outcomes measurement for healthcare organizations. Topics covered include improving resource efficiency, optimizing care over the complete care cycle, and planning and... View Details
Keywords: Goals and Objectives; Activity Based Costing and Management; Health Care and Treatment; Health Industry
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Kaplan, Robert S. "Improving Value with TDABC." hfm (Healthcare Financial Management) 68, no. 6 (June 2014): 76–83.
  • 10 Feb 2023
  • Research & Ideas

COVID-19 Lessons: Social Media Can Nudge More People to Get Vaccinated

how effective these online interventions are at shaping public health outcomes. The research team found that the average campaign shifted self-reported outcomes close to 1 percent of baseline estimates, and... View Details
Keywords: by Scott Van Voorhis; Health; Health
  • April 2012
  • Article

Addressing the Leadership Gap in Medicine: Residents' Need for Systematic Leadership Development Training

By: Daniel Mark Blumenthal, Kenneth Richard Lee Bernard, Jordan David Bohnen and Richard Bohmer
All clinicians take on leadership responsibilities when delivering care. Evidence suggests that effective clinical leadership yields superior clinical outcomes. However, few residency programs systematically teach all residents how to lead, and many clinicians are... View Details
Keywords: Health Care and Treatment; Service Delivery; Leadership Development; Training; Programs; Practice
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Blumenthal, Daniel Mark, Kenneth Richard Lee Bernard, Jordan David Bohnen, and Richard Bohmer. "Addressing the Leadership Gap in Medicine: Residents' Need for Systematic Leadership Development Training." Academic Medicine 87, no. 4 (April 2012).
  • November 8, 2018
  • Article

Transitioning Payment Models: Fee-for-Service to Value-Based Care

By: Thomas W. Feeley and Namita Seth Mohta
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 happening. Respondents report that a quarter of... View Details
Keywords: Payment Methods; Value-based Healthcare Reimbursements; Health Care and Treatment; Value; Transformation
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Feeley, Thomas W., and Namita Seth Mohta. "Transitioning Payment Models: Fee-for-Service to Value-Based Care." NEJM Catalyst (November 8, 2018).
  • September 2011 (Revised February 2013)
  • Case

Cleveland Clinic: Improving the Patient Experience

By: Ananth Raman and Anita L. Tucker
Healthcare has traditionally focused on medical outcomes and financial performance. The big question is always, "How much is it going to cost?" What would happen, though, if healthcare also considered the question of "How does the patient feel?" This case looks at the... View Details
Keywords: Health Care and Treatment; Customer Satisfaction; Performance Improvement; Service Delivery; Value Creation; Personal Characteristics; Human Needs
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Raman, Ananth, and Anita L. Tucker. "Cleveland Clinic: Improving the Patient Experience." Harvard Business School Case 612-031, September 2011. (Revised February 2013.)
  • December 2015
  • Article

Task Shifting in Surgery: Lessons from an Indian Heart Hospital

By: Budhaditya Gupta, Robert S. Huckman and Tarun Khanna
We present a case study that illustrates task shifting, the transfer of activities from senior to junior colleagues, in the context of cardiac surgery at the Narayana Health City Cardiac Hospital (NH) in India. The case discusses the factors driving the adoption of... View Details
Keywords: Service Delivery; Rank and Position; Health Care and Treatment; Health Industry; India
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Gupta, Budhaditya, Robert S. Huckman, and Tarun Khanna. "Task Shifting in Surgery: Lessons from an Indian Heart Hospital." Healthcare: The Journal of Delivery Science and Innovation 3, no. 4 (December 2015): 245–250.
  • 2013
  • Working Paper

Religion, Politician Identity and Development Outcomes: Evidence from India

By: Sonia Bhalotra, Guilhem Cassan, Irma Clots-Figueras and Lakshmi Iyer
This paper investigates whether the religious identity of state legislators in India influences development outcomes, both for citizens of their religious group and for the population as a whole. To control for politician identity to be correlated with constituency... View Details
Keywords: Politician Identity; Infant Mortality; Primary Education; India; Muslim; Fairness; Religion; Government and Politics; India
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Bhalotra, Sonia, Guilhem Cassan, Irma Clots-Figueras, and Lakshmi Iyer. "Religion, Politician Identity and Development Outcomes: Evidence from India." Harvard Business School Working Paper, No. 13-102, June 2013. (NBER Working Paper Series, No. 19173, July 2013.)
  • Article

Race/Ethnicity and Patient Confidence to Self-manage Cardiovascular Disease

BACKGROUND: Minority populations bear a disproportionate burden of chronic disease, due to higher disease prevalence and greater morbidity and mortality. Recent research has shown that several factors, including confidence to self-manage care, are associated... View Details

Keywords: Ethnicity; Race; Health Disorders; Health Care and Treatment; Health Industry
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Blustein, Jan, Melissa Valentine, Holly Mead, and Marsha Regenstein. "Race/Ethnicity and Patient Confidence to Self-manage Cardiovascular Disease." Medical Care 46, no. 9 (September 2008).
  • Article

Cybersecurity Features of Digital Medical Devices: An Analysis of FDA Product Summaries

By: Ariel Dora Stern, William J. Gordon, Adam B. Landman and Daniel B. Kramer
Objectives:
To more clearly define the landscape of digital medical devices subject to U.S. Food and Drug Administration (FDA) oversight, this analysis leverages publicly available regulatory documents to characterise the prevalence and trends of software and... View Details
Keywords: Digital; Medicine; FDA; Health Care and Treatment; Applications and Software; Safety; Cybersecurity; Medical Devices and Supplies Industry
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Stern, Ariel Dora, William J. Gordon, Adam B. Landman, and Daniel B. Kramer. "Cybersecurity Features of Digital Medical Devices: An Analysis of FDA Product Summaries." BMJ Open 9, no. 6 (June 2019).
  • November 2019
  • Article

A Review of Bundled Payments in Total Joint Replacement

By: Olivia Manickas-Hill, Kevin J. Bozic and Thomas W. Feeley
The Bundled Payments for Care Improvement (BPCI) initiative, developed by the U.S. Center for Medicare & Medicaid Innovation, aims to reduce health care expenditures while maintaining or improving patient outcomes.
Several published reports evaluating the impact... View Details
Keywords: Bundled Payments; Health Care and Treatment; Cost Management
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Manickas-Hill, Olivia, Kevin J. Bozic, and Thomas W. Feeley. "A Review of Bundled Payments in Total Joint Replacement." Journal of Bone and Joint Surgery Reviews 7, no. 11 (November 2019).
  • March 2024
  • Article

Differences in Care Team Response to Patient Portal Messages by Patient Race and Ethnicity

By: Mitchell Tang, Rebecca Mishuris, Lily Payvandi and Ariel Dora Stern
Importance: The COVID-19 pandemic was associated with substantial growth in patient portal messaging. Higher message volumes have largely persisted, reflecting a new normal. Prior work has documented lower message use by patients who belong to minoritized racial... View Details
Keywords: Health Pandemics; Technology Adoption; Prejudice and Bias; Equality and Inequality; Communication Technology; Race; Ethnicity; Health Industry
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Tang, Mitchell, Rebecca Mishuris, Lily Payvandi, and Ariel Dora Stern. "Differences in Care Team Response to Patient Portal Messages by Patient Race and Ethnicity." JAMA Network Open 7, no. 3 (March 2024).
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