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  • All HBS Web  (5,438)
    • People  (17)
    • News  (2,073)
    • Research  (2,499)
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Managing Health Care Delivery - Executive Education

By: Robert S. Huckman
While delivering patient care has always been a primary goal of health care organizations, financial outcomes have long been the metric by which success is measured. Increasingly, however, health care leaders are being held accountable for... View Details
  • August 2012 (Revised December 2023)
  • Background Note

Note on Health Insurance Coverage, Coding, and Payment

By: Regina E. Herzlinger and Jo Ellen Slurzberg
This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details
Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Health Industry
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Herzlinger, Regina E., and Jo Ellen Slurzberg. "Note on Health Insurance Coverage, Coding, and Payment." Harvard Business School Background Note 313-042, August 2012. (Revised December 2023.)
  • September 2016
  • Supplement

Health Leads: Reaching for Impact (B)

By: V. Kasturi Rangan and Sarah Appleby
The (B) case documents the development of a strategy to achieve system-level impact in a rapidly changing healthcare landscape for a nonprofit focused on addressing patients' basic social needs through healthcare institutions. Founded in 1996 with a volunteer-staffed... View Details
Keywords: Scaling Social Impact; Scaling Social Enterprise; Health Care Delivery; Health Care Outcomes; Nonprofit Scaling; Nonprofit; Social Enterprise; Social Entrepreneurship; Health Care and Treatment; Nonprofit Organizations; Growth and Development Strategy; Health Industry; United States
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Rangan, V. Kasturi, and Sarah Appleby. "Health Leads: Reaching for Impact (B)." Harvard Business School Supplement 517-023, September 2016.
  • 17 Nov 2016
  • Cold Call Podcast

Building Affordable Health Care in Paradise

Keywords: Re: Tarun Khanna; Health
  • May 2018
  • Case

Kaiser Permanente Colorado: Primary Care Plus

By: Robert S. Kaplan and Mahek A. Shah
A geriatrician in Kaiser Permanente’s Colorado region is concerned with the high and growing cost of treating the elderly population. She introduces a new care model, Primary Care Plus, using an interdisciplinary team of a primary care doctor, palliative care... View Details
Keywords: Primary Health Care; Elderly Patients; Integrated Practice Unit; Interdisciplinary Care; Health Care and Treatment; Age; Cost Management; Performance Improvement; Health Industry; United States; Colorado
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Kaplan, Robert S., and Mahek A. Shah. "Kaiser Permanente Colorado: Primary Care Plus." Harvard Business School Case 118-053, May 2018.
  • 20 Oct 2006
  • Other Presentation

Value-Based Competition in Health Care

By: Michael E. Porter
This presentation draws on a forthcoming book with Elizabeth Olmsted Teisberg (Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press). Earlier publications about the work include the Harvard Business Review article... View Details
Keywords: Health; United States
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Porter, Michael E. "Value-Based Competition in Health Care." Mayo Clinic, Rochester, MN, October 20, 2006.
  • June 2018 (Revised November 2018)
  • Case

Innovation at Insigne Health

By: Srikant M. Datar, Linda A. Cyr and Caitlin N. Bowler
Insigne Health is a fictional for-profit, integrated health insurer/health care provider whose leadership believes that by shifting members’ focus from “sickness” to “well-being” it could increase the overall health of its insured population and decrease the resources... View Details
Keywords: Design Thinking; Behavior Change; Chronic Disease; Health Care; Health Care and Treatment; Design; Behavior; Change; Innovation and Management
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Datar, Srikant M., Linda A. Cyr, and Caitlin N. Bowler. "Innovation at Insigne Health." Harvard Business School Case 118-042, June 2018. (Revised November 2018.)
  • 17 Nov 2006
  • Other Presentation

Value-Based Competition in Health Care

By: Michael E. Porter
This presentation draws on a book with Elizabeth Olmsted Teisberg (Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press, May 2006). Earlier publications about the work include the Harvard Business Review article "Redefining... View Details
Keywords: Health; United States
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Porter, Michael E. "Value-Based Competition in Health Care." Griswold Center for Economic Studies Symposium, Princeton, NJ, November 17, 2006.
  • 04 Jun 2007
  • Research & Ideas

Is Health Care Making You Better—or Dead?

Regina Herzlinger is not afraid to call them as she sees them. And what she sees looking at the American health care industry is a bunch of killers. Not only are hospitals, insurers, employers, Congress, and... View Details
Keywords: by Sean Silverthorne; Health
  • May 2024 (Revised January 2025)
  • Technical Note

Health Care Payment in the United States

By: Robert S. Huckman, Jeff Charca and Craig Garthwaite
This document provides an overview of how various actors (e.g., physicians, hospitals, and other health care providers) are paid in the United States health care system. It is particularly focused on features of the payment system that contribute to strategic decisions... View Details
Keywords: Compensation and Benefits; Organizational Change and Adaptation; Health Industry
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Huckman, Robert S., Jeff Charca, and Craig Garthwaite. "Health Care Payment in the United States." Harvard Business School Technical Note 624-071, May 2024. (Revised January 2025.)
  • 19 Oct 2006
  • Other Presentation

Value-Based Competition in Health Care

By: Michael E. Porter
This presentation draws on a forthcoming book with Elizabeth Olmsted Teisberg (Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press). Earlier publications about the work include the Harvard Business Review article... View Details
Keywords: Health; United States
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Porter, Michael E. "Value-Based Competition in Health Care." MD Anderson Cancer Center, Houston, TX, October 19, 2006.
  • 24 Oct 2006
  • Other Presentation

Value-Based Competition in Health Care

By: Michael E. Porter
This presentation draws on a forthcoming book with Elizabeth Olmsted Teisberg (Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press). Earlier publications about the work include the Harvard Business Review article... View Details
Keywords: Health; United States
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Porter, Michael E. "Value-Based Competition in Health Care." Life Sciences Forum, Greater Boston Chamber of Commerce, Boston, MA, October 24, 2006.
  • September 2011 (Revised August 2014)
  • Background Note

Note on Bundled Payment in Health Care

By: Regina E. Herzlinger and Charles C. Huang
The note explains how bundled health care payment differs from fee-for-service payment, provides examples of the difference between the two, describes early innovators in bundling and their results, provides guidance on how to make it happen, and elucidates the legal... View Details
Keywords: Health Care and Treatment; Price; Cost Management; Health Industry
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Herzlinger, Regina E., and Charles C. Huang. "Note on Bundled Payment in Health Care." Harvard Business School Background Note 312-032, September 2011. (Revised August 2014.)
  • May 2023
  • Article

Decarbonizing Health Care: Engaging Leaders in Change

By: Vivian S. Lee, Kathy Gerwig, Emily Hough, Kedar Mate, Robert Biggio and Robert S. Kaplan
Health care leaders are often surprised to learn that their operations contribute significantly to a warming climate. In addition to their roles as responders to and victims of extreme weather events, health care organizations have an obligation to reduce... View Details
Keywords: Health Care; Decarbonization; Carbon Emissions; Net-zero Emissions; Climate Change; Health Care and Treatment; Health Industry
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Lee, Vivian S., Kathy Gerwig, Emily Hough, Kedar Mate, Robert Biggio, and Robert S. Kaplan. "Decarbonizing Health Care: Engaging Leaders in Change." NEJM Catalyst Innovations in Care Delivery 4, no. 5 (May 2023).
  • 30 Oct 2006
  • Other Presentation

Value-Based Competition in Health Care

By: Michael E. Porter
This presentation draws on a forthcoming book with Elizabeth Olmsted Teisberg (Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press). Earlier publications about the work include the Harvard Business Review article... View Details
Keywords: Health; United States
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Porter, Michael E. "Value-Based Competition in Health Care." Future of the Health Care Industry Town Hall Forum, Cleveland, OH, October 30, 2006.
  • February 2012 (Revised June 2013)
  • Case

Moving to Universal Coverage: Health Care Reform in Massachusetts

By: Michael E. Porter and Jennifer F Baron
State health care reform in Massachusetts has involved a phased process, focusing first on coverage expansion and then turning to delivery system innovation and cost containment. In 2006, the state adopted an individual mandate to obtain health care coverage which,... View Details
Keywords: Health Care and Treatment; Business and Government Relations; Insurance; Massachusetts
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Porter, Michael E., and Jennifer F Baron. "Moving to Universal Coverage: Health Care Reform in Massachusetts." Harvard Business School Case 712-466, February 2012. (Revised June 2013.)
  • Article

Teaming: An Approach to the Growing Complexities in Health Care: AOA Critical Issues

By: Haseeb Nawaz, Amy C. Edmondson, Tony H. Tzeng, Jamal K. Saleh, Kevin J. Bozic and Khaled J. Saleh
Confronted with rising costs and patients who often have multiple comorbidities, the orthopaedic surgeon needs to face the challenge of providing high-quality health care. One solution is to increase and improve coordination, communication, and teamwork. The... View Details
Keywords: Teaming; Health Care; Health Care and Treatment; Health Industry
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Nawaz, Haseeb, Amy C. Edmondson, Tony H. Tzeng, Jamal K. Saleh, Kevin J. Bozic, and Khaled J. Saleh. "Teaming: An Approach to the Growing Complexities in Health Care: AOA Critical Issues." Journal of Bone and Joint Surgery: American Volume 96, no. 21 (November 5, 2014).
  • 22 Jan 2014
  • Other Presentation

Value-Based Health Care Delivery

By: Michael E. Porter
Keywords: Health
Citation
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Porter, Michael E. "Value-Based Health Care Delivery." A Strategy to Fix Healthcare, Reform, London, England, January 22, 2014.
  • 25 Oct 2006
  • Other Presentation

Value-Based Competition in Health Care

By: Michael E. Porter
This presentation draws on a forthcoming book with Elizabeth Olmsted Teisberg (Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press). Earlier publications about the work include the Harvard Business Review article... View Details
Keywords: Health; United States
Citation
Read Now
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Porter, Michael E. "Value-Based Competition in Health Care." Healthways, Nashville, TN, October 25, 2006.
  • 22 Apr 2007
  • Other Presentation

Redefining Competition in Health Care

By: Michael E. Porter
This presentation draws on Michael E. Porter and Elizabeth Olmsted Teisberg: Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press, May 2006, and "How Physicians Can Change the Future of Health Care," Journal of the American... View Details
Keywords: Health; United States
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Porter, Michael E. "Redefining Competition in Health Care." 4th World Health Care Congress, Washington, DC, April 22, 2007.
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