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      • November 2012 (Revised January 2013)
      • Case

      Companion Diagnostics: Uncertainties for Approval and Reimbursement

      By: Richard G. Hamermesh, Norman C. Selby and Phillip Andrews
      The FDA approvals of novel therapeutics were seen as signs in the personalized medicine community of real progress in the growth of personalized medicine. The FDA's approval of such drugs, along with companion diagnostics, suggested a shift in thinking and regulatory... View Details
      Keywords: Models Of Reimbursement; Personalized Medicine; Regulation; Healthcare Reform; Health Care and Treatment; Health Industry; United States
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      Hamermesh, Richard G., Norman C. Selby, and Phillip Andrews. "Companion Diagnostics: Uncertainties for Approval and Reimbursement." Harvard Business School Case 813-037, November 2012. (Revised January 2013.)
      • September 2012
      • Supplement

      Intraoperative Radiotherapy for Breast Cancer (B)

      By: Willy Shih
      The intraoperative radiotherapy (IORT) business at Carl Zeiss Meditec had struggled with growth since the time of the (A) case. Though the unit had grown revenues in excess of 50% and had exceeded its EBIT target, it faced several key strategic choices. Should it... View Details
      Keywords: Radiotherapy; Breast Cancer; Brachytherapy; Therapeutic Radiation; Oncology; Oncology Treatment Systems; Elekta AB; Varian Medical Systems; Xoft; Electronic Brachytherapy; Intraoperative Radiotherapy; Disruptive Innovation; Health Care and Treatment; Entrepreneurship; Technological Innovation; Growth and Development Strategy; Health Industry; Germany
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      Shih, Willy. "Intraoperative Radiotherapy for Breast Cancer (B)." Harvard Business School Supplement 613-040, September 2012.
      • September 2012 (Revised May 2015)
      • Case

      Philips-Visicu

      By: Regina E. Herzlinger, Natalie Kindred and Sara M. McKinley
      Would the advent of global payment models and ACOs create sufficient demand for a telemedicine offering covering the care continuum, from hospitals to the home? This was the decision facing Royal Philips Electronics (Philips), the Netherlands-based producer of... View Details
      Keywords: Health Care; Philips; Visicu; Telemedicine; eICU; Accountable Care Organization; ACO; Bundled Payment; Hospital To Home; Patient Monitoring Devices; Home Health Care; Health Care and Treatment; Communication Technology; Quality; Safety; Performance Productivity; Performance Capacity; Performance Efficiency; Consumer Behavior; Emerging Markets; Health Industry; Health Industry; Netherlands
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      Herzlinger, Regina E., Natalie Kindred, and Sara M. McKinley. "Philips-Visicu." Harvard Business School Case 313-015, September 2012. (Revised May 2015.) (As companion reading for this case, see Regina E. Herzlinger and Charles Huang, "Note on Bundled Payment in Health Care," HBS No. 312-032 (Boston: Harvard Business Publishing, 2012).)
      • September 2012
      • Case

      SCMS: Battling HIV/AIDS in Africa

      By: Ananth Raman, Noel Watson, Santiago Kraiselburd and Emmanuel Akili
      In 2005, USAID and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), created the Supply Chain Management System (SCMS) to procure and distribute essential medicines and supplies; provide technical assistance to transform existing supply chains; and... View Details
      Keywords: HIV; AIDS; Procurement Coordination; Developing Countries; Healthcare; Public Health; Ethiopia; Supply Systems For Healthcare Delivery In Developing Countries; Healthcare Logistics Industry; Health Disorders; Health Care and Treatment; Service Delivery; Supply Chain Management; Logistics; Developing Countries and Economies; Programs; Transition; Strategy; Health Industry; Health Industry; Ethiopia; Africa
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      Raman, Ananth, Noel Watson, Santiago Kraiselburd, and Emmanuel Akili. "SCMS: Battling HIV/AIDS in Africa." Harvard Business School Case 613-023, September 2012.
      • August 2012
      • Case

      ARISE: A Destination-for-a-Day Spa

      By: Michael Beer and Lynda St. Clair
      A new Dallas-based health and beauty spa aims to use a highly distinctive human resource system as the foundation of its competitive strategy. By encouraging employees to act as "personal wellness coaches" (PWCs) with high commitment and broad responsibilities, the... View Details
      Keywords: Compensation and Benefits; Motivation and Incentives; Organizational Design; Organizational Culture; Service Delivery; Competitive Strategy; Innovation Strategy; Health Industry; Health Industry; Health Industry; Texas
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      Beer, Michael, and Lynda St. Clair. "ARISE: A Destination-for-a-Day Spa." Harvard Business School Brief Case 913-521, August 2012.
      • 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
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      Bingham, John, and Michael Beer. "Performance Management at Vitality Health Enterprises, Inc." Harvard Business School Brief Case 913-501, July 2012.
      • 2012
      • Working Paper

      The Need for (long) Chains in Kidney Exchange

      By: Itai Ashlagi, David Gamarnik, Michael A. Rees and Alvin E. Roth
      It has been previously shown that for sufficiently large pools of patient-donor pairs, (almost) efficient kidney exchange can be achieved by using at most 3-way cycles, i.e., by using cycles among no more than 3 patient-donor pairs. However, as kidney exchange has... View Details
      Keywords: Networks; Complexity; Performance Efficiency; Medical Specialties; Health Care and Treatment; Philanthropy and Charitable Giving
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      Ashlagi, Itai, David Gamarnik, Michael A. Rees, and Alvin E. Roth. "The Need for (long) Chains in Kidney Exchange." NBER Working Paper Series, No. 18202, July 2012.
      • April 2012
      • Article

      Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry

      By: Jonathan R. Clark and Robert S. Huckman
      The long-standing argument that focused operations outperform others stands in contrast to claims about the benefits of broader operational scope. The performance benefits of focus are typically attributed to reduced complexity, lower uncertainty, and the development... View Details
      Keywords: Performance Capacity; Operations; Advertising; Production; Corporate Strategy; Relationships; Medical Specialties; Complexity; Risk and Uncertainty; Experience and Expertise; Diversification; Quality; Health Industry
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      Clark, Jonathan R., and Robert S. Huckman. "Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry." Management Science 58, no. 4 (April 2012): 708–722.
      • March 2012 (Revised January 2013)
      • Case

      Boston Children's Hospital: Measuring Patient Costs

      By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
      The case describes two pilot projects on applying activity-based costing to measuring the cost of treating patients. It presents process maps and financial data relating to the processes used during (1) an office visit to a plastic surgeon for three different diagnoses... View Details
      Keywords: Health Care; Time-Driven Activity-Based Costing; Costing; Hospitals; Activity Based Costing and Management; Mathematical Methods; Health Industry
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      Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Boston Children's Hospital: Measuring Patient Costs." Harvard Business School Case 112-086, March 2012. (Revised January 2013.)
      • March 2012
      • Article

      Fixing What's Wrong with U. S. Politics

      By: David A. Moss
      In America today there's a growing sense that the political system is broken and that its ineffectiveness is a major threat to U.S. competitiveness. Why do so many think the political system is not working? Research shows that in Congress, Republicans and Democrats are... View Details
      Keywords: Government and Politics; System; Conflict Management; Performance Productivity; Policy; Public Administration Industry; United States
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      Moss, David A. "Fixing What's Wrong with U. S. Politics." Harvard Business Review 90, no. 3 (March 2012).
      • 1 Mar 2012
      • Talk

      German Health Care: Moving to a Value-Based System

      By: Michael E. Porter
      Michael E. Porter of Harvard Business School assesses the German health care system and offers suggestions for reforming to a value-based system, where rewards flow to those practices performing best. Introduced by Karl Lauterbach, professor of health economics and... View Details
      Keywords: Health Care; Health Care and Treatment; Health Industry; Germany
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      Porter, Michael E. "German Health Care: Moving to a Value-Based System." American Academy in Berlin, Berlin, Germany, March 1, 2012.
      • March 2012
      • Article

      How to Make Finance Work

      By: Robin Greenwood and David S. Scharfstein
      Once a sleepy old boys' club, the U.S. financial sector is now a dynamic and growing business that attracts the best and the brightest. It is tempting to declare the industry a roaring success. But its purpose is to serve the needs of U.S. households and firms, and by... View Details
      Keywords: Business Ventures; Value; Competitive Advantage; Investment; Performance Evaluation; Household; Financial Crisis; Finance; Financial Services Industry; United States
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      Greenwood, Robin, and David S. Scharfstein. "How to Make Finance Work." Harvard Business Review 90, no. 3 (March 2012).
      • 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.)
      • 2014
      • Working Paper

      Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups

      By: Melissa A. Valentine and Amy C. Edmondson
      This paper shows how meso-level structures support effective coordination in temporary groups. Prior research on coordination in temporary groups describes how roles encode individual responsibilities so that coordination between relative strangers is possible. We... View Details
      Keywords: Fluid Personnel; Team Scaffolds; Team Effectiveness; Role-based Coordination; Multi-method; Health Care and Treatment; Analytics and Data Science; Knowledge Use and Leverage; Organizational Structure; Outcome or Result; Performance Effectiveness; Groups and Teams; Networks; Behavior; Balance and Stability; Health Industry
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      Valentine, Melissa A., and Amy C. Edmondson. "Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups." Harvard Business School Working Paper, No. 12-062, January 2012. (Revised June 2014.)
      • 2012
      • Other Book

      Redefining German Health Care: Moving to a Value-Based System

      By: Michael E. Porter and Clemens Guth
      The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends. Why has Germany failed to solve... View Details
      Keywords: Health
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      Porter, Michael E., and Clemens Guth. Redefining German Health Care: Moving to a Value-Based System. Heidelberg: Springer, 2012.
      • 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
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      Kumar, Vineet, and V. Kasturi Rangan. "Healthymagination at GE Healthcare Systems." Harvard Business School Case 512-039, November 2011. (Revised August 2012.)
      • September 2011 (Revised January 2012)
      • Case

      Telemonitoring at Visiting Nurse Health System

      By: F. Warren McFarlan, Mark Keil and Mala Kaul
      The Telemonitoring at Visiting Nurse Health System case presents one home healthcare organization's efforts to use telemonitoring to improve the quality of care provided to at-risk patients who were discharged from hospitals and needed home care. After two years of... View Details
      Keywords: Capital Budgeting; Cost vs Benefits; Risk Management; Technology Adoption; Technological Innovation; Organizational Change and Adaptation; Competitive Strategy; Health Industry; Health Industry
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      McFarlan, F. Warren, Mark Keil, and Mala Kaul. "Telemonitoring at Visiting Nurse Health System." Harvard Business School Case 112-030, September 2011. (Revised January 2012.)
      • September 2011
      • Article

      How to Solve the Cost Crisis in Health Care

      By: Robert S. Kaplan and Michael E. Porter
      Existing health care costing systems have serious flaws that make it impossible to measure costs accurately at the individual patient and medical condition level. This gap has severely limited meaningful cost reduction throughout the system. The paper describes a new... View Details
      Keywords: Cost; Health Care and Treatment; Measurement and Metrics; Service Delivery; Outcome or Result; Quality; Health Industry
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      Kaplan, Robert S., and Michael E. Porter. "How to Solve the Cost Crisis in Health Care." Harvard Business Review 89, no. 9 (September 2011): 47–64.
      • August 2011 (Revised July 2014)
      • Case

      Amil and the Health Care System in Brazil

      By: Regina E. Herzlinger and Ricardo Reisen de Pinho
      Dr. Edson Bueno created Amil, Brazil's largest health insurer. Unlike many others, it is vertically integrated. Dr. Bueno has two opportunities for growth. Which, if any, should he pursue? View Details
      Keywords: Health Care and Treatment; Innovation and Invention; Opportunities; Insurance; Vertical Integration; Insurance Industry; Brazil
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      Herzlinger, Regina E., and Ricardo Reisen de Pinho. "Amil and the Health Care System in Brazil." Harvard Business School Case 312-029, August 2011. (Revised July 2014.)
      • July 2011
      • Article

      Kidney Paired Donation

      By: C. Bradley Wallis, Kannan P. Samy, Alvin E. Roth and Michael A. Rees
      Kidney paired donation (KPD) was first suggested in 1986, but it was not until 2000 when the first paired donation transplant was performed in the U.S. In the past decade, KPD has become the fastest growing source of transplantable kidneys, overcoming the barrier faced... View Details
      Keywords: Philanthropy and Charitable Giving; Health Care and Treatment; Growth and Development Strategy; Success; Problems and Challenges; Programs; System; United States
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      Wallis, C. Bradley, Kannan P. Samy, Alvin E. Roth, and Michael A. Rees. "Kidney Paired Donation." Nephrology, Dialysis, Transplantation 26, no. 7 (July 2011): 2091–2099.
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