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      • Faculty Publications  (221)

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      • April 1995 (Revised August 1995)
      • Case

      Empire Blue Cross and Blue Shield (A)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Mounting financial losses and increasing public scrutiny present many challenges to the board of directors of a large nonprofit health insurer. This case series presents chronologically the increasing problems of the company. View Details
      Keywords: Governing and Advisory Boards; Corporate Governance; Financial Condition; Organizational Culture; Problems and Challenges; Nonprofit Organizations; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (A)." Harvard Business School Case 195-216, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (B)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. View Details
      Keywords: Insurance Industry; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (B)." Harvard Business School Supplement 195-217, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (C)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. View Details
      Keywords: Insurance Industry; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (C)." Harvard Business School Supplement 195-218, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (D)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. View Details
      Keywords: Insurance Industry; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (D)." Harvard Business School Supplement 195-219, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (E)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. View Details
      Keywords: Insurance Industry; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (E)." Harvard Business School Supplement 195-220, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (F)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. View Details
      Keywords: Insurance Industry; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (F)." Harvard Business School Supplement 195-221, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (G)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. View Details
      Keywords: Insurance Industry; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (G)." Harvard Business School Supplement 195-222, April 1995. (Revised August 1995.)
      • April 1995 (Revised August 1995)
      • Supplement

      Empire Blue Cross and Blue Shield (H)

      By: Regina E. Herzlinger and Ramona Hilgenkamp
      Supplements the (A) case. Contains a denouement. View Details
      Keywords: Insurance Industry; Insurance Industry
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      Herzlinger, Regina E., and Ramona Hilgenkamp. "Empire Blue Cross and Blue Shield (H)." Harvard Business School Supplement 195-223, April 1995. (Revised August 1995.)
      • May 1994 (Revised February 2021)
      • Background Note

      Note on Reimbursement of Health Care Providers: Case-Based and Capitation Payment

      By: Regina E. Herzlinger and Tom Nagle
      Explains how managed care organizations use capitation as a payment method for providers. View Details
      Keywords: Managed Care; Capitation; Health Care and Treatment; Insurance; Accounting; Financial Management; Health Industry; Health Industry
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      Herzlinger, Regina E., and Tom Nagle. "Note on Reimbursement of Health Care Providers: Case-Based and Capitation Payment." Harvard Business School Background Note 194-141, May 1994. (Revised February 2021.)
      • March 1994 (Revised December 2014)
      • Case

      Humana, Inc.: Managing in a Changing Industry

      By: Stuart Gilson
      Intensifying competition and change in the U.S. health care industry force a large integrated health-care provider to reassess its strategy of operating both hospitals and health insurance plans (HMOs). In an attempt to increase its stock price and operating... View Details
      Keywords: Business Strategy; Restructuring; Change Management; Financial Management; Health Industry
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      Gilson, Stuart. "Humana, Inc.: Managing in a Changing Industry." Harvard Business School Case 294-062, March 1994. (Revised December 2014.)
      • June 1992
      • Teaching Note

      Hospital Replacement Decision, Hospital Corp. of America: Financial Analysis, and Humana, Inc., Teaching Note

      By: Regina E. Herzlinger
      Keywords: Health Care and Treatment; Decision Making; Finance; Insurance Industry; Insurance Industry; United States
      Citation
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      Herzlinger, Regina E. "Hospital Replacement Decision, Hospital Corp. of America: Financial Analysis, and Humana, Inc., Teaching Note." Harvard Business School Teaching Note 192-120, June 1992.
      • June 1992
      • Teaching Note

      U.S. Health Care Systems, Prospectus and Maxicare Health Plans, Inc., Teaching Note

      By: Regina E. Herzlinger
      Keywords: Health Care and Treatment; Insurance Industry; Insurance Industry
      Citation
      Related
      Herzlinger, Regina E. "U.S. Health Care Systems, Prospectus and Maxicare Health Plans, Inc., Teaching Note." Harvard Business School Teaching Note 192-127, June 1992.
      • August 1989 (Revised May 1993)
      • Case

      Computer Company's Health Plan

      By: Regina E. Herzlinger
      Keywords: Health; Insurance
      Citation
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      Herzlinger, Regina E. "Computer Company's Health Plan." Harvard Business School Case 190-038, August 1989. (Revised May 1993.)
      • 1981
      • Case

      Town of Holden Health Insurance Procurement

      By: Dutch Leonard
      Keywords: Health; Local Range; Insurance; Financial Management
      Citation
      Related
      Leonard, Dutch. "Town of Holden Health Insurance Procurement." 1981. (financial management.)
      • August 1975 (Revised August 1991)
      • Case

      University Hospital

      By: Regina E. Herzlinger
      Keywords: Health Care and Treatment; Health Industry
      Citation
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      Herzlinger, Regina E. "University Hospital." Harvard Business School Case 176-020, August 1975. (Revised August 1991.)
      • winter 1971
      • Article

      Patient Incentives and Hospital Insurance

      By: Robert S. Kaplan and Lester Lave
      Keywords: Health; Insurance; Motivation and Incentives; Health Industry
      Citation
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      Kaplan, Robert S., and Lester Lave. "Patient Incentives and Hospital Insurance." Health Services Research 6 (winter 1971): 288–300. (see also "Further Thoughts on Patient Incentives," Health Services Research (summer 1972): 148-150.)
      • Research Summary

      Behavioral Hazard and Public Policy

      By: Joshua R. Schwartzstein

      It is well recognized that people overuse low-value medical care due to moral hazard—because copays are lower than costs. Now Professor Schwartzstein has introduced the concept of “behavioral hazard” to explain the opposite: people underuse high-value care because... View Details

      • Teaching Interest

      Business Opportunties in Climate Adaptation

      By: John D. Macomber

      This is a Short Intensive Program or SIP at Harvard Business School.  It’s an optional student offering prior to the formal start of the Spring semester the following week.  SIPs tend to cover new material on current topics, to be less formal than the HBS Case Study... View Details

      Keywords: Resilience; Climate Risk; Climate Impact; Fire Protection; Insurance Risk Exposure; Hedge Fund; Public Health; Public Health Measures; Climate Change; Adaptation; Infrastructure; Insurance Industry; Insurance Industry; Insurance Industry; United States; Africa; Latin America
      • Research Summary

      Consumer-Driven Health Care

      By: Regina E. Herzlinger
      Since 1999, Professor Herzlinger's work in this area has provided the major impetus for the transformation of the health care sector: first in new consumer-driven insurance products sold by established insurers such as Aetna, United and CIGNA, as well as... View Details
      • Teaching Interest

      Overview

      By: Regina E. Herzlinger
      Course Requirements

      Students are required to prepare a business plan, which employs the framework of this course, to explore an entrepreneurial opportunity in health care, and to evaluate their classmates' plans.

      Career Focus

      For... View Details
      Keywords: Healthcare; Healthcare Industry; Healthcare Innovation; Healthcare Costs; Healthcare Operations; Healthcare Organizations; Healthcare Startups; Healthcare Technology; Healthcare Ventures
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