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  • All HBS Web  (5,443)
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  • 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.)
  • 19 Feb 2015
  • Video

Health Care is Every Company’s Business

  • 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.
  • 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
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Jain, Sachin H., Michael E. Porter, Fatima Akrouh, and Carolyn Daly. "Ledina Lushko: Navigating Health Care Delivery." Harvard Business School Case 710-459, January 2010.
  • Video

Introduction to Health Care Economics

  • September 2014 (Revised March 2016)
  • Case

Mayo Clinic: The 2020 Initiative

By: Regina E. Herzlinger, Robert S. Huckman and Jenny Lesser
Describes the challenges facing Dr. John Noseworthy, President and CEO, in implementing a long-term strategy for the growth of the Mayo Clinic—a leading academic medical center with a reputation for excellence in tertiary and quaternary health care. The case highlights... View Details
Keywords: Health; Health Care Industry; Health Care Policy; Health Care and Treatment; Health Industry; United States
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Herzlinger, Regina E., Robert S. Huckman, and Jenny Lesser. "Mayo Clinic: The 2020 Initiative." Harvard Business School Case 615-027, September 2014. (Revised March 2016.)
  • 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.)
  • 01 Oct 2006
  • News

Redefining Consumer-Driven Health Care

  • 20 Sep 2009
  • News

Why We Need Universal, Consumer-Driven Health Care

  • 04 Dec 2014
  • News

Hacking Health Care

The health care industry needs so much improvement, it will take a whole movement to fix it. “The more leaders, the better,” says Luc Sirois (MBA 1997), who sees progress coming not through a single... View Details
Keywords: Jill Radsken
  • TeachingInterests

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
  • March 31, 2022
  • Article

Two Approaches to Capping Health Care Prices

By: Michael E. Chernew, Maximilian J. Pany and Leemore S. Dafny
High health care prices for the privately-insured contribute to high premiums, which put downward pressure on wages, and induce employers to reduce benefit generosity and charge employees more for coverage. As the average annual premium for family coverage currently... View Details
Keywords: Price Caps; Health Care and Treatment; Price
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Chernew, Michael E., Maximilian J. Pany, and Leemore S. Dafny. "Two Approaches to Capping Health Care Prices." Health Affairs Forefront (March 31, 2022).
  • 22 Jan 2014
  • Other Presentation

Value-Based Health Care Delivery

By: Michael E. Porter
Keywords: Health
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Porter, Michael E. "Value-Based Health Care Delivery." A Strategy to Fix Healthcare, Reform, London, England, January 22, 2014.
  • 03 Jul 2018
  • News

Herzlinger: The Godmother of Consumer-Driven Health Care

  • August 2017
  • Teaching Note

Health Stop (A) and (B)

By: Regina Herzlinger
Teaching Note for HBS Nos. 185-084 and 196-051. View Details
Keywords: Health Care; Health; Health Industry
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Herzlinger, Regina. "Health Stop (A) and (B)." Harvard Business School Teaching Note 318-047, August 2017.
  • 22 Apr 2014

HBS Health Care Webinar

This online information session will highlight the resources at HBS for students interested in pursuing a career in Health Care. There will be a brief presentation followed by a student panel discussion. Registration is required. View Details
  • 1996
  • Book

Market-Driven Health Care

By: R. E. Herzlinger
Keywords: Health Care and Treatment
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Herzlinger, R. E. Market-Driven Health Care. Reading, MA: Addison-Wesley Publishing Company, 1996. (Winner of James A. Hamilton Award Given annually to the author of a management or healthcare book judged outstanding by the American College of Healthcare Executives' Book of the Year Committee presented by American College of Healthcare Executives. Reviewed in The Economist, Fortune, Journal of the AMA, New England Journal of Medicine, Wall Street Journal, among many others. Ingram's Current Events best seller.)
  • March 2003 (Revised March 2003)
  • Teaching Note

Intermountain Health Care (TN)

By: Richard M.J. Bohmer and Amy C. Edmondson
Teaching Note for (9-603-066). View Details
Keywords: Health Industry; Utah
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  • 01 May 2008
  • News

Reshaping Health Care

  • 23 Mar 2007
  • News

Redefining Health Care

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