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    • All HBS Web  (2,837)
      • Faculty Publications  (403)

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      • Article

      Time-Driven Activity-Based Costing: A Driver for Provider Engagement in Costing Activities and Redesign Initiatives

      By: Robert S. Kaplan, Nancy McLaughlin, Michael A. Burke, Nisheeta P. Setlur, Douglas R. Niedzwiecki, Alan L. Kaplan, Christopher Saigal, Aman Mahajan and Neil A. Martin
      Object. To date, health care providers have devoted significant efforts to improve performance regarding patient safety and quality of care. To address the lagging involvement of health care providers in the cost component of the value equation, UCLA Health... View Details
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      Kaplan, Robert S., Nancy McLaughlin, Michael A. Burke, Nisheeta P. Setlur, Douglas R. Niedzwiecki, Alan L. Kaplan, Christopher Saigal, Aman Mahajan, and Neil A. Martin. "Time-Driven Activity-Based Costing: A Driver for Provider Engagement in Costing Activities and Redesign Initiatives." Neurosurgical Focus 37, no. 5 (November 2014).
      • November–December 2014
      • Article

      Using Time-Driven Activity-Based Costing to Identify Value-Improvement Opportunities in Healthcare

      By: Robert S. Kaplan, Mary L. Witkowski, Megan Abbott, Alexis Guzman, Laurence Higgins, John Meara, Erin Padden, Apurva Shah, Peter Waters, Marco Weidemeier, Samuel Wertheimer and Thomas W. Feeley
      As healthcare providers cope with pricing pressures and increased accountability for performance, they should be rededicating themselves to improving the value they deliver to their patients: better outcomes and lower costs. Time-driven activity-based costing offers... View Details
      Keywords: Value Creation; Activity Based Costing and Management; Health Care and Treatment; Health Industry; United States; Europe
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      Kaplan, Robert S., Mary L. Witkowski, Megan Abbott, Alexis Guzman, Laurence Higgins, John Meara, Erin Padden, Apurva Shah, Peter Waters, Marco Weidemeier, Samuel Wertheimer, and Thomas W. Feeley. "Using Time-Driven Activity-Based Costing to Identify Value-Improvement Opportunities in Healthcare." Journal of Healthcare Management 59, no. 6 (November–December 2014): 399–413.
      • September 2014
      • Supplement

      Pfizer and AstraZeneca: Marketing an Acquisition (B)

      By: John A. Quelch and James Weber
      This (B) case provides a brief description of the outcome of the (A) case. View Details
      Keywords: Health Care Policy; Pharmaceutical Sales; Mergers And Acquisitions; Marketing; Pharmaceutical Industry; United Kingdom; United States
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      Quelch, John A., and James Weber. "Pfizer and AstraZeneca: Marketing an Acquisition (B)." Harvard Business School Supplement 515-008, September 2014.
      • July 2014
      • Case

      BMVSS: Changing Lives through Innovation One Jaipur Limb at a Time (Abridged)

      By: Srikant Datar, Saloni Chaturvedi and Caitlin Bowler
      Bhagwan Mahaveer Viklang Sahayata Samiti (BMVSS) is an Indian not-for-profit organization engaged in assisting differently-abled persons by providing them with the legendary low-cost prosthesis, the Jaipur Foot, and other mobility-assisting devices, free of cost. Known... View Details
      Keywords: Nonprofit Organizations; Financial Condition; Health Care and Treatment; Diversity; Growth and Development Strategy; Philanthropy and Charitable Giving; Medical Devices and Supplies Industry; Health Industry; India
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      Datar, Srikant, Saloni Chaturvedi, and Caitlin Bowler. "BMVSS: Changing Lives through Innovation One Jaipur Limb at a Time (Abridged)." Harvard Business School Case 115-009, July 2014.
      • 2014
      • Working Paper

      Non-Adherence in Health Care: A Positive and Normative Analysis

      By: Mark Egan and Tomas J. Philipson
      Non-adherence in health care results when a patient does not initiate or continue care that a provider has recommended. Previous research identifies non-adherence as a major source of waste in US health care, totaling approximately 2.3% of GDP, and have proposed a... View Details
      Keywords: Health Care and Treatment; Behavior; Economics; Analysis; Mathematical Methods
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      Egan, Mark, and Tomas J. Philipson. "Non-Adherence in Health Care: A Positive and Normative Analysis." NBER Working Paper Series, No. 20330, July 2014. (Previously titled, "Health Care Adherence and Personalized Medicine.")
      • Blog Post

      Health Care Transparency: The Fox Is Guarding the Chicken Coop in Washington Again

      By: Regina E. Herzlinger

      Now that more people can shop directly for their own health insurance under the Affordable Care Act, they have been transformed from potential patients to consumers, and like any other consumers of goods or services, they want to know if what they're buying is any... View Details

      Keywords: Transparency; Health Care; Health Insurance; Health Care and Treatment; Health Industry
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      Herzlinger, Regina E. "Health Care Transparency: The Fox Is Guarding the Chicken Coop in Washington Again." Huffington Post, The Blog (March 24, 2014). http://www.huffingtonpost.com/regina-e-herzlinger/health-care-transparency_b_5022531.html.
      • March 2014 (Revised February 2015)
      • Case

      Loki Capital Management

      By: Joseph B. Fuller, Shikhar Ghosh and Matthew Preble
      In December 2013, Michael Kane was preparing to launch his start-up's first hedge fund. While pleased with the development of the business, he wanted to address a few lingering issues before going any further. He debated whether or not to fire the company's chief... View Details
      Keywords: Hedge Fund; Hedge Funds; Equity Split; Fundraising; Investor Clientele; Team Building; Human Resource Management; Human Capital; Human Resources; Equity; Financial Services Industry; United States
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      Fuller, Joseph B., Shikhar Ghosh, and Matthew Preble. "Loki Capital Management." Harvard Business School Case 814-049, March 2014. (Revised February 2015.)
      • March 2014 (Revised September 2014)
      • Supplement

      Cancer Treatment Centers of America® (B)

      By: Regina E. Herzlinger and Natalie Kindred
      This case, a follow-up to Cancer Treatment Centers of America (A), HBS No. 313-012, begins with the debate over New Hampshire's certificate-of-need (CON) law, which restricts hospital expansion. This debate ignited significant public criticism of Cancer Treatment... View Details
      Keywords: Cancer; Cancer Treatment; Accountability; Outcomes; Outcomes Reporting; Outcomes Measurement; Survival; For-profit Hospitals; Health Care; Healthcare; Hospital; Certificate Of Need; Health Care and Treatment; Outcome or Result; Corporate Accountability; Policy; Health Industry; United States
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      Herzlinger, Regina E., and Natalie Kindred. "Cancer Treatment Centers of America® (B)." Harvard Business School Supplement 314-003, March 2014. (Revised September 2014.)
      • 2014
      • Article

      Notes from the Search for Deep Indicators in Services

      By: James L. Heskett
      Much of the research in the service sector over the last four decades has concerned itself with the search for deep indicators that explain service performance. This paper provides a brief retrospective of some of this research and illustrates the directions that this... View Details
      Keywords: Service Delivery; Organizational Culture; Performance; Service Industry
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      Heskett, James L. "Notes from the Search for Deep Indicators in Services." Journal of Service Management 25, no. 3 (2014): 298–309.
      • 2018
      • Working Paper

      Information Provision and Innovation: Natural Experiment of Herbal Patent Prior Art Adoption at the United States and European Patent Offices

      By: Prithwiraj Choudhury and Tarun Khanna
      We exploit a natural experiment to study how codifying information about prior innovation affects subsequent innovation. A codified database of traditional Indian herbal formulations was adopted by the European Patent Office (EPO) and the U.S. Patent and Trademark... View Details
      Keywords: Patents; Plant-Based Agribusiness; Ethnicity; Health Care and Treatment; Pharmaceutical Industry; Agriculture and Agribusiness Industry; China; India
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      Choudhury, Prithwiraj, and Tarun Khanna. "Information Provision and Innovation: Natural Experiment of Herbal Patent Prior Art Adoption at the United States and European Patent Offices." Harvard Business School Working Paper, No. 14-079, February 2014. (Revised January 2018.)
      • February 2014 (Revised July 2016)
      • Case

      Iora Health

      By: William A. Sahlman and Vineeta Vijayaraghavan
      The Iora Health case looks at a new approach to the management and delivery of primary care. Instead of having a doctor, half a nurse and two accountants, Iora deploys a doctor, a nurse and several health coaches, all operating as an integrated team. Iora focuses on... View Details
      Keywords: Management; Service Delivery; Groups and Teams; Financing and Loans; Health Care and Treatment; Health Industry
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      Sahlman, William A., and Vineeta Vijayaraghavan. "Iora Health." Harvard Business School Case 814-030, February 2014. (Revised July 2016.)
      • February 2014 (Revised March 2022)
      • Case

      School Specialty, Inc.

      By: Stuart C. Gilson and Kristin Mugford
      Set in 2013, School Specialty was a financially troubled supplier of educational products to primary and secondary schools in the United States. The company planned to file Chapter 11 in order to address its excessive debt load, but needed to arrange... View Details
      Keywords: School Specialty; Bankruptcy; Section 363; Financing; Chapter 11; Capital Structure; Financing and Loans; Insolvency and Bankruptcy; Distribution Industry; Education Industry; United States
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      Gilson, Stuart C., and Kristin Mugford. "School Specialty, Inc." Harvard Business School Case 214-084, February 2014. (Revised March 2022.)
      • 24 Jan 2014
      • Other Presentation

      Value Based Health Care Delivery

      By: Michael E. Porter
      According to Harvard professor Michael Porter, health care reform is proving to be one of the defining issues of the 21st century, both in the United States and throughout the world. Costs are exploding even in single-payer systems driven by aging populations and... View Details
      Keywords: Health Care; Service Delivery; Value; Health Care and Treatment; Health Industry
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      Porter, Michael E. "Value Based Health Care Delivery." Harvard Kennedy School, Center for Public Leadership, Cambridge, MA, January 24, 2014.
      • January 2014 (Revised January 2014)
      • Case

      Henry Schein: Doing Well by Doing Good?

      By: Rebecca Henderson, Raffaella Sadun, Aldo Sesia and Russell Eisenstat

      Henry Schein Inc., a distributor of supplies to dentist, physician, and veterinary practices, had sales approaching $9 billion and employed nearly 16,000 people. The company had experienced impressive growth under the leadership of Stanley Bergman and his executive... View Details

      Keywords: Leadership Development; Strategy Execution; Performance Management; Corporate Culture; Social Responsibility; Mergers & Acquisitions; Joint Ventures; Partnerships; Health Care Industry; Healthcare Logistics Industry; Competitive Advantage; Strategy; Leadership; Global Strategy; Selection and Staffing; Management Style; Organizational Culture; Corporate Social Responsibility and Impact; Health Industry; Medical Devices and Supplies Industry; China; Europe; United States
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      Henderson, Rebecca, Raffaella Sadun, Aldo Sesia, and Russell Eisenstat. "Henry Schein: Doing Well by Doing Good?" Harvard Business School Case 714-450, January 2014. (Revised January 2014.)
      • January 2014 (Revised December 2014)
      • Case

      GenapSys: Business Models for the Genome

      By: Richard G. Hamermesh, Joseph B. Fuller and Matthew Preble

      GenapSys, a California-based startup, was soon to release a new DNA sequencer that the company's founder, Hesaam Esfandyarpour, believed was truly revolutionary. The sequencer would be substantially less expensive—potentially costing just a few thousand dollars—and... View Details

      Keywords: DNA Sequencing; Life Sciences; Business Model; Innovation & Entrepreneurship; Health Care and Treatment; Genetics; Business Strategy; Biotechnology Industry; Pharmaceutical Industry; Technology Industry; Health Industry; Medical Devices and Supplies Industry; United States
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      Hamermesh, Richard G., Joseph B. Fuller, and Matthew Preble. "GenapSys: Business Models for the Genome." Harvard Business School Case 814-050, January 2014. (Revised December 2014.)
      • November 2013 (Revised January 2015)
      • Case

      Obamacare

      By: Matthew Weinzierl and Katrina Flanagan
      One vote in June, 2012, decided the fate of President Barack Obama's crowning first-term achievement: universal health insurance. Chief Justice John Roberts of the U.S. Supreme Court cast the deciding vote to uphold the keystone of the reform: the mandate to purchase... View Details
      Keywords: Universal Health Insurance; Adverse Selection; Leviathan; Courts and Trials; Judgments; Insurance; Health Care and Treatment; Government and Politics; Insurance Industry; Public Administration Industry; Health Industry; United States
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      Weinzierl, Matthew, and Katrina Flanagan. "Obamacare." Harvard Business School Case 714-029, November 2013. (Revised January 2015.)
      • November 2013
      • Teaching Note

      Barnes & Noble: Managing the E-Book Revolution

      By: Alan MacCormack, Brian Kimball Dunn and Chris F. Kemerer
      In 2012, Barnes & Noble found itself in a difficult position. While the company had weathered the advent of online retailing relatively well, the arrival of electronic books (e-books) threatened the company's viability. Primary competitor Borders had already fallen by... View Details
      Keywords: Technological Innovation; Internet and the Web; Adaptation; Books; Retail Industry
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      MacCormack, Alan, Brian Kimball Dunn, and Chris F. Kemerer. "Barnes & Noble: Managing the E-Book Revolution." Harvard Business School Teaching Note 614-040, November 2013.
      • November 2013 (Revised November 2014)
      • Case

      Infection Control at Massachusetts General Hospital

      By: Robert S. Huckman and Nikolaos Trichakis

      The case explores the challenges facing Massachusetts General Hospital concerning the adoption of a new infection control policy, which promises to improve operational performance, patient safety, and profitability. The new policy requires coordination between... View Details

      Keywords: Safety; Organizational Change and Adaptation; Integration; Health Care and Treatment; Policy; Health Industry; Boston
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      Huckman, Robert S., and Nikolaos Trichakis. "Infection Control at Massachusetts General Hospital." Harvard Business School Case 614-044, November 2013. (Revised November 2014.)
      • October 2013
      • Article

      Consulting on the Cusp of Disruption

      By: Clayton M. Christensen, Dina Wang and Derek C. M. van Bever
      Consulting fundamental business model has not changed in more than 100 years: very smart outsiders go into organizations for a finite period of time and recommend solutions for the most difficult problems confronting their clients. But at traditional... View Details
      Keywords: Disruptive Innovation; Consulting Industry
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      Christensen, Clayton M., Dina Wang, and Derek C. M. van Bever. "Consulting on the Cusp of Disruption." Harvard Business Review 91, no. 10 (October 2013): 106–114.
      • 2013
      • Article

      The Impact of Electronic Health Record Use on Physician Productivity

      By: Julia Adler-Milstein and Robert S. Huckman
      To examine the impact of the degree of electronic health record (EHR) use and delegation of EHR tasks on clinician productivity in ambulatory settings.
      Study Design: We examined EHR use in primary care practices that implemented a web-based EHR from athenahealth... View Details
      Keywords: Electronic Health Records; Health Care; Productivity; Healthcare IT; Information Technology; Performance Productivity; Health Care and Treatment; Health Industry
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      Adler-Milstein, Julia, and Robert S. Huckman. "The Impact of Electronic Health Record Use on Physician Productivity." Special Issue on Health Information Technology. American Journal of Managed Care 19, no. SP10 (2013): SP345–SP352.
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