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March 9, 2021
Article

Addressing Consolidation in Health Care Markets

By: Leemore S. Dafny

This Viewpoint proposes three steps the Biden administration can take to slow consolidation within health care, which has been shown to raise costs without improving service or quality: better fund federal antitrust enforcement agencies; appoint agency heads committed... View Details

Keywords: Antitrust Issues And Policies; Health Care and Treatment; Markets; Consolidation; Competition; Government Administration

2024
Working Paper

Does Private Equity Have Any Business Being in the Health Care Business?

By: Nori Gerardo Lietz and Zirui Song

Private Equity (“PE”) has come under increased scrutiny by the press, academics, and policymakers, as well as the public, for its investments in health care delivery. This scrutiny has been exacerbated by recent high profile hospital bankruptcies following PE... View Details

Keywords: Private Equity; Government Administration; Acquisition; Health Industry

April 2011 (Revised March 2012)
Supplement

U.S. Healthcare Reform: Reaction to the Patient Protection and Affordable Care Act of 2010

By: Arthur A. Daemmrich

Supplement to "U.S. Healthcare Reform: International Perspectives" updating key events and disputes concerning the reform law, including the 2010 Congressional elections, legislative proposals, legal challenges, and responses by employers. View Details

Keywords: Governing Rules, Regulations, and Reforms; Government Legislation; Political Elections; Health Care and Treatment; Lawsuits and Litigation; Business and Government Relations; Public Opinion; Health Industry; Public Administration Industry; United States

September 2015 (Revised February 2023)
Case

Emdeon's Acquisition of Change Healthcare: Innovating Transparency Solutions for Health Care Consumers

By: Regina E. Herzlinger, Jeet Guram and Aanchal Raj

Case describes acquisition of Change Healthcare, which provides health care cost and quality information, by Emdeon, a health information exchange, and discusses health care transparency. Emdeon is a billion-dollar company that has grown through acquisitions; at its... View Details

Keywords: Healthcare; Healthcare Industry; Healthcare Innovation; Health Care and Treatment; Acquisition; Integration; Analytics and Data Science; Mergers and Acquisitions; Competitive Strategy; Health Industry; United States

August 2011 (Revised May 2012)
Supplement

Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (B)

By: Tarun Khanna and Tanya Bijlani

Narayana Hrudayalaya (NH) has expanded into a multi-specialty health city in Bangalore and has grown to twelve locations across India. The hospital plans to build 300-bed secondary-care hospitals in smaller cities across India, with a goal to operate 30,000 beds in... View Details

Keywords: Emerging Markets; Growth and Development Strategy; Goals and Objectives; Social Enterprise; Health Care and Treatment; Poverty; Welfare; Health Industry; Bangalore; Cayman Islands; Africa

March 2023 (Revised June 2025)
Case

Close Concerns: Diabetes Research and Advocacy

By: Regina E. Herzlinger and Brian L. Walker

This case describes the Exit considerations of Kelly Close, HBS MBA, and founder of the primary distributor of diabetes newsletters. It is part of the fourth module in the Innovating in Health Care HBS MBA course, which contains cases of other health care firms that... View Details

Keywords: Diabetes; Health; Health Care; Health Care And Treatment; Health Care Outcomes; Health Care Industry; Knowledge Dissemination; Outcome or Result; Equality and Inequality; Business Model; Entrepreneurship

Article

Do Post-menopausal Women Provide More Care to Their Kin?: Evidence of Grandparental Caregiving from Two Large-scale National Surveys

By: Marlise Hofer, Hanne Collins, Gita D. Mishra and Mark Schaller

Drawing on the logical principles of life-history theory, it may be hypothesized that—compared to pre-menopausal women—post-menopausal women will spend more time caring for grandchildren and other kin. This hypothesis was tested in two studies, on results obtained from... View Details

November 2020
Teaching Note

DayTwo: Going to Market with Gut Microbiome

By: Ayelet Israeli

Teaching Note for HBS Case No. 519-010. DayTwo is a young Israeli startup that applies research on the gut microbiome and machine learning algorithms to deliver personalized nutritional recommendations to its users in order to minimize blood sugar spikes after meals.... View Details

Article

Integrating: A Managerial Practice that Enables Implementation in Fragmented Health Care Environments

By: Michaela J. Kerrissey, Patricia Satterstrom, Nicholas Leydon, Gordon Schiff and Sara J. Singer

How some organizations improve while others remain stagnant is a key question in health care research. This inductive qualitative study examines primary care clinics implementing improvement efforts in order to identify mechanisms that enable implementation despite... View Details

Keywords: Organization And Management Theory; Quality Improvement; Health Care and Treatment; Performance Improvement; Integration; Cooperation

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December 2011 (Revised December 2011)
Case

Cancer Treatment Centers of America: Scaling the Mother Standard of Care

By: Rosabeth Moss Kanter and Matthew Bird

The CEO of a private and growing national network of specialty care hospitals focusing on advanced-stage and complex cancer treatments reflected on the firm's past phase of growth before meeting with the company's Chairman and founder to discuss how to further scale... View Details

Keywords: Health Care and Treatment; Business Growth and Maturation; Medical Specialties; Service Delivery; Innovation and Invention; Health Industry

October 1981 (Revised June 1985)
Case

Vicks Health Care Division: Project Scorpio (B1)

To be handed out during class discussion of the (B) case. Reveals that Vicks developed a second name and advertising positioning. Presents results of copy testing, and further test market results. Students have to choose between the two names and positionings, as well... View Details

Keywords: Product Positioning; Health Care and Treatment; Product Launch; Health Industry

April 2003
Module Note

Design and Management of Health Care Delivery Processes, The

By: Richard M.J. Bohmer

Discusses the design and management of clinical processes in health care. Presents a framing of the clinical process as a problem-solving process that fundamentally involves learning along two dimensions and at least two levels. The two dimensions are: 1) learning in... View Details

Keywords: Management Analysis, Tools, and Techniques; Service Delivery; Management Practices and Processes; Learning; Health Care and Treatment; Health Industry

07 Aug 2009
What Do You Think?

Why Can’t Americans Get Health Care Right?

in an earlier column, "nudge") to what extent and how should we employ incentives? For example, Curtis Craig suggested, "Let's incentivize quality of health care and deincentivize unhealthy or... View Details

Keywords: by Jim Heskett; Health

2014
Working Paper

Private Equity's Diversification Illusion: Economic Comovement and Fair Value Reporting

By: Kyle Travis Welch

This study examines how accounting has informed private equity diversification claims and demand for private equity investments. Despite research showing private equity lacks portfolio diversification benefits, those marketing private equity assets continue to... View Details

June 2023
Teaching Note

Connecting Students in Chattanooga (A) and (B)

By: Jan W. Rivkin

Teaching Note for HBS Case Nos. 722-449 and 722-451. As this case opens, it is the spring of 2020 in Chattanooga. COVID-19 has hit, public schools have closed their buildings, remote learning has begun, and more than 28,000 schoolkids lack the high-quality Internet... View Details

Keywords: K-12 Education; Pandemic; COVID-19; Accessibility; Education; Urban Development; Wealth and Poverty; Internet and the Web; Information Infrastructure; Education Industry; Tennessee

Research Summary

The State of Small Business Lending: Credit Access During the Recovery and How Technology May Change the Game

Small businesses are core to America's economic competitiveness. Not only do they employ half of the nation’s private sector workforce—about 120 million people—but since 1995 they have created approximately two-thirds of the net new jobs in our country. Yet in... View Details

December 2020 (Revised March 2022)
Case

Thinx, Inc.—Breaking Barriers in Feminine Care (Abridged)

By: Rembrand Koning, Elie Ofek and Nicole Tempest Keller

An examination of the strategic marketing challenges facing Thinx as it tries to grow in the face of menstruation taboos and competition from large incumbents. View Details

Keywords: Entrepreneurship; Innovation and Invention; Growth and Development Strategy; Marketing Strategy; United States

Article

The Inpatient Discharge Lounge as a Potential Mechanism to Mitigate Emergency Department Boarding and Crowding

By: Brian Franklin, Sharif Vakili, Robert S. Huckman, Sarah Hosein, Nicholas Falk, Katherine Cheng, Maria Murray, Sheila Harris, Charles A. Morris and Eric Goralnick

Delayed access to inpatient beds for admitted patients contributes significantly to emergency department (ED) boarding and crowding, which have been associated with deleterious patient safety effects. To expedite inpatient bed availability, some hospitals have... View Details

Keywords: Health Care Delivery; Emergency Room; Operations Improvement; Operations Management; Health Care and Treatment; Service Delivery; Operations; Management; Performance Improvement; Service Operations

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24 Nov 2020
Cold Call Podcast

Evaluating Innovative Health Care Solutions for Obesity

Keywords: Re: Regina E. Herzlinger; Health

Article

Using the Balanced Scorecard for Successful Health Care M&A Integration

By: Robert S. Kaplan

The failure of merged organizations to achieve stated goals is commonplace. In health care, the challenge is exacerbated by the industry’s third-party payer system and multiple stakeholders, especially the physicians in the merging entities. This article describes how... View Details

Keywords: Health Care and Treatment; Mergers and Acquisitions; Integration; Balanced Scorecard

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