Publications

June 2015 (Revised November 2016)
Case

HealthCare.gov: The Crash and the Fix (A)

By: Leonard A. Schlesinger and Paras D. Bhayani

A review of the process utilized by the Obama administration to create the Health Care.gov exchange and the problems that resulted from the implementation effort. There is a B case that provides the follow on strategy and processes utilized to get the site up and... View Details

Keywords: Organizational Change; Implementing Strategy; Implementation; Government Innovation; Health Care Industry; Health Care Reform; Health Care and Treatment; Government Administration; Governing Rules, Regulations, and Reforms; Organizational Change and Adaptation; Health Industry; Health Industry; United States

Forthcoming
Article

From Bupkis to Sechel in Health Care

By: Regina E. Herzlinger and Richard Boxer

Fifty years ago, famed economist Milton Friedman declared that “The social responsibility of business is to increase its profits.” This free market manifesto was adopted by the healthcare industry as well. But transactional has evolved into transformational with the... View Details

Keywords: Corporate Accountability; Customer Focus and Relationships; Corporate Social Responsibility and Impact; Health Industry

09 Jul 2019
Blog Post

Solving the Complexities of the Biotechnology Industry

Azita Sharif (MBA 2000) is the Founder and Chief Executive Officer of DSI- Precision Medicine Biobanking & BINDS (Bio-Informatics Network for Discovery Science). Her goal is to positively impact human and public health using... View Details

26 Jun 2000
Research & Ideas

What’s an Internet Business Model? Ask a Health Care Professional

Though the Internet has woven itself into most aspects of life, few fields have adopted it more actively, and at times controversially, than health care. What new business models in health care, based on the... View Details

Keywords: by Martha Lagace; Health

Article

Beyond Magic Bullets: True Innovation in Health Care

By: Vaibhav A. Narayan, Marco Mohwinckel, Gary Pisano, Michael Yang and Husseini Manji

The molecular medicine revolution—based on advances in fields such as genomics and network modeling in the decade since the human genome sequence was completed—has changed the way we think about, study, and approach the development of novel therapies. However, these... View Details

Keywords: Integration; Business Model; Organizational Structure; Health Care and Treatment; Innovation and Invention; Pharmaceutical Industry

Find at Harvard

March 2000
Teaching Note

Oxford Health Plans (A): Specialty Management [and] Oxford Health Plans (B): Crisis Strikes TN

By: James L. Heskett, Richard M.J. Bohmer and Jody H. Gittell

Teaching Note for (9-898-042) and (9-800-366). View Details

Keywords: Business or Company Management; Crisis Management; Medical Specialties; Health Care and Treatment; Health Industry; United States

December 2007
Article

Regional Health Information Organizations: Current Activities and Financing

Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish... View Details

Keywords: Information Technology; Financing and Loans; Health Care and Treatment; Information Management; Health Industry; United States

Read Now

December 2011 (Revised October 2015)
Case

K&N's: Health and Happiness for Pakistan

By: David E. Bell, Damien P. McLoughlin and Mary Shelman

Keywords: Family Business; Growth and Development Strategy; Food and Beverage Industry; Food and Beverage Industry; Pakistan

October 26, 2015
Article

Measuring and Communicating Health Care Value with Charts

By: Robert S. Kaplan, Robin P. Blackstone, Derek A. Haas and Nikhil G. Thaker

The goal of a health care system should be to deliver the most value to patients: the outcomes achieved for treating a medical condition relative to the costs incurred over a complete care cycle. We have found that a radar (spider web) chart is an effective means to... View Details

Keywords: Service Delivery; Value; Health Care and Treatment; Health Industry

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April 2016 (Revised May 2016)
Case

Hôpital Universitaire de Mirebalais, Partners In Health in Haiti

By: Robert S. Kaplan, Bipin Mistry and Karla Bertrand

The case describes the application of Time-Driven Activity-Based Costing (TDABC) at a new tertiary hospital, operated by Partners in Health in Mirebelais, Haiti. A project team mapped the clinical processes for use in estimating the direct costs of personnel,... View Details

Keywords: Time-Driven Activity-Based Costing; Activity Based Costing and Management; Cost Accounting; Developing Countries and Economies; Health Care and Treatment; Health Industry; Haiti

June 2015 (Revised November 2016)
Supplement

HealthCare.gov: The Crash and the Fix (B)

By: Leonard A. Schlesinger and Paras D. Bhayani

A review of the process utilized by the Obama administration to create the Health Care.gov exchange and the problems that resulted from the implementation effort. This case provides the follow on strategy and processes utilized to get the site up and running after the... View Details

Keywords: Organizational Change; Implementing Strategy; Implementation; Government Innovation; Health Care Industry; Health Care Reform; Service Delivery; Internet and the Web; Health; Government and Politics; Information Technology Industry; Information Technology Industry; Information Technology Industry; United States

July 1, 2022
Editorial

New Transparency Rule Helps Rein in Health Care Costs

By: Regina E. Herzlinger and Cynthia A. Fisher

Over the last year, consumer prices have grown 60% faster than wages. Employers can help their employees contend with this high inflation by addressing a long-running source: health care costs. View Details

Keywords: Healthcare Costs; Consumer Prices; Inflation and Deflation; Wages; Health Industry

October 2022 (Revised August 2024)
Case

Cigna-Express Scripts: Can a Vertical Merger Rescue an Industry Under Attack?

By: Leemore Dafny

In Fall 2019, Cigna Corporation – a global health services company with a significant presence in the U.S. employer-sponsored health insurance market - was digesting its $54 billion acquisition of Express Scripts, Inc. (ESI), a pharmacy benefit manager (PBM)... View Details

Keywords: Mergers and Acquisitions; Business Model; Vertical Integration; Insurance Industry

Article

Health Care Providers Need a Value Management Office

By: Robert S. Kaplan, Catherine H. MacLean, Alexander Dresner, Derek A. Haas and Thomas W. Feeley

Many health care organizations are striving to implement a value agenda that delivers better patient outcomes at lower cost, medical condition by medical condition. To accelerate the dissemination and adoption of the value agenda, across many more medical conditions,... View Details

Keywords: Service Delivery; Value; Health Care and Treatment; Health Industry

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12 Jul 2004
Research & Ideas

Michael Porter’s Prescription For the High Cost of Health Care

for each discrete service. Many other industries have solved the problem of how to issue a single bill for customized services; among them aerospace, construction, auto repair, and consulting. A competitive View Details

Keywords: by Michael E. Porter; Health

May 1994
Teaching Note

Humana, Inc.--Managing in a Changing Industry (TN)

By: Stuart C. Gilson

Teaching Note for (9-294-062). View Details

Keywords: Health Industry

February 2006
Teaching Note

John Moran and the Orthopedics Industry (TN)

By: Richard G. Hamermesh

Teaching Note to 805026. View Details

Keywords: Health Industry