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  • All HBS Web  (5,094)
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  • 2020
  • Working Paper

Hospital Allocation and Racial Disparities in Health Care

By: Amitabh Chandra, Pragya Kakani and Adam Sacarny
We develop a simple framework to measure the role of hospital allocation in racial disparities in health care and use it to study Black and white Medicare patients who are treated for heart attacks—a condition where virtually everyone receives care, hospital care is... View Details
Keywords: Health Care and Treatment; Equality and Inequality; Race; Analysis
Citation
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Chandra, Amitabh, Pragya Kakani, and Adam Sacarny. "Hospital Allocation and Racial Disparities in Health Care." NBER Working Paper Series, No. 28018, November 2020.
  • 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
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Herzlinger, Regina E., and Cynthia A. Fisher. "New Transparency Rule Helps Rein in Health Care Costs." Boston Herald (July 1, 2022).
  • December 4, 2023
  • Comment

The Great Resignation, Employment, and Wages in Health Care

By: Amitabh Chandra and Louis-Jonas Heizlsperger
Notwithstanding concerns about staffing levels and burnout in health care, federal wage and employment data does not support the suggestion that a COVID-19 pandemic-related spike in quitting has had an enduring impact for hospitals or physician offices. Employment in... View Details
Keywords: Resignation and Termination; Employment; Wages; Health Industry
Citation
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Chandra, Amitabh, and Louis-Jonas Heizlsperger. "The Great Resignation, Employment, and Wages in Health Care." NEJM Catalyst (December 4, 2023).
  • Article

Consumer-Driven Health Care: Taming the Health Care Cost Monster

By: Regina E. Herzlinger
Keywords: Health Care and Treatment; Customers; Cost; Health Industry
Citation
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Herzlinger, Regina E. "Consumer-Driven Health Care: Taming the Health Care Cost Monster." Journal of Financial Service Professionals 58, no. 2 (March 2004): 44–48.
  • 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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Kaplan, Robert S., Catherine H. MacLean, Alexander Dresner, Derek A. Haas, and Thomas W. Feeley. "Health Care Providers Need a Value Management Office." Harvard Business Review (website) (December 2, 2015). (Part of the “Leading Change in Health Care” series, a collaboration of the editors of Harvard Business Review and NEJM Group.)
  • 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
Citation
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Narayan, Vaibhav A., Marco Mohwinckel, Gary Pisano, Michael Yang, and Husseini Manji. "Beyond Magic Bullets: True Innovation in Health Care." Nature Reviews: Drug Discovery 12, no. 2 (February 2013): 85–86.
  • 2025
  • Working Paper

Expert Patients’ Use of Avoidable Health Care

By: Amitabh Chandra, Pragya Kakani and Simone Matecna
We measure whether expert patients – those trained as physicians and nurses – have fewer emergency department visits and the reasons for these differences. Relative to similar patients physicians and nurses had 19.8% and 5.1% fewer ED visits, principally due to fewer... View Details
Keywords: Health Care and Treatment; Service Delivery; Health Industry
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Chandra, Amitabh, Pragya Kakani, and Simone Matecna. "Expert Patients’ Use of Avoidable Health Care." NBER Working Paper Series, No. 33573, March 2025.
  • 12 Jul 2004
  • Research & Ideas

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

We believe that competition is the root of the problem with U.S. health care performance. But this does not mean we advocate a state-controlled system or a single-payer system; those approaches would only... View Details
Keywords: by Michael E. Porter; Health
  • June 10, 2021
  • Article

Preparing Hospitals for the Next Pandemic

By: Regina E. Herzlinger and Barak D. Richman
The COVID-19 epidemic response has shown that the U.S. is blessed with heroic physicians and other health care providers, researchers, and facilities. But it has also revealed a health care system that was woefully unprepared for the surge of pandemic patients. In the... View Details
Keywords: Hospital; Hospital Management; Hospitals—administration; Health Care; Health Care Industry; Health Care Investment; Health Care Operations; Health Pandemics; Health Care and Treatment; Operations; Performance Improvement; Investment; Health Industry; United States
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Herzlinger, Regina E., and Barak D. Richman. "Preparing Hospitals for the Next Pandemic." Harvard Business Review Digital Articles (June 10, 2021).
  • September 2003 (Revised January 2005)
  • Case

Bridges to Excellence: Bringing Quality Health Care to Life

By: Richard M.J. Bohmer, Ingrid Marie Nembhard and Robert Galvin
General Electric launched Bridges to Excellence Diabetes Care Link, a program through which enrolled physicians receive bonuses of up to 10% of their salary for delivering quality care to diabetic patients covered by a participating employer or health plan. A day... View Details
Keywords: Health Care and Treatment; Motivation and Incentives; Programs; Ethics; Quality; Moral Sensibility; Service Delivery; Compensation and Benefits; Health Industry
Citation
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Bohmer, Richard M.J., Ingrid Marie Nembhard, and Robert Galvin. "Bridges to Excellence: Bringing Quality Health Care to Life." Harvard Business School Case 604-030, September 2003. (Revised January 2005.)
  • 2019
  • Working Paper

Thinking Outside the Box (12): The Benefits of Increased Transparency in Employer-Sponsored Health Insurance for the 180 Million Insured

By: Regina E. Herzlinger and Barak D. Richman
Economists have long noted that the tax exclusion of employer-sponsored insurance (ESI) caused workers to purchase health plans that differ in price and other characteristics from those they would otherwise choose for themselves. We explore the short-term and long-term... View Details
Keywords: After-tax Income; Consumer-driven Health Care; Health Care Costs; Health Insurance; Income Inequality; Tax Policy; Health Care and Treatment; Cost; Insurance; Income; Equality and Inequality; Taxation; Policy; United States
Citation
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Herzlinger, Regina E., and Barak D. Richman. "Thinking Outside the Box (12): The Benefits of Increased Transparency in Employer-Sponsored Health Insurance for the 180 Million Insured." Duke Law School Public Law & Legal Theory Series, No. 2020-4, December 2019.
  • March 2002
  • Article

Leading Organizational Learning in Health Care

By: J. S. Carroll and A. C. Edmondson
Keywords: Leadership; Organizations; Learning; Health Care and Treatment; Health Industry
Citation
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Carroll, J. S., and A. C. Edmondson. "Leading Organizational Learning in Health Care." Quality & Safety in Health Care 11, no. 1 (March 2002): 51–56.
  • 5 Nov 2012
  • Other Presentation

Redefining Health Care in Latin America

By: Michael E. Porter
Keywords: Health
Citation
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Porter, Michael E. "Redefining Health Care in Latin America." ExpoManagement, HSM, Brazil, November 5, 2012.
  • 1995
  • Chapter

Pharmaceutical Companies and Health Care Reform

By: Arthur A. Daemmrich
Keywords: Health Care and Treatment; Governing Rules, Regulations, and Reforms; Government and Politics; Policy; Business and Government Relations; Pharmaceutical Industry
Citation
Related
Daemmrich, Arthur A. "Pharmaceutical Companies and Health Care Reform." In Global Issues Guidebook, edited by Laura Baraff and Nicola Short, 403–407. Student Pugwash USA, 1995.
  • 4 Nov 2013
  • Other Presentation

Redefining Health Care in Latin America

By: Michael E. Porter
Keywords: Health
Citation
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Porter, Michael E. "Redefining Health Care in Latin America." Philips Healthcare, Rio de Janeiro, Brazil, November 4, 2013.
  • May 2020
  • Article

Identifying Sources of Inefficiency in Health Care

By: Amitabh Chandra and Douglas O. Staiger
In medicine, the reasons for variation in treatment rates across hospitals serving similar patients are not well understood. Some interpret this variation as unwarranted and push standardization of care as a way of reducing allocative inefficiency. However, an... View Details
Keywords: Health Care and Treatment; Performance Efficiency; Performance Productivity; Mathematical Methods
Citation
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Chandra, Amitabh, and Douglas O. Staiger. "Identifying Sources of Inefficiency in Health Care." Quarterly Journal of Economics 135, no. 2 (May 2020): 785–843.
  • 2017
  • Working Paper

Identifying Sources of Inefficiency in Health Care

By: Amitabh Chandra and Douglas O. Staiger
In medicine, the reasons for variation in treatment rates across hospitals serving similar patients are not well understood. Some interpret this variation as unwarranted and push standardization of care as a way of reducing allocative inefficiency. However, an... View Details
Keywords: Health Care and Treatment; Performance Efficiency; Performance Productivity; Mathematical Methods
Citation
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Related
Chandra, Amitabh, and Douglas O. Staiger. "Identifying Sources of Inefficiency in Health Care." NBER Working Paper Series, No. 24035, November 2017.
  • February 2021
  • Article

Health Care Measurements That Improve Patient Outcomes

By: Robert S. Kaplan, Lara Jehi, Clifford Y. Ko, Andrea Pusic and Mary Witkowski
This article describes the challenges and solutions in determining whether a patient’s treatment has been successful. Such an assessment depends on multiple factors, including the patient’s pretreatment status; the qualifications of personnel performing the treatment;... View Details
Keywords: Outcomes Measurement; Health Care and Treatment; Outcome or Result; Measurement and Metrics
Citation
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Kaplan, Robert S., Lara Jehi, Clifford Y. Ko, Andrea Pusic, and Mary Witkowski. "Health Care Measurements That Improve Patient Outcomes." NEJM Catalyst Innovations in Care Delivery 2, no. 2 (February 2021).
  • July–August 1994
  • Article

Making Competition in Health Care Work

By: Elizabeth O. Teisberg, M. E. Porter and Gregory B. Brown
Keywords: Competition; Health; Health Industry
Citation
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Teisberg, Elizabeth O., M. E. Porter, and Gregory B. Brown. "Making Competition in Health Care Work." Harvard Business Review 72, no. 4 (July–August 1994).
  • September 2020
  • Article

Medicaid Work Requirements in Arkansas: Two-Year Impacts on Coverage, Employment, and Affordability of Care

By: Benjamin D. Sommers, Lucy Chen, Robert J. Blendon, E. John Orav and Arnold M. Epstein
In June 2018 Arkansas became the first U.S. state to implement work requirements in Medicaid, requiring adults ages 30–49 to work twenty hours a week, participate in “community engagement” activities, or qualify for an exemption to maintain coverage. By April 2019,... View Details
Keywords: Medicaid; Health Care Policy; Health; Health Care and Treatment; Policy; Insurance; Health Industry; Arkansas
Citation
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Sommers, Benjamin D., Lucy Chen, Robert J. Blendon, E. John Orav, and Arnold M. Epstein. "Medicaid Work Requirements in Arkansas: Two-Year Impacts on Coverage, Employment, and Affordability of Care." Health Affairs 39, no. 9 (September 2020).
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