Publications

2010
Working Paper

Evaluating the Effects of Large-Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative

By: Nava Ashraf, Gunther Fink and David N. Weil

Since 2003, Zambia has been engaged in a large-scale, centrally coordinated national anti-malaria campaign which has become a model in sub-Saharan Africa. This paper aims at quantifying the individual and macro level benefits of this campaign, which involved mass... View Details

Keywords: Cost vs Benefits; Developing Countries and Economies; Health Care and Treatment; Health Disorders; Performance Evaluation; Programs; Health Industry; Zambia

August 2016
Case

VMD Medical Imaging Center

By: Susanna Gallani and Eva Labro

VMD Medical Imaging Center, a local independent provider of medical imaging services, is facing some important challenges. Despite efficiency improvements and cost cutting initiatives carried out over the past few years, their profitability is shrinking; their prices... View Details

Keywords: Costing; Death Spiral; Transfer Pricing; Activity Based Costing and Management; Competitive Strategy; Medical Specialties; Health Industry

October 2017
Case

Pricing PatientPing

By: Frank V. Cespedes, Julia Kelley and Amram Migdal

In 2017, Jay Desai, the CEO of Boston-based health care technology company PatientPing, had to consider a number of interrelated pricing challenges. Founded in late 2013, PatientPing sold a software platform that allowed health care providers to receive real-time... View Details

Keywords: Pricing; Health Tech; Health Technology; Marketing; Sales Process; Sales Strategy; Price; Sales; Marketing Strategy; Health Care and Treatment; Health Industry; Health Industry; Boston; North America; Massachusetts; United States

29 Jun 2015
HBS Case

Consumer-centered Health Care Depends on Accessible Medical Records

can be used in powerful ways, ideally leading to better patient care, lower health care costs and, ultimately, healthier patients. “Trust on the part of both the consumer and doctor is hugely important in... View Details

Keywords: by Dina Gerdeman; Health; Health

June 2024
Article

Valuing the Societal Impact of Medicines and Other Health Technologies: A User Guide to Current Best Practices

By: Jason Shafrin, Jaehong Kim, Joshua T. Cohen, Louis P. Garrison, Dana A. Goldman, Jalpa A. Doshi, Joshua Krieger, Darius N. Lakdawalla, Peter J. Neumann, Charles E. Phelps, Melanie D. Whittington and Richard Willke

This study argues that value assessment conducted from a societal perspective should rely on the Generalized Cost-Effectiveness Analysis (GCEA) framework proposed herein. Recently developed value assessment inventories—such as the Second Panel on Cost-Effectiveness’s... View Details

Keywords: Health Care and Treatment; Valuation; Cost vs Benefits; Society

August 1993
Article

Transaction Cost Theory: Inferences from Clinical Field Research on Downstream Vertical Integration

By: V. K. Rangan, E. R. Corey and F. V. Cespedes

Keywords: Theory; Health; Vertical Integration

17 Apr 2018
Working Paper Summaries

Digital Innovation with High Costs of Entry: Evidence from Software-Driven Medical Devices

Keywords: by Cirrus Foroughi and Ariel Dora Stern; Health; Health

September 2, 2020
Article

How to Pay for Public Option Without Tax Hike

By: Regina E. Herzlinger and Richard Boxer

A bipartisan combination of the two parties’ most popular initiatives can expand health care coverage, significantly reduce costs, and enable freedom of choice, without raising taxes. Along the way, we can revitalize competition between public and private plans. Our... View Details

Keywords: Health Insurance; Public Option; Health Care and Treatment; Insurance; Cost Management; United States

Web

Health Plans - Institute For Strategy And Competitiveness

HBS ISC Health Care Health Care Value-Based Health Care Health Care Courses Fast Facts Value-Based Health Care... View Details

01 Sep 2008
News

In Africa, Porter Sees Lessons for Health Care

cost of care. Farmer said that he has learned from his work in very poor countries that “comprehensive rural health care must go beyond the purely clinical by also providing socioeconomic support. Nutrition,... View Details

Keywords: HIV/AIDS; Ambulatory Health Care Services; Ambulatory Health Care Services

February 2025
Article

Innovations in Evaluating Ambulatory Costs of Cystic Fibrosis Care: A Comparative Study Across Multidisciplinary Care Centers in Ireland and the United States

By: Emma Brady, Ryan C. Perkins, Kate Cullen, Gregory S. Sawicki, Robert S. Kaplan and Gerardine Doyle

Lead clinicians at two large pediatric cystic fibrosis (CF) centers in the United States and Ireland measured and compared their ambulatory care costs. The clinicians selected three strata of patients (0–11 months, 1–5 years, and 6–17 years of age). Process maps were... View Details

Keywords: Health Care and Treatment; Cost; Service Delivery; Resource Allocation; Health Industry

Register to Read

September 2016 (Revised October 2018)
Case

Springfield Hospital

By: Susanna Gallani and Robert Kaplan

One of the key roles of costing systems is to support the evaluation of performance and facilitate appropriate resource allocations. Through participation in a comparative cost study, management at Springfield Hospital, known for its heavy focus on operational... View Details

Keywords: Time-Driven Activity-Based Costing; Variance Analysis; Activity Based Costing and Management; Health Care and Treatment; Health Industry

February 2005 (Revised June 2006)
Case

UAL, 2004: Pulling Out of Bankruptcy

By: Daniel Baird Bergstresser, Kenneth A. Froot and Darren Robert Smart

UAL is a large air transportation company with roots that go back to the 1920s. As a legacy carrier, going back to before the 1978 deregulation of air transportation markets, United Airlines is burdened with cost structures that make it difficult to compete with newer... View Details

Keywords: Bankruptcy; Compensation; Costs; Loans; Reorganization; Cost; Restructuring; Financing and Loans; Insolvency and Bankruptcy; Compensation and Benefits; Air Transportation Industry; United States

2015
Case

Advanced Leadership Pathways: Mike Critelli and Dossia Service Corporation

By: Rosabeth Moss Kanter and Patricia Bissett Higgins

In 2010, Mark Critelli was a well-seasoned corporate executive who had recently transitioned from being the CEO of a Fortune 500 company to that of a startup called Dossia. As an AL Fellow, he knew that despite believing in Dossia’s mission to empower individuals with... View Details

January 2019
Teaching Note

Pricing PatientPing

By: Frank V. Cespedes

Teaching Note for HBS No. 818-017. PatientPing sells a software platform that allows health care providers to receive real-time notifications (“pings”) when one of their patients is admitted to or discharged from a health-care facility. The platform facilitates... View Details

Keywords: Pricing; Health Tech; Health Technology; Sales Process; Sales Strategy; Price; Sales; Marketing Strategy; Health Care and Treatment; Health Industry; Health Industry; United States; Massachusetts

July 2006
Article

The Effects of Cardiac Specialty Hospitals on the Cost and Quality of Medical Care

By: Jason R. Barro, Robert S. Huckman and Daniel P. Kessler

Keywords: Health; Cost; Quality; Health Industry

01 Sep 2016
News

Case Study: Alumni Advice for a Health Care Startup

workers), who work as virtual health care assistants, handling everything from long-term care arrangements to transportation. Wellthy’s digital platform is designed as a consumer- friendly project management tool, and allows for... View Details

Article

Invisible Monuments and the Costs of Pharmaceutical Regulation: Twenty-Five Years of Drug Lag Debate

By: Arthur A. Daemmrich

Keywords: Cost; Health; Governing Rules, Regulations, and Reforms; Communication