Publications

April 1995 (Revised August 1995)
Case

Empire Blue Cross and Blue Shield (A)

By: Regina E. Herzlinger and Ramona Hilgenkamp

Mounting financial losses and increasing public scrutiny present many challenges to the board of directors of a large nonprofit health insurer. This case series presents chronologically the increasing problems of the company. View Details

Keywords: Governing and Advisory Boards; Corporate Governance; Financial Condition; Organizational Culture; Problems and Challenges; Nonprofit Organizations; Insurance Industry

December 2013 (Revised February 2014)
Supplement

Reinventing Brainlab (B)

By: Regina E. Herzlinger and Karol Misztal

The management of Germany's Brainlab AG, a leading provider of software-driven oncology and surgery solutions, needs to evaluate strategic options for proceeding without an exclusive hardware partner in its most profitable business segment. View Details

Keywords: Strategy; Information Infrastructure; Applications and Software; Medical Specialties; Information Technology Industry; Health Industry; Germany

May 1994 (Revised February 2021)
Background Note

Note on Reimbursement of Health Care Providers: Case-Based and Capitation Payment

By: Regina E. Herzlinger and Tom Nagle

Explains how managed care organizations use capitation as a payment method for providers. View Details

Keywords: Managed Care; Capitation; Health Care and Treatment; Insurance; Accounting; Financial Management; Health Industry; Insurance Industry

1998
Article

Dr. Know

By: Regina E. Herzlinger and R. Ricci

August 2012 (Revised August 2014)
Case

Cancer Treatment Centers of America® (A)

By: Regina E. Herzlinger and Natalie Kindred

Cancer Treatment Centers of America (CTCA), a U.S. network of four privately owned oncology focused factory hospitals, was weighing options for growth. CTCA was entirely cancer focused and specialized in treating patients with complex and advanced-stage cancers, who... View Details

March 2012 (Revised April 2017)
Teaching Note

PAREXEL International Corp.: Stages of Innovation

By: Regina E. Herzlinger and Natalie Kindred

August 2010 (Revised February 2014)
Case

Vitalia Franchise

By: Regina E. Herzlinger and Beatriz Munoz-Seca

Cathy Hoffmann has rapidly grown her novel facilities for day care therapy for elders with mild cognitive and physical problems. But she needs to decide whether to franchise or own the next expansion. View Details

Keywords: Entrepreneurship; Health Care and Treatment; Growth and Development Strategy; Ownership Stake; Franchise Ownership; Expansion; Health Industry; Spain

September 2008
Background Note

Background on the Technology of Molecular Diagnostics

By: Regina E. Herzlinger and Jason Sanders

To be used as background reading for the "EXACT Sciences Corp.: Commercializing a Diagnostic Test" and "Diagnostic Genomics" cases, HBS nos. 308-090 and 309-040. View Details

Keywords: Health Testing and Trials; Technology; Biotechnology Industry; Medical Devices and Supplies Industry

Find at Harvard

March 2008
Case

The Multiple Sclerosis Center of Atlanta

By: Regina E. Herzlinger and Alfred Martin

The Multiple Sclerosis Center of Atlanta wishes to expand beyond Georgia. The factors influencing this decision are discussed, including drug treatments currently available, and the impact of future drugs in the FDA pipeline as well as financing issues. View Details

Keywords: Decision Choices and Conditions; Financing and Loans; Health Care and Treatment; Health Disorders; Medical Specialties; Expansion; Health Industry; Atlanta

Find at Harvard

January 2008 (Revised August 2012)
Case

Retail Sales of Health Insurance: Blue Cross Blue Shield of Florida

By: Regina E. Herzlinger and Grady Clouse

The BCBS of Florida is contemplating whether to enter the consumer-driven health care market and if so, whether to target such groups—and individuals—and in which of its geographic markets, and how. View Details

Keywords: Health Care and Treatment; Nonprofit Organizations; Strategy; Insurance; Insurance Industry; Florida

April 2005 (Revised August 2012)
Supplement

MedCath Corporation (B)

By: Regina E. Herzlinger and Louisa Neissa

Supplements the (A) case. A rewritten version of an earlier case. View Details

Keywords: Medical Specialties; Market Entry and Exit; Service Delivery; Conflict and Resolution; Horizontal Integration; Medical Devices and Supplies Industry

August 2003 (Revised August 2024)
Case

Fighting the Battle of the Bulge—Evaluating Do Good/Do Well Innovations in Morbid Obesity Treatment

By: Regina E. Herzlinger and John McDonough

Many health care innovations appear successful; but fail. This is the first case in the Innovating Health Care course that investigates how to create successful health care innovations. It is part of the first module in the course. This module focuses on how to... View Details

Keywords: Three Pillars; Industry Analysis; Health Care and Treatment; Innovation and Invention; Innovation and Management; Medical Specialties; Health Industry

December 10, 2024
Other Article

A New Model for Funding Healthcare Innovation

By: Regina E. Herzlinger and Duke Rohlen

Register to Read

October 2024
Case

Parexel: Scaling Up and Industry Dynamics

By: Regina E. Herzlinger and Ben Creo

Through the lens of biopharmaceutical contract research organization (CRO) PAREXEL, this case traces the evolution of the firm as it reinvents itself in response to the transformation of the CRO sector from a small, secondary cluster of firms into a major player with... View Details

Keywords: Research; Innovation and Invention; Business Model; Transformation; Globalization; Information Technology; Competitive Advantage; Pharmaceutical Industry

January 2024
Background Note

Evaluating Innovations in the Organization of Primary Care: What Type of Innovation Is It and How Well Does It Align with the Six Factors?

By: Regina E. Herzlinger and James Wallace

How can we evaluate if innovative health care ventures can do good—benefit society—and do well—become financially viable? This question is the topic of the first module in the Innovating in Health Care course book.

This note and "Health Stop (A): What Type... View Details

Keywords: Business Model; Health Care and Treatment; Collaborative Innovation and Invention; Mission and Purpose; Alignment; Health Industry

January 2023
Exercise

Identify the Health Care Venture

By: Regina E. Herzlinger and James Wallace

This case enables rapid learning of the key financial characteristics of many types of health care organizations and to diagnose their financial status. It is a surprisingly fun exercise (see the Teaching Note) accomplished by organizing groups of students that compete... View Details

Keywords: Health Care; Health Care Spending; Health Care Financing; Health Care Industry; Health Care Operations; Health Care Delivery; Health Care and Treatment; Financial Condition; Health Industry

March 2021
Supplement

Humana (C) — Reorganization

By: Regina E. Herzlinger and Ashley Ifeadike

A summary of Humana's restructuring of its business around its pillars. View Details

Keywords: Health Care; Health Care Industry; Health Insurance; Health Care Operations; Health; Health Care and Treatment; Insurance; Operations; Restructuring; Health Industry

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