Publications

July 1996 (Revised August 2024)
Case

Innovative Opportunities to Manage Health Care Delivery

By: Regina E. Herzlinger and D. Scott Lurding

The purpose of this case is: To familiarize the students with the changing landscape of health care delivery, through chains of retail medical centers and those offering value-based care (VBC).

To discuss fundamental managerial decisions about their... View Details

Keywords: Managed Care; Capitation; Strategy

March 1993 (Revised July 1995)
Case

South Eye Institute

By: Regina E. Herzlinger and Wayne A. Adams

Keywords: Health Industry

August 2012 (Revised December 2023)
Background Note

Note on Health Insurance Coverage, Coding, and Payment

By: Regina E. Herzlinger and Jo Ellen Slurzberg

This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details

Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Insurance Industry

15 Aug 2005
HBS Case

Classic Cases Live On at HBS

quality service, attention to patients, and an attractive work environment for doctors and staff—must be taken into account. By showing the positive impact of making health care more consumer-oriented, Shouldice has helped recraft thinking about the field.— Professor... View Details

Keywords: by Garry Emmons

June 15, 2021
Article

Cutting the Gordian Knot of Employee Health Care Benefits and Costs: A Corporate Model Built on Employee Choice

By: Regina E. Herzlinger and Barak D. Richman

President Joe Biden’s promise to give every American access to affordable health insurance is well-intentioned, but his plan’s policy elements—a public option, a permanent expanded tax credit—require congressional approval and would expend significant political and... View Details

Keywords: Health Insurance; Health Insurance Marketplaces; Health Care Delivery; Health Care Financing; Health Care Industry; Health Care and Treatment; Insurance; Service Delivery; Cost Management; Health Industry; United States

2020
Working Paper

Cutting the Gordian Knot of Employee Health Care Benefits and Costs: A Corporate Model Built on Employee Choice

By: Regina E. Herzlinger and Barak D. Richman

The U.S. employer-based health insurance tax exclusion created a system of employer-sponsored insurance (ESI) with limited insurance choices and transparency that may lock employed households into health plans that are costlier or different from those they prefer to... 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; Employees; Income; Taxation; Policy; United States

SSRN

December 9, 2020
Article

Give Employees Cash to Purchase Their Own Insurance

By: Regina E. Herzlinger and Barak D. Richman

Employers’ and employees’ health care costs continue to skyrocket. A solution is to allow employers to give employees pre-tax cash to purchase their own health insurance. This move, enabled by a newly enacted federal rule, would put competitive pressure on insurers,... View Details

Keywords: Health Insurance; Health Care and Treatment; Insurance; Employees; Government Legislation

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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

August 2012 (Revised August 2024)
Case

ABC Pharmaceuticals

By: Regina E. Herzlinger and Erik R. Sparks

This case asks students to price a new drug that is in Stage II of its clinical trials. It contains detailed estimates of the time required and costs for all the steps needed to commercialize a drug in the U.S. Students will learn virtually all the steps required to... View Details

Keywords: Drug Development; Price; Product; Product Launch; Health Industry; Technology Industry; Pharmaceutical Industry

August 2011 (Revised July 2014)
Case

Amil and the Health Care System in Brazil

By: Regina E. Herzlinger and Ricardo Reisen de Pinho

Dr. Edson Bueno created Amil, Brazil's largest health insurer. Unlike many others, it is vertically integrated. Dr. Bueno has two opportunities for growth. Which, if any, should he pursue? View Details

Keywords: Health Care and Treatment; Innovation and Invention; Opportunities; Insurance; Vertical Integration; Insurance Industry; Brazil

January 2023
Case

Cleave Therapeutics: Taking a Risk on Oncology Drug Discovery

By: Regina Herzlinger and Brian Walker

What should a successful executive (HBS Baker Scholar) assess as her next move as the CEO of a firm with a promising and yet uncertain new drug? Amy Burroughs’ mandate to successfully commercialize Cleave Therapeutics’ drug for a cancer with no current successful... View Details

Keywords: Product Development; Leadership; Health Testing and Trials; Research and Development; Risk and Uncertainty; Financial Condition; Partners and Partnerships; Pharmaceutical Industry

August 2012 (Revised January 2013)
Module Note

Note on Pharmaceutical Reimbursement in the U.S.

By: Regina Herzlinger and Drew Cronin-Fine

August 2012 (Revised January 2013)
Case

Public Health Insurance Exchanges: The Massachusetts Experience

By: Regina Herzlinger and Jordan Bazinsky

The CEO of Tufts Health Plan, James Roosevelt, is wondering whether to offer insurance products on the Massachusetts Connector, the first U.S. exchange. He wonders if he should enter these uncharted waters at all. And, if yes, with a broad network or a narrow network... View Details

Keywords: Health Insurance Exchange; Healthcare Reform; Public Health Insurance Exchange; Decision Making; Market Entry and Exit; Emerging Markets; Health Care and Treatment; Insurance Industry; Health Industry; Massachusetts

1996
Book

Market-Driven Health Care

By: R. E. Herzlinger

Keywords: Health Care and Treatment

January 2010 (Revised August 2012)
Supplement

Hospital for Special Surgery (B): Continuing Challenges of Growth

By: Regina E. Herzlinger and Laura Low Ah Kee

After its successful new U.K. venture, the Hospital for Special Surgery wants to do more of the same, without decimating its core New York City facility. The case provides considerable details about the different options it is exploring. View Details

Keywords: Growth Management; Health Industry; United Kingdom

Article

Shifting toward Defined Contributions—Predicting the Effects

By: Kevin Schulman, Barak D. Richman and Regina E. Herzlinger

Keywords: Health Care Education; Health Care; Health; Health Industry; United States

Article

Cross Country: They'd Sooner Fix Medicaid

By: Tom Coburn and Regina Herzlinger

Keywords: Health; Poverty

2006
Chapter

Consumer-Driven Healthcare: Transforming the Delivery of Health Services

By: R. E. Herzlinger

Keywords: Health Care and Treatment; Demand and Consumers; Health Industry

Article

Health Care Challenges for Leaders

By: R. E. Herzlinger

From ancient times to today, perceptive leaders have galvanized people by appealing to commonly shared values. Indeed, a discussion of leadership is virtually impossible without talking about values. As the articles in this issue demonstrate,Values are what animate... View Details

Keywords: Leadership; Values and Beliefs