Publications

September 2013 (Revised October 2016)
Background Note

A Note on Healthcare IT and Applications to the Healthcare Industry

By: Robert F. Higgins and Diana Maichin

This note provides an overview of three key healthcare IT areas: electronic medical records and electronic health records, revenue cycle management, and telemedicine. This note also contains a glossary of key terms and acronyms in this space as well as exhibits... View Details

Keywords: Health Care; Health Care Industry; Healthcare IT; Healthcare; Healthcare Technology; Healthcare Ventures; Electronic Medical Records; Electronic Health Records; Revenue Cycle Management; Telemedicine; Health; Health Care and Treatment; Information Technology; Information Management; Health Industry; Health Industry; United States

November 2016 (Revised November 2016)
Case

Radial Analytics Probes Post-Acute Care

By: Richard G. Hamermesh and Olivia Hull

Thaddeus Fulford-Jones and Eric Weiss, founders of healthcare technology startup Radial Analytics, have been busy developing a software program designed to save hospitals money and improve patient outcomes by producing customized care plans for patients leaving the... View Details

Keywords: Electronic Medical Records; Electronic Health Records; Data Science; Entrepreneurship; Health Care and Treatment; Business Model; Business Startups; Innovation and Invention; Growth Management; Marketing Strategy; Product Launch; Product Positioning; Science-Based Business; Business Strategy; Health Industry; Health Industry; Cambridge; Massachusetts

March 2015
Case

Twine Health

By: Robert S. Huckman, Ariel D. Stern and Matthew G. Preble

In late 2014, Dr. John Moore (CEO), Frank Moss (chairman), and Scott Gilroy (CTO) of Twine Health (Twine) had to resolve several challenges that threatened to restrict the widespread dissemination of its sole product, Twine. Twine was a cloud-based platform that... View Details

Keywords: Health Care; Chronic Disease; Technology Adoption; Digital Health; Health Acceleration Challenge; Strategy; Disease Management; Health; Health Care and Treatment; Information Technology; Mobile and Wireless Technology; Health Industry; United States; Massachusetts

March 2018
Teaching Note

Twine Health

By: Robert S. Huckman and Ariel D. Stern

In late 2014, Dr. John Moore (CEO), Frank Moss (chairman), and Scott Gilroy (CTO) of Twine Health (Twine) had to resolve several challenges that threatened to restrict the widespread dissemination of its sole product, Twine. Twine was a cloud-based platform that... View Details

Keywords: Health Care; Chronic Disease; Digital Health; Health Acceleration Challenge; Strategy; Disease Management; Health; Health Care and Treatment; Information Technology; Mobile and Wireless Technology; Technology Adoption; Health Industry; United States; Massachusetts

29 Jun 2015
HBS Case

Consumer-centered Health Care Depends on Accessible Medical Records

deliver this extra-added value service." Electronic Health Records Promoted In 2014, health care spending in the United States exceeded $3... View Details

Keywords: by Dina Gerdeman; Health; Health

Research Summary

Overview

Patient Portals: The Provider Role
Patient portals are widespread, but evidence of impact is limited. In this study, we use a large dataset spanning 2 years and >1 million patients across 650 primary care practices to explore the "other side" of portals: health... View Details

Keywords: Healthcare Technology; Electronic Health Records; Health Care Delivery

May–June 2020
Article

The Agenda for the Next Generation of Health Care Information Technology

By: Thomas W. Feeley, Zachary Landman and Michael E. Porter

As the diffusion of value-based health care efforts accelerates globally, the need for interoperable information technology systems that support value-based care is essential. Such systems are needed to facilitate dramatic improvements in patient outcomes and... View Details

Keywords: Value-based Health Care; Health Care and Treatment; Information Technology; Integration; Performance Improvement; Performance Efficiency

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October 2016 (Revised November 2016)
Case

Innovating Beyond Ochsner

By: Richard G. Hamermesh and Olivia Hull

The Ochsner Health System has developed a proprietary software tool designed to treat hypertension. Built into the system’s electronic medical records, the Hypertension Digital Medicine program allows patients to record their blood pressure at home and share readings... View Details

Article

Administrative Costs Associated with Physician Billing and Insurance-Related Activities at an Academic Health Care System

By: Phillip Tseng, Robert S. Kaplan, Barak D. Richman, Mahek A. Shah and Kevin A. Schulman

The federal government mandated adoption of certified electronic health record systems (EHR), at least in part, to reduce administrative costs for physicians. This study used time-driven activity-based costing to determine the administrative costs associated with... View Details

Keywords: Health Care and Treatment; Cost Management; Insurance; Problems and Challenges

February 2016
Case

Health Catalyst

By: Kevin Schulman and Suresh Balu

Dan Burton, Health Catalyst CEO (HBS Baker Scholar), and Tom Burton, Health Catalyst Senior Vice President of Product Development and cofounder, closed on a $41 million investment round. Their firm was one of the hottest companies in the health information technology... View Details

Keywords: Service Management; Strategy; Operations Management; Information Technology; Information Management; Entrepreneurship; Service Delivery; Competitive Strategy; Performance; Health Industry; Health Industry

19 Nov 2001
Research & Ideas

Alfred Chandler on the Electronic Century

clones. The Approach—the Paths Of Learning My basic purpose in this volume is to carry out the fundamental task of the historian: to record where, when, how, and by whom technical knowledge was commercialized into the new products that... View Details

Keywords: by Alfred D. Chandler, Takashi Hikino & Andrew Von Nordenflycht; Electronics; Electronics; Electronics; Electronics; Electronics

Research Summary

Overview

We are studying the practical application of Michael Porter's value-based strategy to reform health care by examining best practices of integrated practice units, outcome measurement, cost measurement, value-based payment, episode based payment, regionalization of... View Details

Keywords: Health Care; Health Care Outcomes; Healthcare IT; Health Care Quality; Health Economics; Value Agenda; Information Technology; Mobile App; Big Data; Electronic Health Records; Pers; Value Creation; Information Technology Industry; United States

October 2023
Article

Health System Perspective on Cost for Delivering a Decision Aid for Prostate Cancer Using Time-Driven Activity-Based Costing

By: David R. Ho, Robert S. Kaplan, Jonathan Bergman, David F. Penson, Benjamin Waterman, Kristin C. Williams, Jefersson Villatoro, Lorna Kwan and Christopher S. Saigal

Previsit decision aids (DAs) have been shown to improve decisional quality. But the cost to deploy a DA has not been previously estimated. We interviewed or observed relevant personnel at three institutions that had implemented DA programs for men with prostate cancer.... View Details

Keywords: Time-Driven Activity-Based Costing; Health Care and Treatment; Cost Accounting; Health Industry

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October 2002 (Revised March 2013)
Case

Intermountain Health Care

By: Richard M.J. Bohmer, Amy C. Edmondson and Laura Feldman

Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. The approach focuses management attention not only on the facilities where care takes place but also on physician decision making... View Details

Keywords: Ethnicity; Innovation Strategy; Cost Management; Information Technology; Organizational Structure; Technology Adoption; Performance Improvement; Problems and Challenges; Adoption; Change Management; Cost vs Benefits; Health Care and Treatment; Health Industry; Utah

20 Oct 2003
Research & Ideas

Gaps in the Historical Record: Development of the Electronics Industry

Electronic Century, 87-8). In the 1970s the System 360 all but ruled the world. The attempts of the two major U.S. companies, RCA and GE, to build a comparable family of mainframes failed, with large losses... View Details

Keywords: by Alfred D. Chandler Jr.; Consumer Products

March 2018
Article

Hospital Budget Systems are Holding Back Innovation

By: Robert S. Kaplan, Michael S. Jellinek and Derek A. Haas

Nearly 800 digital health startups were funded in 2017, an all-time high. Each of the new companies offers the hope of transforming the performance of the U.S. health care system. The audience for such innovation wants to be receptive: A recent American Hospital... View Details

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Article

The IT Transformation Health Care Needs

By: Nikhil R. Sahni, Robert S. Huckman, Anuraag Chigurupati and David M. Cutler

In recent years, health care organizations have made sizable investments in information technology. They’ve used their IT systems to replace paper records with electronic ones and to improve billing processes, thereby boosting revenue. But so far, IT has been of little... View Details

Keywords: Health Care and Treatment; Information Technology; Performance Improvement; Business Model

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October 2013
Article

The Strategy That Will Fix Health Care

By: Michael E. Porter and Thomas H. Lee

In health care, the days of business as usual are over. Around the world, every health care system is struggling with rising costs and uneven quality, despite the hard work of well-intentioned, well-trained clinicians. Health care leaders and policy makers have tried... View Details

Keywords: Organizational Change and Adaptation; Strategy; Value; Customer Focus and Relationships; Health Care and Treatment; Health Industry