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2018
Article

The Role of Overbilling in Hospitals' Earnings Management Decisions

By: Jonas Heese

This paper examines the role of overbilling in hospitals’ earnings management choices. Overbilling by hospitals is a form of revenue manipulation that involves misclassifying a patient into a diagnosis-related group that yields higher reimbursement. As overbilling... View Details

Keywords: Overbilling; Accrual-based Earnings Management; Real Activities Manipulation; For-profit Hospitals; Earnings Management; Health Industry

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March 1997 (Revised October 2017)
Case

Hospital Equipment Corporation

By: Clayton M. Christensen and Rory McDonald

Hospital Equipment Corp. is a very successful maker of hospital beds. Due to outstanding performance in new product development, it grew to dominate its primary market and is searching for other opportunities to grow through new product development. It discovers that... View Details

Keywords: Growth and Development Strategy; Innovation and Management; Opportunities; Business Processes; Product Development; Technological Innovation; Expansion; Markets; Problems and Challenges; Medical Devices and Supplies Industry; United States

April 2017
Case

China Hospitals Inc.: The Growth of Private Hospitals in China

By: Kevin Schulman, Xiao Yu and Ariel Hwang

This case examines the privatization of hospitals in China. China Hospitals, Inc. has become the largest for-profit hospital company in China, purchasing government owned hospitals in Tier 2 cities. The case profiles CEO Frank Hu. To build his company, he has to... View Details

Keywords: Privatization; For-Profit Firms; Growth and Development Strategy; Business Model; Health Industry; China

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

December 2024 (Revised March 2025)
Case

The Shouldice Hospital Today

By: James Heskett and Roger Hallowell

The leadership and staff of Shouldice Hospital in Toronto, Canada have, for 75 years, sought to do one thing better than any other hospital in the world, repair inguinal hernias. For some years, a possible second hospital in another market has been under consideration.... View Details

Keywords: Joint Ventures; Health Care and Treatment; Growth and Development Strategy; Organizational Culture; Expansion; Health Industry; Toronto; Canada; United States

September 1995 (Revised February 1996)
Case

Apollo Hospitals of India (A)

Dr. Prathap Reddy has created India's first corporate hospital, Apollo Hospitals of Madras. The hospital is managed according to an integrated philosophy of customer service and support to employees. A new hospital, in the city of Hyderabad, has not performed as well,... View Details

Keywords: Employee Relationship Management; Franchise Ownership; Health Care and Treatment; Customer Focus and Relationships; Business Strategy; Health Industry; India

1990
Chapter

Analysis of Cost Variances for Management Control in Hospitals

By: S. Datar, R. Banker and S. Das

Keywords: Cost Management; Health Care and Treatment; Non-Governmental Organizations; Health Industry

August 2014 (Revised February 2021)
Case

Hospital for Special Surgery (A)

By: Regina E. Herzlinger and Stacy Schwartz

Hospital for Special Surgery, a focused factory for orthopedics and joint disease, is contemplating various growth options: further growth in the United Kingdom's National Health Services, management of hospitals in the United States, and/or hospital consulting.... View Details

Keywords: Health Care and Treatment; Nonprofit Organizations; Growth and Development Strategy; Cross-Cultural and Cross-Border Issues; Expansion; Health Industry; United Kingdom; United States

01 Jan 1986
Conference Presentation

Design of a Management Support System for Hospital Strategic Planning

By: L. M. Applegate, R. O. Mason and D. Thorpe

Keywords: Design; Management Systems; Strategic Planning; Health Care and Treatment; Health Industry

April 1983 (Revised June 2003)
Case

Shouldice Hospital Limited

By: James L. Heskett

Various proposals are set forth for expanding the capacity of the hospital. In assessing them, serious consideration has to be given to the culture of the organization and the importance of preserving it in a service delivery system. In addition to issues of capacity... View Details

Keywords: Expansion; Health Care and Treatment; Performance Capacity; Organizational Culture; Service Delivery; Growth Management; Strategic Planning; Quality; Social Enterprise; Health Industry; Canada

September 2011
Supplement

Narayana Hrudayalaya Heart Hospital

By: Tarun Khanna and Tanya Bijlani

Narayana Hrudayalaya (NH) is one of the world's busiest heart hospitals, where surgeons perform 30-35 complex cardiac surgeries daily. With an average cost of $1,800 per surgery, the hospital treats patients at affordable prices, and does not turn away even the poorest... View Details

Keywords: Buildings and Facilities; Experience and Expertise; Cost Management; Insurance; Health Care and Treatment; Resource Allocation; Time Management; Emerging Markets; Infrastructure; Cooperative Ownership; Quality; Social Enterprise; Health Industry; Karnataka

28 Jun 2010
HBS Case

Cincinnati Children’s Hospital Medical Center

Health-care reform is more than a political football. For twenty years it's been a ground-level topic of increasing importance for the administrators, physicians, nurses, and frontline employees who interact with patients every day. "Cincinnati Children's View Details

Keywords: by Julia Hanna; Health

May 2009
Article

Regulatory Exploitation and Management Changes: Upcoding in the Hospital Industry

By: Leemore S. Dafny and David Dranove

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February 1986
Article

Design of a Management Support System for Hospital Strategic Planning

By: L. M. Applegate, R. O. Mason and D. Thorpe

Keywords: Design; Management; System; Planning; Health Industry

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January 1991 (Revised March 1991)
Case

Prepare/21 at Beth Israel Hospital (A)

In response to escalating cost pressures throughout the hospital industry, the management of Beth Israel Hospital (BI) decided to implement a productivity plan to cut their operating costs. They chose the Scanlon Plan, an employee participation and incentive program... View Details

Keywords: Nonprofit Organizations; Cost Management; Employees; Health Care and Treatment; Health Industry

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September 2007 (Revised October 2007)
Supplement

Children's Hospital and Clinics (B)

By: Amy C. Edmondson, Ingrid M. Nembhard and Kate Roloff

Explores the numerous initiatives Children's Hospital and Clinics has undertaken to improve patient safety since the late 1990s--from the perspective of 2007. The case thus updates the A case by revisiting the hospital to find out what happened as a result of the... View Details

Keywords: Safety; Change Management; Organizational Culture; Organizational Structure; Legal Liability; Leadership; Management Teams; Health Industry

November 2010
Case

Children's Hospital Boston (A)

By: Scott A. Snook and Jeffrey C. Connor

Five year old Matty died at Children's Hospital Boston as a result of elective neurosurgery to "cure" his epilepsy. The organizational system, not the surgery, had failed. During post-operative recovery, he experienced a prolonged seizure that resulted in his death.... View Details

Keywords: Health Care and Treatment; Leadership; Managerial Roles; Organizational Structure; Management Systems; Management Teams; Health Industry

October 2021 (Revised February 2022)
Case

Hospital 57357: Aligning Performance Towards a Vision of a Cancer-Free Childhood

By: Susanna Gallani and Youssef Abdel Aal

The case follows the Children Cancer Hospital in Egypt, also known as Hospital 57357, as it goes through the roll-out of a new performance management system, which Dr. Sherif Abouel Naga, founder and CEO of the hospital, had championed. This was a critical juncture as... View Details

Keywords: Healthcare; Performance Management; Performance Incentives; Strategic Alignment; Health Care and Treatment; Nonprofit Organizations; Strategy; Alignment; Performance Evaluation; Mission and Purpose; Change Management; Health Industry; Egypt; Middle East

June 2013
Case

Ron Ventura at Mitchell Memorial Hospital

By: Frank V. Cespedes and Heide Abelli

Mitchell Memorial Hospital is a 750-bed regional academic medical center in Ohio. Andy Prescott, Chief of the Cardiovascular Center, is reviewing the performance evaluations of his star vascular surgeon Ron Ventura. The evaluations, the result of a 360-degree... View Details

Keywords: Performance Expectations; Conflict Management; Behavior; Groups and Teams; Organizational Culture; Resignation and Termination; Health Care and Treatment; Performance Evaluation; Health Industry; Ohio

April 1992 (Revised March 1993)
Case

Brigham and Women's Hospital in 1992, The

Brigham and Women's Hospital is a highly successful teaching hospital in 1992. However, the hospital sector is undergoing a major transition and the hospital faces uncertainty about changing demographic trends, new types of competitors, and technological and scientific... View Details

Keywords: Risk and Uncertainty; Change Management; Social Entrepreneurship; Decision Making; Health Care and Treatment; Business Strategy; Education Industry; Health Industry; Massachusetts

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