Publications

July 2000 (Revised May 2002)
Teaching Note

Cambridge Hospital Community Health Network - The Primary Care Unit TN

By: V.G. Narayanan and Lisa Brem

Teaching Note for (9-100-054). View Details

Keywords: Health Industry; Service Industry; Massachusetts

September 17, 2020
Article

Protecting Vulnerable Older Patients during the Pandemic

By: Umar Ikram, Susanna Gallani, Jose F. Figueroa and Thomas W. Feeley

Older people (70 years and older) with multiple chronic conditions have the highest risk of being hospitalized and dying from COVID-19. The recent COVID-19 pandemic has highlighted how a strong primary care system can play an important role in protecting this group of... View Details

Keywords: COVID-19; High-risk Patients; Primary Care; Health Pandemics; Health Care and Treatment; Innovation and Invention; Demographics; Age

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April–June 2018
Article

Establishing Teams: How Does It Change Practice Configuration, Size, and Composition?

By: Alyna Chien, Michael Anne Kyle, Antoinette S. Peters, Shalini Tendulkar, Molly Ryan, Karen Hacker and Sara J. Singer

Little is known about how practices reorganize when transitioning from traditional practice organization to team-based care. We compared practice-level (1) configuration as well as practice- and team-level (2) size and (3) composition, before and after establishing... View Details

Keywords: Academic Medicine; Primary Care; Team-based Care; Health Care and Treatment; Groups and Teams; Organizational Change and Adaptation

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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

Educators

March–April 2024
Article

Retailers and Health Systems Can Improve Care Together

By: Robert S. Huckman, Vivian S. Lee and Bradley R Staats

Health systems are struggling to address the many shortcomings of health care delivery: rapidly growing costs, inconsistent quality, and inadequate and unequal access to primary and other types of care. However, if retailers and health systems were to form strong... View Details

Keywords: Health Care; Retail; Retailers; Consumer; Health Care and Treatment; Value; Consumer Behavior; Business Model; Partners and Partnerships; Health Industry; Retail Industry; United States

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2019
Article

Time-Driven Activity-Based Cost Analysis for Outpatient Anticoagulation Therapy: Direct Costs in a Primary Care Setting with Optimal Performance

By: Robert S. Kaplan, Rohit A. Bobade, Richard A. Helmers, Thomas M. Jaeger, Laura J. Odell and Derek A. Haas

Objectives: To determine how overall cost of anticoagulation therapy for warfarin compares with that of Novel Oral Anticoagulants (NOACs). Also, to demonstrate a scientific, comprehensive, and an analytical approach to estimate direct costs involved in monitoring and... View Details

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

May 2010
Article

Managing the New Primary Care: The New Skills That Will Be Needed

By: Richard Bohmer

Developing new models of primary care will demand a level of managerial expertise that few of today's primary care physicians possess. Yet medical schools continue to focus on the basic sciences, to the exclusion of such managerial topics as running effective teams.... View Details

Keywords: Higher Education; Health Care and Treatment; Management Skills; Managerial Roles; Service Delivery; Practice; Health Industry

March 2013
Other Article

Redesigning Primary Care: A Strategic Vision to Improve Value by Organizing Around Patients' Needs

By: Michael E. Porter, Erika A. Pabo and Thomas H. Lee

Primary care in the United States currently struggles to attract new physicians and to garner investments in infrastructure required to meet patients' needs. We believe that the absence of a robust overall strategy for the entire spectrum of primary care is a... View Details

Keywords: Health

March 2021
Article

Provider Teams Outperform Solo Providers in Managing Chronic Diseases and Could Improve the Value of Care

By: Maximilian J. Pany, Lucy Chen, Bethany Sheridan and Robert S. Huckman

Scope-of-practice regulations, including prescribing limits and supervision requirements, may influence the propensity of providers to form care teams. Therefore, policy makers need to understand the effect of both team-based care and provider type on clinical... View Details

Keywords: Disease Management; Team-based Care; Health Care and Treatment; Groups and Teams; Performance

2023
Article

A Randomized Trial of Behavioral Nudges Delivered through Text Messages to Increase Influenza Vaccination among Patients with an Upcoming Primary Care Visit

By: Mitesh S. Patel, Katherine L. Milkman, Linnea Gandhi, Heather N. Graci, Dena Gromet, Hung Ho, Joseph S. Kay, Timothy W. Lee, Jake Rothschild, Modupe Akinola, John Beshears, Jonathan E. Bogard, Alison Buttenheim, Christopher Chabris, Gretchen B. Chapman, James J. Choi, Hengchen Dai, Craig R. Fox, Amir Goren, Matthew D. Hilchey, Jillian Hmurovic, Leslie John, Dean Karlan, Melanie Kim, David Laibson, Cait Lamberton, Brigitte C. Madrian, Michelle N. Meyer, Maria Modanu, Jimin Nam, Todd Rogers, Renante Rondina, Silvia Saccardo, Maheen Shermohammed, Dilip Soman, Jehan Sparks, Caleb Warren, Megan Weber, Ron Berman, Chalanda N. Evans, Seung Hyeong Lee, Christopher K. Snider, Eli Tsukayama, Christophe Van den Bulte, Kevin G. Volpp and Angela L. Duckworth

Purpose: To evaluate if nudges delivered by text message prior to an upcoming primary care visit can increase influenza vaccination rates.
Design: Randomized, controlled trial.
Setting: Two health systems in the Northeastern US between September 2020 and... View Details

Keywords: Vaccination; Health Care and Treatment; Interpersonal Communication; Communication Technology; Behavior; Health Industry

Article

Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective

By: Michaela J. Kerrissey, Jonathan Clark, Mark Friedberg, Wei Jiang, Ashley Kay Fryer, Molly Frean, Stephen Shortell, Patricia Ramsay, Lawrence Casalino and Sara J. Singer

Structural integration is increasing among medical groups, but whether these changes yield care that is more integrated remains unclear. We explored the relationships between structural integration characteristics of 144 medical groups and perceptions of integrated... View Details

Keywords: Integration; Health Care Delivery; Organization Structure; Organizational Structure; Health Care and Treatment; Perception; Perspective; Health Industry; United States

May 2025
Case

Humana Commits to Value-Based Care

By: V.G. Narayanan, Henry Eyring and David Lane

In late 2023, CEO Bruce Broussard reviewed health insurer Humana’s transformation into a value-based care ecosystem. Under its CenterWell brand, the several millions of members in Humana Medicare Advantage plans now had access to Humana-provided primary care, home... View Details

Keywords: Business Model; Business Units; Financing and Loans; Innovation Strategy; Growth and Development Strategy; Service Operations; Health Industry; United States

Educators

August 2020
Article

Do Physician Incentives Increase Patient Medication Adherence?

By: Edward Kong, John Beshears, David Laibson, Brigitte Madrian, Kevin Volpp, George Loewenstein, Jonathan Kolstad and James J. Choi

We conducted a randomized experiment (911 primary care practices and 8,935 nonadherent patients) to test the effect of paying physicians for increasing patient medication adherence in three drug classes: diabetes medication, antihypertensives, and statins. We measured... View Details

Keywords: Health Economics; Medication Adherence; Physician Payment Incentives; Primary Care; Quality Improvement; Health Care and Treatment; Motivation and Incentives; Behavior

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Teaching Interest

Managing Health Care Delivery - Executive Education

By: Robert S. Huckman

While delivering patient care has always been a primary goal of health care organizations, financial outcomes have long been the metric by which success is measured. Increasingly, however, health care leaders are being held accountable for... View Details

08 Mar 2017
Op-Ed

Op-Ed: Can the Proposed American Health Care Act Improve on 'Obamacare'?

Yesterday, President Donald Trump endorsed the American Health Care Act (AHCA), a plan proposed by Republican United States lawmakers to replace the Affordable Care Act (ACA), more commonly known as... View Details

Keywords: by John Quelch, Dr. Gordon Moore, and Emily Boudreau

February 2025
Article

Variation in Batch Ordering of Imaging Tests in the Emergency Department and the Impact on Care Delivery

By: Jacob C. Jameson, Soroush Saghafian, Robert S. Huckman and Nicole Hodgson

Objectives: To examine heterogeneity in physician batch ordering practices and measure the impact of a physician's tendency to batch order imaging tests on patient outcomes and resource utilization.
Study Setting and Design: In this retrospective study, we used... View Details

Keywords: Health Care; Operations Management; Productivity; Health Care and Treatment; Operations; Outcome or Result; Resource Allocation; Health Industry; United States

Research Summary

Overview

Phil's work aims to identify the drivers of performance for healthcare organizations and providers, and the mechanisms by which this performance can change over time. In complex healthcare settings, the optimal choice of treatment can be highly ambiguous. As a... View Details

Keywords: Primary Care; Medical Decision-making; Learning By Doing; Healthcare Organizations; Healthcare Operations; Health Economics

November 8, 2018
Article

Transitioning Payment Models: Fee-for-Service to Value-Based Care

By: Thomas W. Feeley and Namita Seth Mohta

In a survey of the NEJM Catalyst Insights Council in July 2018, 42% of respondents say they think value-based reimbursement models will be the primary revenue model for U.S. health care. Indeed, this transition is already happening. Respondents report that a quarter of... View Details

Keywords: Payment Methods; Value-based Healthcare Reimbursements; Health Care and Treatment; Value; Transformation