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      Health Care RegulationRemove Health Care Regulation →

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      • 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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      Kaplan, Robert S., Michael S. Jellinek, and Derek A. Haas. "Hospital Budget Systems are Holding Back Innovation." Special Issue on HBR Insight Center: Health Care's New Frontier. Harvard Business Review (website) (March 2018).
      • March 2018
      • Supplement

      Improving Access at VA

      By: Ryan W. Buell and Robert S. Huckman
      In 2015, the Department of Veterans Affairs (VA) ran the largest healthcare system in the United States, with over 1,700 sites of care that served nearly 9 million veterans. One year earlier, a scandal had erupted over a cover-up of the excessive wait times veterans... View Details
      Keywords: Service Operations; Service Delivery; Social Issues; Health Care and Treatment; Government Administration; Performance Improvement; Health Industry; Health Industry; United States
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      Buell, Ryan W., and Robert S. Huckman. "Improving Access at VA." Harvard Business School Multimedia/Video Supplement 618-709, March 2018.
      • March 2018 (Revised February 2020)
      • Teaching Note

      Improving Access at VA

      By: Ryan W. Buell and Robert S. Huckman
      In 2015, the Department of Veterans Affairs (VA) ran the largest healthcare system in the United States, with over 1,700 sites of care that served nearly 9 million veterans. One year earlier, a scandal had erupted over a cover-up of the excessive wait times veterans... View Details
      Keywords: Service Operations; Service Delivery; Social Issues; Health Care and Treatment; Government Administration; Performance Improvement; Health Industry; Health Industry; United States
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      Buell, Ryan W., and Robert S. Huckman. "Improving Access at VA." Harvard Business School Teaching Note 618-052, March 2018. (Revised February 2020.)
      • March 2018
      • Case

      Sandra Brown Goes Digital (A): The Promise and Perils of Social Movements in a Healthcare Company

      By: Rosabeth Moss Kanter and Jonathan Cohen
      As a middle manager at a biotechnology company, Sandra Brown harnessed digital tools and social media to engage others and build campaigns for change in the company. This case follows her career at the company and describes the challenges she faced as a change agent,... View Details
      Keywords: Digital; Engagement; Stakeholder Engagement; Grassroots Movement; Organization Change And Adaptation; Quality; Health Care; Health Care Industry; Career Path; Leading Change; Management; Innovation and Management; Personal Development and Career; Organizational Change and Adaptation; Health Industry; Health Industry
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      Kanter, Rosabeth Moss, and Jonathan Cohen. "Sandra Brown Goes Digital (A): The Promise and Perils of Social Movements in a Healthcare Company." Harvard Business School Case 318-082, March 2018.
      • March 2018
      • Supplement

      Sandra Brown Goes Digital (B): The Commitment Decision

      By: Rosabeth Moss Kanter and Jonathan Cohen
      Sandra Brown, a middle manager at a biotech company who has led internal and external movements for change over the last few years, faces a decision. Whether to continue to work for change at the company or move on to pursue new opportunities elsewhere, where her new... View Details
      Keywords: Digital; Stakeholder Engagement; Managing Change; Career Path; Health Care Industry; Quality; Leading Change; Management; Organizational Change and Adaptation; Personal Development and Career; Decision Choices and Conditions
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      Kanter, Rosabeth Moss, and Jonathan Cohen. "Sandra Brown Goes Digital (B): The Commitment Decision." Harvard Business School Supplement 318-083, March 2018.
      • March 2018
      • Supplement

      Sandra Brown Goes Digital (C): Raising Quality in a Healthcare Company

      By: Rosabeth Moss Kanter and Jonathan Cohen
      Using digital and social media tools and lessons learned from prior change campaigns as a middle manager in a large biotech company, Sandra Brown continued in a new role in the quality division, engaging staff in a quality movement at the company. She had found a new... View Details
      Keywords: Digital; Grassroots Movement; Managing Change; Career Path; Stakeholder Engagement; Engagement; Health Care Industry; Quality; Leading Change; Performance Improvement; Personal Development and Career; Social Media; Health Industry
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      Kanter, Rosabeth Moss, and Jonathan Cohen. "Sandra Brown Goes Digital (C): Raising Quality in a Healthcare Company." Harvard Business School Supplement 318-084, March 2018.
      • March 2018
      • Case

      University Hospitals Cleveland Medical Center: Managing Capacity in Neurology

      By: Joel Goh, Robert S. Huckman and Nikhil Sahni
      In December 2014, Dr. Anthony Furlan, chair of the Department of Neurology at University Hospitals Cleveland Medical Center (UH), faced a mandate from the hospital’s executive leadership team. Specifically, all UH departments were directed to take steps within six... View Details
      Keywords: Health Care; Hospitals; Capacity Planning; Scheduling; Health Care and Treatment; Service Operations; Performance Capacity; Health Industry; North America; United States; Ohio; Cleveland
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      Goh, Joel, Robert S. Huckman, and Nikhil Sahni. "University Hospitals Cleveland Medical Center: Managing Capacity in Neurology." Harvard Business School Case 618-062, March 2018.
      • March 2018
      • Case

      GiveDirectly

      By: John Beshears, Joshua Schwartzstein, Tiffany Y. Chang and Brian J. Hall
      How should nonprofits design compensation systems to attract and retain talent? GiveDirectly is a respected charitable organization with an unconventional approach. Instead of spending on traditional aid programs in areas such as health care and food access in... View Details
      Keywords: Nonprofits; Charity; Effective Altruism; International Aid; Compensation; Goals; Bonuses; Incentives; GiveDirectly; Compensation and Benefits; Motivation and Incentives; Goals and Objectives; Recruitment; Philanthropy and Charitable Giving
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      Beshears, John, Joshua Schwartzstein, Tiffany Y. Chang, and Brian J. Hall. "GiveDirectly." Harvard Business School Case 918-036, March 2018.
      • 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
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      Huckman, Robert S., and Ariel D. Stern. "Twine Health." Harvard Business School Teaching Note 618-055, March 2018.
      • March 2018 (Revised January 2019)
      • Case

      Gilead Mexico

      By: Michael Chu and V. Kasturi Rangan
      With a breakthrough cure for Hepatitis C listing in the U.S. at $1,000/pill, Gilead must now solve the issue of making it available to patients across the world, much as it did for its blockbuster HIV/AIDS antiretrovirals. For Erik Musalem, the new general manager of... View Details
      Keywords: Health Care and Treatment; Price; Strategy; Management; Pharmaceutical Industry; Mexico
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      Chu, Michael, and V. Kasturi Rangan. "Gilead Mexico." Harvard Business School Case 318-111, March 2018. (Revised January 2019.)
      • 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
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      Tseng, Phillip, Robert S. Kaplan, Barak D. Richman, Mahek A. Shah, and Kevin A. Schulman. "Administrative Costs Associated with Physician Billing and Insurance-Related Activities at an Academic Health Care System." JAMA, the Journal of the American Medical Association 319, no. 7 (February 20, 2018): 691–697.
      • February 2018
      • Case

      Health Savings Accounts: Enabling Consumer Participation

      By: Regina E. Herzlinger and James Wallace
      Health savings accounts (HSAs), a creation of the 2003 Medicare Modernization Act, had become an integral part of the drive toward consumer-driven health care. Coupled with high-deductible health plans, HSAs allowed consumers to directly control a significant part of... View Details
      Keywords: Health Care; Healthcare Costs; Health Insurance; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Health Industry; United States
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      Herzlinger, Regina E., and James Wallace. "Health Savings Accounts: Enabling Consumer Participation." Harvard Business School Case 318-110, February 2018.
      • Article

      What Could Amazon's Approach to Health Care Look Like?

      By: Robert S. Huckman
      Keywords: Health Care; Amazon; Health Insurance; Information Technology; United States
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      Huckman, Robert S. "What Could Amazon's Approach to Health Care Look Like?" Harvard Business Review (website) (February 6, 2018).
      • February 2018
      • Case

      Aetna and the Transformation of Health Care

      By: Rebecca M. Henderson, Russell Eisenstat and Matthew Preble
      Mark Bertolini, chairman and CEO of the health insurer Aetna, faces a number of questions as he seeks to transform Aetna from a classic insurance company into a business that will engage much more deeply with its members around their personal health goals. His strategy... View Details
      Keywords: Health Care and Treatment; Insurance; Transformation; Behavior; Leading Change; Strategy; Health Industry; Health Industry; United States; Connecticut
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      Henderson, Rebecca M., Russell Eisenstat, and Matthew Preble. "Aetna and the Transformation of Health Care." Harvard Business School Case 318-048, February 2018.
      • 2018
      • Government Testimony

      Health Care Industry Consolidation: What Is Happening, Why It Matters, and What Public Agencies Might Want to Do About It

      By: Leemore S. Dafny
      Keywords: Consolidation; Mergers And Acquisitions; Federal Testimony
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      Dafny, Leemore S. "Health Care Industry Consolidation: What Is Happening, Why It Matters, and What Public Agencies Might Want to Do About It." Government Testimony, U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Oversight and Investigations, Washington, DC, February 2018.
      • Article

      The Economic Consequences of Hospital Admissions

      By: Carlos Dobkin, Amy Finkelstein, Raymond Kluender and Matthew Notowidigdo
      We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitalization data linked to credit reports. For non-elderly adults with health insurance,... View Details
      Keywords: Personal Finance; Borrowing and Debt; Insurance; Insolvency and Bankruptcy; Health Care and Treatment
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      Dobkin, Carlos, Amy Finkelstein, Raymond Kluender, and Matthew Notowidigdo. "The Economic Consequences of Hospital Admissions." American Economic Review 108, no. 2 (February 2018): 308–352.
      • January 2018 (Revised March 2018)
      • Case

      Wenzhou Kangning Hospital: Changing Mental Healthcare in China

      By: William C. Kirby, Wei Zhang, Yuanzhuo Wang and Nancy Hua Dai
      The city of Wenzhou in the Province of Zhejiang, long known in China for entrepreneurship, now hosts the country’s largest privately owned mental health hospital group. This case traces the development of Wenzhou Kangning Hospital Co, Ltd. from founding to just before... View Details
      Keywords: Mental Health; Hospital; IPO; China; Zhejiang; Wenzhou; Private Healthcare; Private Hospital; Health Care and Treatment; Private Ownership; Corporate Governance; Growth and Development; Entrepreneurship; Health Industry; China
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      Kirby, William C., Wei Zhang, Yuanzhuo Wang, and Nancy Hua Dai. "Wenzhou Kangning Hospital: Changing Mental Healthcare in China." Harvard Business School Case 318-054, January 2018. (Revised March 2018.)
      • January 2018 (Revised March 2018)
      • Supplement

      Wenzhou Kangning Hospital: Changing Mental Healthcare in China (B)

      By: William C. Kirby, Wei Zhang, Yuanzhuo Wang and Nancy Hua Dai
      This case updates Wenzhou Kangning Hospital Co, Ltd.'s activities since its IPO in late 2015, focusing on its strategy and growth since the IPO and challenges for the future. View Details
      Keywords: Healthcare; Mental Health; Entrepreneurship; China; Growth Strategy; Health Care and Treatment; Growth and Development Strategy; China
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      Kirby, William C., Wei Zhang, Yuanzhuo Wang, and Nancy Hua Dai. "Wenzhou Kangning Hospital: Changing Mental Healthcare in China (B)." Harvard Business School Supplement 318-077, January 2018. (Revised March 2018.)
      • January 2018 (Revised September 2023)
      • Case

      Giving Birth to Ovia Health

      By: Jeffrey J. Bussgang and Julia Kelley
      In late 2016, Paris Wallace, the CEO of Ovia Health, and the rest of the company’s co-founders faced a difficult decision about the best way to grow Ovia Health’s revenue. Founded in 2012, Ovia Health specialized in mobile and web applications in the women’s health... View Details
      Keywords: Entrepreneurship; Growth and Development Strategy; Market Entry and Exit; Health Care and Treatment; Health Industry
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      Bussgang, Jeffrey J., and Julia Kelley. "Giving Birth to Ovia Health." Harvard Business School Case 818-004, January 2018. (Revised September 2023.)
      • January 2018 (Revised April 2021)
      • Case

      Capital Allocation at HCA

      By: W. Carl Kester and Emily R. McComb
      In early 2017, HCA Holdings, an investor-owned hospital management company, faced a strategically important capital allocation decision. After the exit of its private equity sponsors in 2016, HCA had to determine how best to allocate its substantial annual free cash... View Details
      Keywords: Capital Allocation; Cash Distribution Policy; Dividends; Share Repurchases; Growth Strategy And Execution; Growth Investing; Capital Expenditures; Debt Management; Debt Reduction; Debt Policy; Hospital Management; Investor-owned Hospital Chains; Capital Budgeting; Capital Structure; Cash Flow; Corporate Finance; Decision Choices and Conditions; Health Industry; United States
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      Kester, W. Carl, and Emily R. McComb. "Capital Allocation at HCA." Harvard Business School Case 218-039, January 2018. (Revised April 2021.)
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