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  • 24 Oct 2017
  • Research & Ideas

Tax Reform is on the Front Burner Again. Here’s Why You Should Care

perhaps as expected in a time of worldwide politicization and polarization. For one thing, Republicans are the only ones doing the talking—Democrats have not yet been invited to come to the table and likely... View Details
Keywords: by Sean Silverthorne
  • 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
  • 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
  • February 2015
  • Article

'Open' Disclosure of Innovations, Incentives and Follow-on Reuse: Theory on Processes of Cumulative Innovation and a Field Experiment in Computational Biology

By: Kevin J. Boudreau and Karim R. Lakhani
Most of society's innovation systems―academic science, the patent system, open source, etc.―are "open" in the sense that they are designed to facilitate knowledge disclosure among innovators. An essential difference across innovation systems is whether disclosure is of... View Details
Keywords: Open Innovation; Cumulative Innovation; Incentives; Search; Disclosure And Access; Knowledge Sharing; Motivation and Incentives; Collaborative Innovation and Invention
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Boudreau, Kevin J., and Karim R. Lakhani. "'Open' Disclosure of Innovations, Incentives and Follow-on Reuse: Theory on Processes of Cumulative Innovation and a Field Experiment in Computational Biology." Research Policy 44, no. 1 (February 2015): 4–19.
  • March 2015
  • Case

Bloodbuy

By: Richard G. Hamermesh and Michael Norris
In 2015, Chris Godfrey, founder and CEO of Bloodbuy, has to consider the best path to growth for his young company, which is attempting to disrupt the blood donation industry. View Details
Keywords: Health Care; Health Care Entrepreneurship; Blood Donation; Health Care and Treatment; Entrepreneurship; Health Industry; United States
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Hamermesh, Richard G., and Michael Norris. "Bloodbuy." Harvard Business School Case 815-114, March 2015.
  • September 2016
  • Supplement

Health Leads: Reaching for Impact (B)

By: V. Kasturi Rangan and Sarah Appleby
The (B) case documents the development of a strategy to achieve system-level impact in a rapidly changing healthcare landscape for a nonprofit focused on addressing patients' basic social needs through healthcare institutions. Founded in 1996 with a volunteer-staffed... View Details
Keywords: Scaling Social Impact; Scaling Social Enterprise; Health Care Delivery; Health Care Outcomes; Nonprofit Scaling; Nonprofit; Social Enterprise; Social Entrepreneurship; Health Care and Treatment; Nonprofit Organizations; Growth and Development Strategy; Health Industry; United States
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Rangan, V. Kasturi, and Sarah Appleby. "Health Leads: Reaching for Impact (B)." Harvard Business School Supplement 517-023, September 2016.
  • February 2025
  • Article

Innovations in Evaluating Ambulatory Costs of Cystic Fibrosis Care: A Comparative Study Across Multidisciplinary Care Centers in Ireland and the United States

By: Emma Brady, Ryan C. Perkins, Kate Cullen, Gregory S. Sawicki, Robert S. Kaplan and Gerardine Doyle
Lead clinicians at two large pediatric cystic fibrosis (CF) centers in the United States and Ireland measured and compared their ambulatory care costs. The clinicians selected three strata of patients (0–11 months, 1–5 years, and 6–17 years of age). Process maps were... View Details
Keywords: Health Care and Treatment; Cost; Service Delivery; Resource Allocation; Health Industry
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Brady, Emma, Ryan C. Perkins, Kate Cullen, Gregory S. Sawicki, Robert S. Kaplan, and Gerardine Doyle. "Innovations in Evaluating Ambulatory Costs of Cystic Fibrosis Care: A Comparative Study Across Multidisciplinary Care Centers in Ireland and the United States." NEJM Catalyst Innovations in Care Delivery 6, no. 2 (February 2025).
  • 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.
  • 31 Oct 2014
  • Op-Ed

Ebola’s Call To Arms About Disaster Preparedness

and biosecurity community has been banging the drum about for years: the US has massively underinvested in public health. As in so many other areas of the nation's infrastructure, the elements of our health care system have eroded, and we... View Details
Keywords: by Gautam Mukunda; Health
  • 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
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Herzlinger, Regina E., and Barak D. Richman. "Thinking Outside the Box (12): The Benefits of Increased Transparency in Employer-Sponsored Health Insurance for the 180 Million Insured." Duke Law School Public Law & Legal Theory Series, No. 2020-4, December 2019.
  • May 2017 (Revised July 2017)
  • Supplement

Aadhaar: From Voluntary to Mandatory

By: Tarun Khanna, Anjali Raina and Rachna Chawla
Approximately 1.1 billion residents of India (99% of the population) had a unique biometric identity—Aadhaar—by 2017. In six years, the Unique Identification Authority of India (UIDAI) had achieved an unprecedented milestone in emerging and developed markets. The... View Details
Keywords: Entrepreneurship; Business and Government Relations; Emerging Markets; Information; Information Technology; Organizational Design; Infrastructure; Identity; Projects; Information Management; Government and Politics; Digital Platforms; Internet and the Web; Transformation; Society; Welfare; Social Issues; Private Sector; Public Sector; Information Technology Industry; Asia; India; New Delhi
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Khanna, Tarun, Anjali Raina, and Rachna Chawla. "Aadhaar: From Voluntary to Mandatory." Harvard Business School Supplement 717-512, May 2017. (Revised July 2017.)
  • 07 Mar 2018
  • Research & Ideas

Electronic Health Records Were Supposed to Cut Medical Costs. They Haven't.

spreadsheet,” says Kaplan. Related Reading: Consumer-centered Health Care Depends on Accessible Medical Records Research Paper: Identifying Sources of Inefficiency in Health View Details
Keywords: by Roberta Holland; Health
  • 17 Jan 2023
  • In Practice

8 Trends to Watch in 2023

As 2023 begins, businesses and employees face an uncertain economy and labor market, as the twin dilemmas of inflation and interest rates weigh on forecasts. Harvard Business School faculty share the top trends that they believe will shape the workplace and markets... View Details
Keywords: by Avery Forman
  • Article

Power to the People

By: Eric D. Werker

Every nongovernmental organization has a mission statement. For example, CARE, one of the world's largest and best-funded NGOs, explains its mission as serving "individuals and families in the poorest communities in the world. Drawing strength from our global... View Details

Keywords: Mission and Purpose; Food; Service Operations; Inflation and Deflation; Experience and Expertise; Economic Slowdown and Stagnation; Knowledge; Poverty; Agribusiness; Diversity; Non-Governmental Organizations; Innovation and Invention; India
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Werker, Eric D. "Power to the People." Foreign Policy, no. 169 (November–December 2008).
  • Article

Describing Wait Time Bottlenecks for ED Patients Undergoing Head CT

By: Jonathan G. Rogg, Robert S. Huckman, Michael Lev, Ali Raja, Yuchiao Chang and Benjamin White
Study objectives: Facing increased utilization and subsequent capacity and budget constraints, EDs must better understand bottlenecks and their effect on process flow to improve process efficiency. The primary objective of this study was to identify bottlenecks in... View Details
Keywords: Health Care; Bottleneck; Health Care and Treatment; Operations; Health Industry; United States
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Rogg, Jonathan G., Robert S. Huckman, Michael Lev, Ali Raja, Yuchiao Chang, and Benjamin White. "Describing Wait Time Bottlenecks for ED Patients Undergoing Head CT." American Journal of Emergency Medicine 35, no. 10 (October 2017): 1510–1513.
  • 2019
  • Book

Fintech, Small Business & the American Dream: How Technology Is Transforming Lending and Shaping a New Era of Small Business Opportunity

By: Karen G. Mills
Fintech, Small Business & the American Dream describes the needs of small businesses for capital and demonstrates how technology—novel data sources, artificial intelligence, machine learning—will transform the small business lending market. This market has been... View Details
Keywords: Fintech; Big Data; Data; Technology; Artificial Intelligence; Great Recession; Regulation; Innovation; Banks; Lending; Loans; Access To Capital; American Dream; Community Banking; Small Business Administration; Entrepreneur; Government; Public Policy; API; Policy Making; Small Business; Financing and Loans; Technological Innovation; Financial Crisis; Banks and Banking; Governing Rules, Regulations, and Reforms; Policy; AI and Machine Learning; Analytics and Data Science; United States
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Mills, Karen G. Fintech, Small Business & the American Dream: How Technology Is Transforming Lending and Shaping a New Era of Small Business Opportunity. Palgrave Macmillan, 2019.
  • 16 Jan 2024
  • Cold Call Podcast

How SolarWinds Responded to the 2020 SUNBURST Cyberattack

Keywords: Information Technology
  • 2012
  • Other Unpublished Work

The Instrumental Value of Medical Leadership: Engaging Doctors in Improving Services

By: Richard Bohmer
This paper was commissioned to contribute to The King's Fund's 2012 review of leadership and engagement. View Details
Keywords: Health Care; Service Quality; Quality; Leadership; Service Delivery; Health Care and Treatment; Health Industry
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Bohmer, Richard. "The Instrumental Value of Medical Leadership: Engaging Doctors in Improving Services." King's Fund, London, England, May 2012.
  • Article

Agree to Disagree: Frank Discussion, Attention to Cultural Fit Can Help Avoid Recruiting Errors

Almost everyone in health care has heard this story: With great fanfare a hospital recruits an outside star to lead a clinical program, academic department, or division. Within months it is clear to almost everyone that the marriage is a failure. To better understand... View Details
Keywords: Business or Company Management; Health Care and Treatment; Health Industry
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Jain, Sachin H. "Agree to Disagree: Frank Discussion, Attention to Cultural Fit Can Help Avoid Recruiting Errors." Modern Healthcare 39, no. 8 (February 23, 2009).
  • 24 Jan 2018
  • Research & Ideas

How to Get People Addicted to a Good Habit

interventions that help us cultivate the good ones.” Related Reading: The Business of Behavioral Economics Experimental Researcher Helps Improve Health Care in Zambia The Role of Incentive Salience in Habit Formation What do you think... View Details
Keywords: by Carmen Nobel
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