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      • March 17, 2017
      • Article

      How Economics Can Shape Precision Medicines

      By: Ariel Dora Stern, Brian M. Alexander and Amitabh Chandra
      Many public and private efforts in coming years will focus on research in precision medicine, developing biomarkers to indicate which patients are likely to benefit from a certain treatment so that others can be spared the cost—financial and physical—of being treated... View Details
      Keywords: Health Care and Treatment; Research; Economics; Motivation and Incentives
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      Stern, Ariel Dora, Brian M. Alexander, and Amitabh Chandra. "How Economics Can Shape Precision Medicines." Science 355, no. 6330 (March 17, 2017): 1131–1133.
      • March 2017 (Revised March 2017)
      • Case

      OpenNotes

      By: Jeffrey Rayport and Annelena Lobb
      In 2017, executives at OpenNotes, a national movement to improve the relationship between doctors and patients by sharing doctors’ visit notes about patients with patients, were considering options in efforts to achieve scale. The movement hoped to reach 50 million... View Details
      Keywords: Health Care and Treatment; Technology Adoption; Growth and Development Strategy; Health Industry; Health Industry; United States
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      Rayport, Jeffrey, and Annelena Lobb. "OpenNotes." Harvard Business School Case 817-080, March 2017. (Revised March 2017.)
      • Other Article

      My Favorite Slide: The Entrepreneurial Gap Applied to Health Care

      By: Robert S. Kaplan and Robert Simons
      Value-based health care increases physicians’ accountability for patient outcomes. Many have resisted, claiming that patient outcomes are influenced by many forces outside their control, such as patient’s compliance with post-acute and rehab care. The difference... View Details
      Keywords: Health Care and Treatment; Outcome or Result; Motivation and Incentives
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      Kaplan, Robert S., and Robert Simons. "My Favorite Slide: The Entrepreneurial Gap Applied to Health Care." NEJM Catalyst (March 8, 2017). (Blog Post.)
      • March 2017
      • Article

      Variation in the Cost of Care for Primary Total Knee Arthroplasties

      By: Derek A. Haas and Robert S. Kaplan
      The study examined the cost variation across 29 high-volume U.S. hospitals for delivering a primary total knee arthroplasty without major complicating conditions. Hospital and physician personnel costs were calculated using time-driven activity-based costing.... View Details
      Keywords: Cost Management; Performance Productivity; Health Care and Treatment; Health Industry
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      Haas, Derek A., and Robert S. Kaplan. "Variation in the Cost of Care for Primary Total Knee Arthroplasties." Arthroplasty Today 3, no. 1 (March 2017): 33–37.
      • February 2017 (Revised February 2021)
      • Case

      Hebrew SeniorLife: Next Steps

      By: Regina E. Herzlinger, Carin-Isabel Knoop and Olivia Hull
      The CEO of Hebrew SeniorLife is contemplating how to scale his highly successful but asset-intensive continuing care retirement community for elders. Among the strategies he is considering is an expansion to China; virtual web-based care; providing continuing care in... View Details
      Keywords: Continuing Care; Nursing Home; Rehabilitation; Assisted Living; Elder Care; Entrepreneurial Management; Health Care and Treatment; Entrepreneurship; Growth and Development Strategy; Health Industry; United States
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      Herzlinger, Regina E., Carin-Isabel Knoop, and Olivia Hull. "Hebrew SeniorLife: Next Steps." Harvard Business School Case 317-038, February 2017. (Revised February 2021.)
      • Article

      Dissecting Costs of CT Study: Application of TDABC (Time-driven Activity-based Costing) in a Tertiary Academic Center

      By: Robert S. Kaplan, Yoshimi Anzai, Marta E. Heilbrun, Derek Haas, Luca Boi, Kirk Moshre, Satoshi Minoshima and Vivian S. Lee
      The lack of understanding the true costs (not charges) of delivering health care services poses tremendous challenges in the containment of health care costs. In this study, we applied an established cost accounting method, time-driven activity-based costing (TDABC),... View Details
      Keywords: Healthcare Costs; Medical Imaging; Computed Tomography; Activity-Based Costing; Cost Accounting; Activity Based Costing and Management; Health Care and Treatment; Performance Efficiency; Health Industry
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      Kaplan, Robert S., Yoshimi Anzai, Marta E. Heilbrun, Derek Haas, Luca Boi, Kirk Moshre, Satoshi Minoshima, and Vivian S. Lee. "Dissecting Costs of CT Study: Application of TDABC (Time-driven Activity-based Costing) in a Tertiary Academic Center." Academic Radiology 24, no. 2 (February 2017): 200–208.
      • Article

      Drivers of the Variation in Prosthetic Implant Purchase Prices for Total Knee and Total Hip Arthroplasties

      By: Derek A. Haas, Kevin J Bozic, Anthony M. DiGioia, Zirui Song and Robert S. Kaplan
      Previous studies have documented wide variation in health-care spending and prices; however, the causes for the variation in supply purchase prices across providers are not well understood. The purpose of this study was to determine the drivers of variation in... View Details
      Keywords: Costing; Cost Variation; Total Knee Arthroplasty; Total Hip Arthroplasty; Prosthetic Implant Cost; Health Care and Treatment; Cost Management; Health Industry; Health Industry
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      Haas, Derek A., Kevin J Bozic, Anthony M. DiGioia, Zirui Song, and Robert S. Kaplan. "Drivers of the Variation in Prosthetic Implant Purchase Prices for Total Knee and Total Hip Arthroplasties." Journal of Arthroplasty 32, no. 2 (February 2017): 347–350.
      • 2017
      • Casebook

      Public Health Preparedness: Case Studies in Policy and Management

      By: Arnold M. Howitt, Dutch Leonard and David W. Giles
      This book provides detailed accounts of a range of public health emergencies. Topics range from natural disasters, to infectious diseases, to pandemics, and more. With chapters on Superstorm Sandy, H1N1, the Ebola virus, and bioterrorism, these cases cover major areas... View Details
      Keywords: Health Care and Treatment; Health Pandemics; Natural Disasters; Safety; Public Sector; Policy; Management
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      Howitt, Arnold M., Dutch Leonard and David W. Giles, eds. Public Health Preparedness: Case Studies in Policy and Management. Washington, DC: American Public Health Association, 2017.
      • January 2017
      • Supplement

      Intrapreneurship at DaVita HealthCare Partners: Cash Flow Tool

      By: Joseph B. Fuller and Christopher Payton
      DaVita Healthcare Partners Inc. (DaVita) is one of the U.S.'s leading dialysis providers, a process whereby persons with end-stage renal disease (ESRD) are connected to a machine that performs the functions of a healthy kidney. Kent Thiry, DaVita's CEO, has expanded... View Details
      Keywords: Intrapreneurship; Entrepreneurial Organizations; Startup Management; Startup; Strategic Positioning; Corporate Entrepreneurship; Corporate Strategy; Business Startups; Strategic Planning; Competitive Strategy; Health Industry; United States
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      Fuller, Joseph B., and Christopher Payton. "Intrapreneurship at DaVita HealthCare Partners: Cash Flow Tool." Harvard Business School Spreadsheet Supplement 317-703, January 2017.
      • January 2017 (Revised March 2017)
      • Case

      SIN Capital and the Fullerton Health IPO

      By: Josh Lerner and Ann Leamon
      In early 2016, David Sin, founder of the Singapore-based private equity group SIN Capital and chairman of its primary holding, Fullerton Health, was deeply involved in preparations for taking Fullerton public on the Singapore stock exchange. Three years after SIN... View Details
      Keywords: Healthcare; Asia; IPO; Financing; Singapore; Growth; Health Care and Treatment; Private Equity; Initial Public Offering; Financing and Loans; Strategy; Value Creation; Growth and Development Strategy; Health Industry; Singapore
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      Lerner, Josh, and Ann Leamon. "SIN Capital and the Fullerton Health IPO." Harvard Business School Case 817-030, January 2017. (Revised March 2017.)
      • January 2017 (Revised March 2021)
      • Case

      Fitbit

      By: Regina E. Herzlinger, Christine Snively and Sarah Mehta
      In 2019, Fitbit lost its leadership in the wearable sensor market to Apple and to cheaper alternatives.
      Why did it lose its market position?
      How will the proposed acquisition affect it and Google? View Details
      Keywords: Wearable Sensors; Smart Watches In Health Care; Google Acquisition; Health Care and Treatment; Information Technology; Acquisition
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      Herzlinger, Regina E., Christine Snively, and Sarah Mehta. "Fitbit." Harvard Business School Case 317-007, January 2017. (Revised March 2021.)
      • Article

      Managing Healthcare Costs and Value

      By: Robert S. Kaplan, Michael E. Porter and Mark L. Frigo
      Rising health care costs are a major global challenge. A number of factors contribute to this trend, including aging populations and medical technology. But an underlying and misunderstood source of health care’s escalating costs has been the inability of health care... View Details
      Keywords: Health Care and Treatment; Cost; Cost Management; Cost Accounting; Health Industry
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      Kaplan, Robert S., Michael E. Porter, and Mark L. Frigo. "Managing Healthcare Costs and Value." Strategic Finance 98, no. 7 (January 2017): 24–33.
      • 2017
      • Article

      Organizational Support for Learning and Contribution to Improvement by Frontline Staff

      By: Olivia Jung, Andrea Blasco and Karim R. Lakhani
      Keywords: Tournaments; Innovation; Health Care Delivery
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      Jung, Olivia, Andrea Blasco, and Karim R. Lakhani. "Organizational Support for Learning and Contribution to Improvement by Frontline Staff." Academy of Management Best Paper Proceedings (2017).
      • Article

      Time-Driven Activity-Based Costing for Surgical Episodes

      By: Peter Najjar, Matt Strickland and Robert S. Kaplan
      Health care costs related to surgical care account for 40% of all hospital and physician spending. Payers attempting to contain costs are replacing fee-for-service with value-based payment schemes that can encompass entire episodes of care, including physician services... View Details
      Keywords: Surgery; Time-Driven Activity-Based Costing; Bundled Payments; Health Care and Treatment; Cost Management
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      Najjar, Peter, Matt Strickland, and Robert S. Kaplan. "Time-Driven Activity-Based Costing for Surgical Episodes." JAMA Surgery 152, no. 1 (January 2017): 96–97.
      • Article

      A Simple Way to Measure Health Care Outcomes

      By: John Schupbach, Amitabh Chandra and Robert S. Huckman
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      Schupbach, John, Amitabh Chandra, and Robert S. Huckman. "A Simple Way to Measure Health Care Outcomes." Harvard Business Review (website) (December 8, 2016).
      • December 2016
      • Supplement

      Access Health CT: Marketing Affordable Care (B)

      By: John A. Quelch and Emily C. Boudreau
      Supplements the (A) case. View Details
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      Quelch, John A., and Emily C. Boudreau. "Access Health CT: Marketing Affordable Care (B)." Harvard Business School Supplement 517-070, December 2016.
      • December 2016
      • Article

      Health Care Needs Real Competition

      By: Leemore S. Dafny and Thomas H. Lee
      The U.S. health care system is inefficient, unreliable, and crushingly expensive. There is no shortage of proposed solutions, but central to the best of them is the idea that health care needs more competition. In other sectors, competition improves quality and... View Details
      Keywords: Competition; Health Care and Treatment; Health Industry; United States
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      Dafny, Leemore S., and Thomas H. Lee. "Health Care Needs Real Competition." Harvard Business Review 94, no. 12 (December 2016): 76–87.
      • December 2016
      • Article

      Selective Regulator Decoupling and Organizations' Strategic Responses

      By: Jonas Heese, Ranjani Krishnan and Frank Moers
      Organizations often respond to institutional pressures by symbolically adopting policies and procedures but decoupling them from actual practice. Literature has examined why organizations decouple from regulatory pressures. In this study, we argue that decoupling... View Details
      Keywords: Regulator Leniency; Beneficence; Mispricing; Upcoding; Nonprofit Organizations; Health Care and Treatment; Revenue; Health Industry
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      Heese, Jonas, Ranjani Krishnan, and Frank Moers. "Selective Regulator Decoupling and Organizations' Strategic Responses." Academy of Management Journal 59, no. 6 (December 2016). (Selected for Best Paper Proceedings of the 2015 Academy of Management Annual Meeting. Winner of the Healthcare Management Division of the Academy of Management 2015 Best Paper Award.)
      • November 2016 (Revised February 2017)
      • Case

      BrightStar Care: The Evolution of a Leadership Team

      By: Boris Groysberg, Colleen Ammerman and John D. Vaughan
      BrightStar Care was a rapidly growing franchise of home health care agencies. Founded by husband and wife team JD and Shelly Sun as a single agency near Chicago in 2002, BrightStar had opened nearly 300 franchises across the United States by 2016, generating over $300... View Details
      Keywords: Health Care Services; Entrepreneurs; Board Of Directors; Boards Of Directors; Health Care Industry; Growth Strategy; Organizational Change; Brand Positioning; Entrepreneurial Organizations; Entrepreneurial Management; Franchising; Family-owned Business; Home Health Care; Managing Growth; Management Styles; Organizational Development; Talent Management; Women Executives; Women And Leadership; Business Startups; Family Business; Small Business; Talent and Talent Management; Governing and Advisory Boards; Health Care and Treatment; Human Capital; Leadership Development; Leadership Style; Business or Company Management; Growth and Development Strategy; Management Analysis, Tools, and Techniques; Management Skills; Management Style; Management Succession; Management Systems; Management Teams; Brands and Branding; Marketing Strategy; Strategy
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      Groysberg, Boris, Colleen Ammerman, and John D. Vaughan. "BrightStar Care: The Evolution of a Leadership Team." Harvard Business School Case 417-020, November 2016. (Revised February 2017.)
      • Article

      One Obstacle to Curing Cancer: Patient Data Isn't Shared

      By: Richard G. Hamermesh and Kathy Giusti
      Precision Medicine requires large datasets to identify the mutations that lead to various cancers. Currently, genomic information is hoarded in fragmented silos within numerous academic medical centers, pharmaceutical companies, and some disease-based foundations. For... View Details
      Keywords: Healthcare; Technological And Scientific Innovation; Cancer Care In The U.S.; Cancer Treatment; Precision Medicine; Personalized Medicine; Data Sharing; Technological Innovation; Analytics and Data Science; Health Disorders; Medical Specialties; Research and Development; Customization and Personalization; Health Industry; United States
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      Hamermesh, Richard G., and Kathy Giusti. "One Obstacle to Curing Cancer: Patient Data Isn't Shared." Harvard Business Review (website) (November 28, 2016).
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