Publications

29 Oct 2014
News

The Businessman Disrupting Organ Transplantation

12 Apr 2021
News

Healthier by Design

22 Dec 2008
Research & Ideas

10 Reasons to Design a Better Corporate Culture

behaviors that other employees embrace. Others accomplish the same objective more positively. At Baptist Health Care, for example, managers constantly reinforce the culture by recognizing those whose actions exemplify its values, its... View Details

Keywords: by James L. Heskett, W. Earl Sasser & Joe Wheeler

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

September 2010
Case

Angie's List

Angie's List is a paid subscription-based service that gives consumers online access to member-submitted reviews of plumbers, electricians, and other home service providers. Customer and revenue growth are strong, but customer acquisition costs are high and the company... View Details

Keywords: Internet and the Web; Price; Competitive Advantage; Product Launch; Service Industry; United States

December 2003 (Revised April 2004)
Case

Dragon's Teeth Vineyards

By: Alan D. MacCormack, Marius Leibold, Sven Voelpel and Kerry Herman

Dragon's Teeth Vineyards (DTV) is a South African wine producer that is considering whether to use genetically modified organisms (GMOs) in its wine-making process. GMOs promise to lower the costs of wine production significantly through increased yields and reduced... View Details

Keywords: Technological Innovation; Growth and Development Strategy; Genetics; Transition; Brands and Branding; Product Development; Product Design; Organizational Change and Adaptation; Technology Adoption; Food and Beverage Industry; Biotechnology Industry; South Africa

April 1993 (Revised May 2009)
Case

Aravind Eye Hospital, Madurai, India: In Service for Sight, The

By: V. Kasturi Rangan

Starting as a modest 20-bed hospital, Aravind had grown into a 1,400-bed hospital complex by 1992. It had by then screened 3.65 million patients and performed 335,000 cataract surgeries, nearly 70% of them free of cost for the poorest of India's blind population.... View Details

Keywords: Developing Countries and Economies; Social Marketing; Service Delivery; Service Operations; Welfare; Expansion; Health Industry; India

July 2016
Article

Economic Implications of the Society for Assisted Reproductive Technology Embryo Transfer Guidelines: Healthcare Dollars Saved by Reducing Iatrogenic Triplets

By: Malinda S. Lee, Brady T. Evans, Ariel Dora Stern and Mark D. Hornstein

Objective: To estimate the national cost savings resulting from reductions in higher-order multiple (HOM) live births (defined as three or more fetuses), following the initial publication of the Society for Assisted Reproductive Technology (SART) guidelines on ET in... View Details

Keywords: Information Technology; Cost Management; Health Care and Treatment; Health Industry

Research Summary

Health-care Applications

Active postmarketing drug surveillance. There is substantial interest within the U.S. health community and among health policymakers in developing a surveillance system that scans public health databases in order to proactively detect potential drug safety... View Details

02 Apr 2015
Research & Ideas

Digital Initiative Summit: Freeing Patient Data to Enable Innovation

in the industry that have obvious inefficiencies and solving those directly. Corbin turned back to the problem of customer service. "I'd pay attention to hospital systems and how they engage with payers," she said. "Providers are responsible for 80 percent of the View Details

Keywords: Re: Karim R. Lakhani; Health

01 Apr 2015
Research & Ideas

The Slow, Steady Battle to Fix Cancer Care

payment model undoubtedly simplifies billing matters for the patients, the main impetus is to lower health care costs while simultaneously improving quality of care. In the traditional fee-for-service model,... View Details

Keywords: by Carmen Nobel; Health

Article

Achieving Value in Highly Complex Acute Care: Lessons from the Delivery of Extra Corporeal Life Support

By: Michael Nurok, Jonathan Warsh, Erik Dong, Jeffrey Lopez, Mayumi Kharabi and Robert S. Kaplan

We applied a value (outcomes and cost) analysis to extracorporeal life support (ECLS), a relatively rare but very expensive ICU therapy with highly variable outcomes. To address the outcome component of the value approach, we created guidelines for ECLS delivery; to... View Details

Keywords: Health Care and Treatment; Cost Management; Value; Analysis

September 2016
Article

Communicating Value in Healthcare Using Radar Charts: A Case Study of Prostate Cancer

By: Nikhil G. Thaker, Tariq N. Ali, Michael E. Porter, Thomas W. Feeley, Robert S. Kaplan and Steven J. Frank

Question: Can we create a value-based tool to visualize the outcomes and cost of various treatments that could facilitate patient-centered decision making?

Summary Answer: We developed a standardized value framework by using radar charts to visualize and... View Details

Keywords: Decision Making; Health Care and Treatment; Health Industry

November 2019
Article

A Review of Bundled Payments in Total Joint Replacement

By: Olivia Manickas-Hill, Kevin J. Bozic and Thomas W. Feeley

The Bundled Payments for Care Improvement (BPCI) initiative, developed by the U.S. Center for Medicare & Medicaid Innovation, aims to reduce health care expenditures while maintaining or improving patient outcomes.
Several published reports evaluating the impact... View Details

Keywords: Bundled Payments; Health Care and Treatment; Cost Management

Professor Narayanan is the Thomas D. Casserly, Jr. Professor of Business Administration, and Senior Associate Dean of Executive Education and HBS Online. His research focuses on management accounting with an interest in performance evaluation and incentives... View Details

Keywords: health care; health care; health care; health care; health care

January 1998 (Revised March 2000)
Case

Reading Rehabilitation Hospital: Implementing Patient-Focused Care

Reading Rehab Hospital has experimented with a popular new concept in health care--patient-focused care--intended to increase quality and reduce costs by organizing care delivery around particular diagnoses or "service lines," rather than around the functions or... View Details

Keywords: Demand and Consumers; Production; Service Operations; Health Care and Treatment; Health Industry

2011
Working Paper

Individual Rationality and Participation in Large Scale, Multi-Hospital Kidney Exchange

By: Itai Ashlagi and Alvin E. Roth

As multi-hospital kidney exchange clearinghouses have grown, the set of players has grown from patients and surgeons to include hospitals. Hospitals have the option of enrolling only their hard-to-match patient-donor pairs, while conducting easily arranged exchanges... View Details

Keywords: Health Care and Treatment; Resource Allocation; Market Participation; Marketplace Matching; Organizations; Networks; Motivation and Incentives; Health Industry

Article

The Business Case for Investing in Physician Well-Being

By: Tait D. Shanafelt, Joel Goh and Christine A. Sinsky

Importance: Widespread burnout among physicians has been recognized for more than two decades. Extensive evidence indicates that physician burnout has important personal and professional consequences.
Observations: A lack of awareness regarding... View Details

Keywords: Physicians; Well-being; ROI; Health; Welfare or Wellbeing; Ethics; Investment Return; Health Industry

September 13, 2021
Article

Managing Through Crunch Time—Without Burning Out Your Team

By: Flavio Serapiao, Andrew Hill and Boris Groysberg

Crunch times—the long, stressful hours of work that are often required in the final weeks before a new product launch—can have an inordinate impact on the success of businesses and they’re powerful shapers of organizational culture. Effective leaders understand that... View Details

Keywords: Leadership; Situation or Environment; Management Skills