Publications

Read Now

2020
Working Paper

Cutting the Gordian Knot of Employee Health Care Benefits and Costs: A Corporate Model Built on Employee Choice

By: Regina E. Herzlinger and Barak D. Richman

The U.S. employer-based health insurance tax exclusion created a system of employer-sponsored insurance (ESI) with limited insurance choices and transparency that may lock employed households into health plans that are costlier or different from those they prefer to... 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; Employees; Income; Taxation; Policy; United States

SSRN

Read Now

01 Aug 2023
Cold Call Podcast

Can Business Transform Primary Health Care Across Africa?

Keywords: Re: Regina E. Herzlinger; Pharmaceutical; Health

04 Jun 2007
Research & Ideas

Is Health Care Making You Better—or Dead?

what happened to Kaiser. Q: Your HBS colleague, Richard Bohmer, talks favorably about clinics now sprouting up in malls and big chains that offer very basic services at affordable prices. Is that a sample of innovation now starting to... View Details

Keywords: by Sean Silverthorne; Health

March 2015 (Revised December 2016)
Case

American Well: The DTC Decision

By: Elie Ofek and Natalie Kindred

In late 2013, telehealth company American Well, which developed a digital platform that allowed patients to conduct online medical consultations with physicians, is considering pursuing a direct-to-consumer (DTC) strategy. Founded in 2006, American Well had, to date,... View Details

August 2018 (Revised August 2019)
Case

Oscar Health Insurance: What Lies Ahead for a Unicorn Insurance Entrant?

By: Leemore Dafny and Victoria Marone

Keywords: Oscar Insurance; Fintech; US Health Care; Affordable Care Act (ACA); Health Insurance Marketplaces; Insurer Competition; Provider Consolidation; Market Entry; Health Care and Treatment; Entrepreneurship; Market Entry and Exit; Negotiation; Growth Management; Health Industry; Insurance Industry; New York (state, US); New Jersey

2009
Book

The Innovator's Prescription: A Disruptive Solution for Health Care

By: Clayton M. Christensen, Jerome H. Grossman M.D. and Jason Hwang M.D.

A groundbreaking prescription for health care reform—from a legendary leader in innovation. Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for... View Details

Keywords: Governing Rules, Regulations, and Reforms; Health Care and Treatment; Disruptive Innovation; Health Industry; United States

15 Jul 2013
Research & Ideas

Five Imperatives for Improving Health Care

Innovation in health care treatment seems to far outpace innovation in health care business management. Just ask President Obama—two weeks ago he delayed enactment of a key provision of the new health View Details

Keywords: by Carmen Nobel; Health

March 2024
Article

Medicare Price Negotiation and Pharmaceutical Innovation Following the Inflation Reduction Act

By: Matthew Vogel, Pragya Kakani, Amitabh Chandra and Rena M. Conti

The Inflation Reduction Act (IRA) requires Medicare to negotiate lower prices for some medicines with high Medicare spending. Using historical data from public and proprietary sources to apply the IRA's negotiation criteria retrospectively, we identify all drugs that... View Details

Keywords: Policy; Government Legislation; Health Care and Treatment; Negotiation; Price; Pharmaceutical Industry

22 May 2024
HBS Case

Banned or Not, TikTok Is a Force Companies Can’t Afford to Ignore

algorithm triangulate what users care about. It chooses for you. It is constantly making and validating hypotheses about you. It is learning. “What they've been able to do is somehow break through this notion of ‘How do I know somebody?... View Details

Keywords: by Rachel Layne; Technology

October 2010 (Revised July 2011)
Case

PrimedicProviding Primary Care in Mexico

By: Richard G. Hamermesh, Regina Garcia-Cuellar and Lauren Sarah Margulies

Primedic is a Mexican start-up that aims to deliver affordable primary and preventative healthcare to those at the base of the economic pyramid. The company is about to exhaust its first round of venture capital funding and the business model has yet to gain traction.... View Details

Keywords: Business Model; Business Startups; Developing Countries and Economies; Social Entrepreneurship; Venture Capital; Health Care and Treatment; Social Enterprise; Health Industry; Mexico

15 Nov 2004
Research & Ideas

Solving the Health Care Conundrum

shouldn't wait for policy; they should act now to become early movers in leading these changes. Context Professor Porter, having conducted in-depth research and analysis on the U.S. health care market,... View Details

Keywords: by Michael E. Porter; Health

23 Nov 2009
Research & Ideas

Management’s Role in Reforming Health Care

knowledge to solving the problems of individual patients—offer enormous potential to help patients and the U.S. health-care system overall, says HBS senior lecturer Richard M.J. Bohmer, a physician and researcher on the intersection of medical View Details

Keywords: by Martha Lagace; Health

30 May 2007
Research & Ideas

Health Care Under a Research Microscope

Research; and Robert Higgins, managing general partner and founder of VC firm Highland Capital Partners. As a physician, Bohmer is interested in the delivery side of health care—how care is given to patients. "Health View Details

Keywords: by Sean Silverthorne; Health; Biotechnology

March 2011 (Revised March 2011)
Case

Horizon Blue Cross Blue Shield of New Jersey - Managing in the Shadow of Health Care Reform

By: Felix Oberholzer-Gee, Raffaella Sadun and Richard G. Hamermesh

Per the Patient Protection and Affordable Care Act (PPACA), which President Obama signed in 2010, states would be required to create state-wide health insurance marketplaces - the Health Benefit Exchanges (HBEs) - in which individuals and small employers could choose... View Details

Keywords: Insurance; Health Care and Treatment; Governing Rules, Regulations, and Reforms; Emerging Markets; Risk and Uncertainty; Health Industry; Insurance Industry; New Jersey

August 2011 (Revised May 2012)
Supplement

Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (B)

By: Tarun Khanna and Tanya Bijlani

Narayana Hrudayalaya (NH) has expanded into a multi-specialty health city in Bangalore and has grown to twelve locations across India. The hospital plans to build 300-bed secondary-care hospitals in smaller cities across India, with a goal to operate 30,000 beds in... View Details

Keywords: Emerging Markets; Growth and Development Strategy; Goals and Objectives; Social Enterprise; Health Care and Treatment; Poverty; Welfare; Health Industry; Bangalore; Cayman Islands; Africa

2020
Chapter

Health Care Markets a Decade After the ACA: Bigger, but Probably Not Better

By: Leemore S. Dafny

Love it or hate it, the Affordable Care Act (ACA) embraced and extended the role of private markets in financing and delivering health care in the United States. Ten years after the ACA’s passage, it is unclear whether health care markets are better (along a range of... View Details

Keywords: Health Care and Treatment; Markets; Laws and Statutes; Outcome or Result; Health Industry; United States

2009
Book

Designing Care: Aligning the Nature and Management of Health Care

By: Richard Bohmer

Today's health-care providers face growing criticism - from policy makers and patients alike. As costs continue to spiral upward and concerns about quality of care escalate, the debate has focused on how to finance health care. Yet funding solutions can't... View Details

Keywords: Cost Management; Health Care and Treatment; Service Delivery; Business Processes; Organizational Culture