Publications

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September 2011 (Revised August 2014)
Background Note

Note on Bundled Payment in Health Care

By: Regina E. Herzlinger and Charles C. Huang

The note explains how bundled health care payment differs from fee-for-service payment, provides examples of the difference between the two, describes early innovators in bundling and their results, provides guidance on how to make it happen, and elucidates the legal... View Details

Keywords: Health Care and Treatment; Price; Cost Management; Health Industry

2019
Article

Pay-for-Monopoly?: An Assessment of Reverse Payment Deals by Pharmaceutical Companies

By: Sana Rafiq and Max Bazerman

Abstract Over the past eighteen years, pharmaceutical firms have developed a blueprint to impede competition in order to maintain their monopoly profits. This scheme, termed pay-for-delay, involves direct or indirect payment of money from a branded-drug manufacturer... View Details

Keywords: Monopoly; Policy; Competition; Agreements and Arrangements; Pharmaceutical Industry

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May 1994 (Revised February 2021)
Background Note

Note on Reimbursement of Health Care Providers: Case-Based and Capitation Payment

By: Regina E. Herzlinger and Tom Nagle

Explains how managed care organizations use capitation as a payment method for providers. View Details

Keywords: Managed Care; Capitation; Health Care and Treatment; Insurance; Accounting; Financial Management; Health Industry; Insurance Industry

01 Sep 2008
News

Balanced Equation

community? In the next fifty years, the current global economic and population balance will be turned on its head. Today’s rich countries will need to adjust to a significant drop in their share of the... View Details

Keywords: James Aisner;Deborah Blagg;Julia Hanna;Susan Young; Management, Scientific, and Technical Consulting Services; Professional Services

March 2024
Tutorial

FRC: The Balanced Scorecard

By: Trevor Fetter

This brief video tutorial explains the concept and application of The Balanced Scorecard, developed by Prof. Robert Kaplan of HBS. It has been used in the MBA required course, Financial Reporting and Control. View Details

Keywords: Balanced Scorecard

August 2012 (Revised December 2023)
Background Note

Note on Health Insurance Coverage, Coding, and Payment

By: Regina E. Herzlinger and Jo Ellen Slurzberg

This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details

Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Insurance Industry

July 2023
Article

Before or After? The Effects of Payment Decision Timing in Pay-What-You-Want Contexts

By: Raghabendra P. KC, Vincent Mak and Elie Ofek

We study how payment decision timing—before versus after product delivery—influences consumer payment under pay-what-you-want pricing. We focus on situations where there is minimal change in consumer uncertainty regarding the product before versus after receiving it.... View Details

Keywords: Price; Behavior; Valuation; Philanthropy and Charitable Giving

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May 2024 (Revised January 2025)
Technical Note

Health Care Payment in the United States

By: Robert S. Huckman, Jeff Charca and Craig Garthwaite

This document provides an overview of how various actors (e.g., physicians, hospitals, and other health care providers) are paid in the United States health care system. It is particularly focused on features of the payment system that contribute to strategic decisions... View Details

Keywords: Compensation and Benefits; Organizational Change and Adaptation; Health Industry

June 1994 (Revised February 1999)
Case

Marcia Radosevich and Health Payment Review--1989 (A)

Martha Radosevich, president of Health Payment Review, a small software start-up, confronts a serious cash-flow problem: Health Payment Review has built a PC-based prototype but has run out of funds to build a commercially acceptable mainframe product. As a stop-gap... View Details

Keywords: Negotiation; Cash Flow; Entrepreneurship; Applications and Software; Sales; Information Technology Industry

October 19, 2015
Article

Getting Bundled Payments Right in Health Care

By: Robert S. Kaplan, Derek A. Haas, Dereesa Reid, Jonathan Warsh and Michael E. West

Bundled payments—single payments that cover all the care for a patient’s medical condition or treatment over a specified timeframe—are increasingly being deployed to motivate the delivery of better patient outcomes at lower costs. Hoag Orthopedic Institute (HOI), a... View Details

Keywords: Health Care and Treatment; Product Marketing; Health Industry

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March 2004
Background Note

An Introduction to Work-Life Balance

An overview of issues relating to and factors affecting the concept of balance between work and personal life including the history of work-life balance and employer/employee perspectives. View Details

Keywords: Work-Life Balance

22 Sep 2016
News

The Road to Successful Bundled Payment Risk

February–March 2013
Article

The Mobile Banking and Payment Revolution

By: Sunil Gupta

Mobile technology is revolutionizing the global banking and payment industry. It offers new opportunities for banks to provide added convenience to their existing customers in developed countries and reach a large population of unbanked customers in emerging markets.... View Details

Keywords: Emerging Markets; Cross-Cultural and Cross-Border Issues; Mobile and Wireless Technology; Banks and Banking; Banking Industry

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23 Dec 2002
Research & Ideas

Partnering and the Balanced Scorecard

link improvements in their daily processes to achievement of high-level strategic objectives. The Balanced Scorecard framework describes strategy with strategic objectives, measures, targets, and... View Details

Keywords: by Robert S. Kaplan & David P. Norton

April 2006 (Revised June 2008)
Case

New Balance Athletic Shoe, Inc.

By: H. Kent Bowen, Robert S. Huckman and Carin-Isabel Knoop

Considers whether New Balance, one of the world's five largest manufacturers of athletic footwear, should respond to Adidas' planned acquisition of Reebok--a transaction that would join the second- and third-largest companies in the industry. Highlights the unique... View Details

Keywords: Mergers and Acquisitions; Production; Supply Chain Management; Performance Improvement; Competition; Consolidation; Apparel and Accessories Industry

24 Mar 2002
Research & Ideas

The Trick of Balancing Business and Government

critical role in developing institutions for better—and occasionally for worse. The boundaries between business and government need to be clearly defined, said several panelists. Mauritius is one example of an African country that... View Details

Keywords: by Martha Lagace

December 2021
Case

The Instant Payment Mandate: The Central Bank of Brazil and Pix

By: Lauren Cohen and Spencer C. N. Hagist

João M. P. De Mello and his team at the Central Bank of Brazil are preparing a move that would seek to tilt the scales in favor of financial inclusion for the entire country. The innovation at hand is the unprecedented nation-wide instant payment scheme: Pix. The fruit... View Details

Keywords: Fintech; Finance; Entrepreneurship; Innovation Strategy; Banking Industry; Brazil