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  • May 2000 (Revised January 2003)
  • Case

Health Development Corporation

By: Richard S. Ruback
Health Development Corp. (HDC) owns and operates health clubs in the Greater Boston area. HDC engaged a local investment banker to explore a sale of the company. The most likely buyer views HDC's prior purchase of real estate as a negative. HDC's management is... View Details
Keywords: Cash Flow; Property; Business Exit or Shutdown; Valuation; Value; Decisions; Health Industry; Boston
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Ruback, Richard S. "Health Development Corporation." Harvard Business School Case 200-049, May 2000. (Revised January 2003.)
  • Article

Health Equity, Schooling Hesitancy, and the Social Determinants of Learning

By: Meira Levinson, Alan C. Geller, Joseph G. Allen and John D. Macomber
At least 62 million K-12 students in North America—disproportionately low-income children of color— have been physically out of school for over a year due to the COVID-19 pandemic. These children are at risk of significant academic, social, mental, and physical harm... View Details
Keywords: COVID-19; Public Health; Air Quality; Social Determinants Of Health; Schooling Hesitancy; Vaccine Hesitancy; Racial Injustice; Inequity; Inequality; Health Pandemics; Education; Health Care and Treatment; Policy; Race; Equality and Inequality
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Levinson, Meira, Alan C. Geller, Joseph G. Allen, and John D. Macomber. "Health Equity, Schooling Hesitancy, and the Social Determinants of Learning." Art. 100032. Lancet Regional Health – Americas 2 (October 2021).
  • June 2006 (Revised June 2007)
  • Background Note

The Challenge Facing the U.S. Healthcare Delivery System

By: Richard M.J. Bohmer and Carin-Isabel Knoop
Discusses the challenges currently facing the U.S. health care delivery system. These challenges frame the problems managers of delivery organizations are currently facing. They include a burgeoning gap between demand and supply. Demand for health care services is... View Details
Keywords: Health Care and Treatment; Health Industry; United States
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Bohmer, Richard M.J., and Carin-Isabel Knoop. "The Challenge Facing the U.S. Healthcare Delivery System." Harvard Business School Background Note 606-096, June 2006. (Revised June 2007.)
  • 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.
  • March 2023
  • Case

Innovation at Google Ads: The Sales Acceleration and Innovation Labs (SAIL) (A)

By: Linda A. Hill and Emily Tedards
In 2018, Ana Owczarzak was appointed to lead Google Ads' new innovation and accelerator team - the Sales Acceleration and Innovation Labs (SAIL). The purpose of SAIL was to offer testing and incubation services for individuals within Google Ads who were developing new... View Details
Keywords: Innovation Leadership; Innovation Strategy; Organizational Design; Technology Industry; Advertising Industry; Information Technology Industry; United States
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Hill, Linda A., and Emily Tedards. "Innovation at Google Ads: The Sales Acceleration and Innovation Labs (SAIL) (A)." Harvard Business School Case 423-076, March 2023.
  • October 2016 (Revised January 2017)
  • Background Note

The U.S. Health Club Industry, 2005–2016

By: John R. Wells and Gabriel Ellsworth
In 2015, the U.S. health-club industry generated revenues of $25.8 billion, up from $14.8 billion in 2004. Members of health clubs accounted for 17% of the population, up from 14%. The number of clubs had grown from 26,830 in 2004 to 36,180. In the process, the list of... View Details
Keywords: Health Clubs; Fitness; Gyms; Chain; Weight Loss; Obesity; Exercise; Personal Training; Retention; Bally Total Fitness; 24 Hour Fitness; YMCA; Gold's Gym; Curves; Franchise; Franchising; Subscription; Promotional Sales; Promotions; Fixed Costs; Body; Business Ventures; Strategy; Health; Investment; Health Industry; Health Industry; United States
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Wells, John R., and Gabriel Ellsworth. "The U.S. Health Club Industry, 2005–2016." Harvard Business School Background Note 717-421, October 2016. (Revised January 2017.)
  • May 2024 (Revised March 2025)
  • Case

MStudio and Djoli: Accelerating Startup Growth in Francophone Africa

By: Paul A. Gompers, Pippa Tubman Armerding and Temitayo Lawal
Djoli, a procurement platform, was one of the startups launched and supported by MStudio, a startup studio in Côte d'Ivoire, in 2023. After a year of operations, Djoli must look beyond MStudio, which had supported them financially and in kind in exchange for equity,... View Details
Keywords: Business Startups; Agriculture and Agribusiness Industry; Distribution Industry; Technology Industry; Africa; Côte d'Ivoire
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Gompers, Paul A., Pippa Tubman Armerding, and Temitayo Lawal. "MStudio and Djoli: Accelerating Startup Growth in Francophone Africa." Harvard Business School Case 824-183, May 2024. (Revised March 2025.)
  • March 2023
  • Supplement

Innovation at Google Ads: The Sales Acceleration and Innovation Labs (SAIL) (B)

By: Linda A. Hill and Emily Tedards
In 2018, Ana Owczarzak was appointed to lead Google Ads' new innovation and accelerator team - the Sales Acceleration and Innovation Labs (SAIL). The purpose of SAIL was to offer testing and incubation services for individuals within Google Ads who were developing new... View Details
Keywords: Innovation Leadership; Organizational Culture; Technology Industry; Information Technology Industry; Advertising Industry; United States
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Hill, Linda A., and Emily Tedards. "Innovation at Google Ads: The Sales Acceleration and Innovation Labs (SAIL) (B)." Harvard Business School Supplement 423-077, March 2023.
  • November 2004 (Revised September 2019)
  • Background Note

The U.S. Health Club Industry in 2004

By: John R. Wells, Gabriel Ellsworth and Benjamin Weinstock
In 2004, the $16.8 billion U.S. health club industry continued its strong record of growth. There were almost 27,000 health clubs in the United States, up from 6,700 two decades earlier, and these clubs claimed 41 million members, over 14% of the U.S. population.... View Details
Keywords: Health Clubs; Fitness; Gyms; Chain; Weight Loss; Obesity; Exercise; Personal Training; Bally Total Fitness; 24 Hour Fitness; YMCA; Gold's Gym; Curves; Franchise; Franchising; Subscription; Promotional Sales; Promotions; Fixed Costs; Body; Accrual Accounting; Revenue Recognition; Buildings and Facilities; Business Growth and Maturation; Business Model; For-Profit Firms; Trends; Customers; Demographics; Age; Income; Private Equity; Financing and Loans; Profit; Revenue; Geographic Scope; Multinational Firms and Management; Health; Nutrition; Business History; Employees; Retention; Human Capital; Working Conditions; Contracts; Business or Company Management; Goals and Objectives; Growth and Development Strategy; Markets; Demand and Consumers; Supply and Industry; Industry Growth; Industry Structures; Operations; Service Operations; Franchise Ownership; Private Ownership; Public Ownership; Problems and Challenges; Sales; Salesforce Management; Situation or Environment; Opportunities; Nonprofit Organizations; Welfare; Sports; Strategy; Business Strategy; Competition; Competitive Strategy; Consolidation; Corporate Strategy; Customization and Personalization; Expansion; Segmentation; Hardware; Health Industry; United States
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Wells, John R., Gabriel Ellsworth, and Benjamin Weinstock. "The U.S. Health Club Industry in 2004." Harvard Business School Background Note 705-445, November 2004. (Revised September 2019.)
  • April 1993 (Revised May 1994)
  • Case

Genzyme Corporation: Strategic Challenges with Ceredase

Genzyme Corp., one of the largest biotechnology companies, has succeeded in developing, manufacturing, and commercializing its first therapeutic, a treatment for a rare genetic disease. Analysis of the case requires students to identify and understand how Genzyme has... View Details
Keywords: Risk Management; Risk and Uncertainty; Corporate Strategy; Technology; Health; Product Development; Biotechnology Industry; Pharmaceutical Industry; United States
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Teisberg, Elizabeth O., and Sharon L. Rossi. "Genzyme Corporation: Strategic Challenges with Ceredase." Harvard Business School Case 793-120, April 1993. (Revised May 1994.)
  • September 2022
  • Article

How Emerging Telehealth Models Challenge Policymaking

By: Mitchell Tang, Michael E Chernew and Ateev Mehrotra
Policy Points

  • Current telehealth policy discussions are focused on synchronous video and audio telehealth visits delivered by traditional providers and have neglected the growing number of alternative telehealth offerings.

  • These alternative... View Details
  • Keywords: Telehealth; Health Care and Treatment; Technology Adoption; Policy; Health Industry
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    Tang, Mitchell, Michael E Chernew, and Ateev Mehrotra. "How Emerging Telehealth Models Challenge Policymaking." Milbank Quarterly 100, no. 3 (September 2022): 650–672.
    • July 2007 (Revised January 2008)
    • Case

    Turnaround at the Veterans Health Administration (A)

    By: Amy C. Edmondson, Brian R. Golden and Gary J. Young
    Investigates the challenges that Dr. Kenneth W. Kizer confronted in seeking to create organizational change at the largest integrated health care system in North America, the Veterans Health Administration (VHA). Kizer was appointed as the Under Secretary of Health, to... View Details
    Keywords: Problems and Challenges; Organizational Change and Adaptation; Transformation; Leadership; Consolidation; Health Care and Treatment; Service Delivery; Health Industry; Health Industry; North and Central America
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    Edmondson, Amy C., Brian R. Golden, and Gary J. Young. "Turnaround at the Veterans Health Administration (A)." Harvard Business School Case 608-061, July 2007. (Revised January 2008.)
    • 15 Nov 2004
    • Research & Ideas

    Solving the Health Care Conundrum

    important catalyst to accelerate change; however, policy changes are not necessary to initiate migration to value-based competition. The policy debate is complex, political, and often focuses on the wrong subjects. The debate is often... View Details
    Keywords: by Michael E. Porter; Health
    • April 2013
    • Article

    Setting Health Priorities: Strategy versus Tactics

    By: Michael Chu, David E. Bloom and Elizabeth Cafiero
    Health decision makers throughout the world are faced with a multiplicity of challenges. As resource limitations are a fundamental fact of life, choices necessarily have to be made about which challenges to address, and the best way to tackle them. In this piece, we... View Details
    Keywords: Strategy; Decision Making; Health Care and Treatment; Problems and Challenges; Health Industry
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    Chu, Michael, David E. Bloom, and Elizabeth Cafiero. "Setting Health Priorities: Strategy versus Tactics." Impact, the Magazine of PSI, no. 12 (April 2013).
    • September 2017 (Revised February 2018)
    • Case

    Becton Dickinson: Global Health Strategy

    By: Mark R. Kramer and Sarah Mehta
    Becton, Dickinson and Company (BD) was a medical technology firm headquartered in Franklin Lakes, New Jersey, with 43,000 employees and 2016 revenues of $12.5 billion. For several years, the company had pursued developing products that created shared value, defined as... View Details
    Keywords: Shared Value; Creating Shared Value; Odon Device; Medical Technology; Value Creation; Values and Beliefs; Philanthropy and Charitable Giving; Health; Health Care and Treatment; Health Testing and Trials; Emerging Markets; Social Issues; Competitive Strategy; Medical Devices and Supplies Industry; Africa; Asia; Middle East
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    Kramer, Mark R., and Sarah Mehta. "Becton Dickinson: Global Health Strategy." Harvard Business School Case 718-406, September 2017. (Revised February 2018.)
    • 02 Aug 2004
    • Research & Ideas

    Health Care Research and Prospects

    As is clear to anyone who pays medical insurance premiums or has undergone any kind of medical procedure, the business of health care is an expensive one. The technology is expensive. The research is expensive. The services are expensive.... View Details
    Keywords: by Wendy Guild Swearingen; Health
    • July–August 2016
    • Article

    How to Pay for Health Care

    By: Michael E. Porter and Robert S. Kaplan
    The United States stands at a crossroads in how to pay for health care. Fee for service, the dominant model in the United States and many other countries, is now widely recognized as perhaps the biggest obstacle to improving health care delivery. A battle is currently... View Details
    Keywords: Health Care and Treatment; Finance; Health Industry; United States
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    Porter, Michael E., and Robert S. Kaplan. "How to Pay for Health Care." Harvard Business Review 94, nos. 7-8 (July–August 2016): 88–100.
    • Article

    Association of the Meaningful Use Electronic Health Record Incentive Program with Health Information Technology Venture Capital Funding

    By: Samuel Lite, William J. Gordon and Ariel Dora Stern
    IMPORTANCE
    Although the Health Information Technology for Economic and Clinical Health (HITECH) Act has accelerated electronic health record (EHR) adoption since its passage, clinician satisfaction with EHRs remains low, and the association of HITECH with... View Details
    Keywords: Health Care and Treatment; Information Technology; Laws and Statutes; Innovation and Invention; Entrepreneurship; Venture Capital
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    Lite, Samuel, William J. Gordon, and Ariel Dora Stern. "Association of the Meaningful Use Electronic Health Record Incentive Program with Health Information Technology Venture Capital Funding." JAMA Network Open 3, no. 3 (March 2020).
    • 2012
    • Chapter

    Mental Health in the Aftermath of Conflict

    By: Quy-Toan Do and Lakshmi Iyer
    We survey the recent literature on the mental health effects of conflict. We highlight the methodological challenges faced in this literature, which include the lack of validated mental health scales in a survey context, the difficulties in measuring individual... View Details
    Keywords: Conflict of Interests; Measurement and Metrics; Surveys; Analytics and Data Science; Ethnicity; War; Health Disorders; Body of Literature; Problems and Challenges; Bosnia and Hercegovina
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    Do, Quy-Toan, and Lakshmi Iyer. "Mental Health in the Aftermath of Conflict." In Oxford Handbook of the Economics of Peace and Conflict, edited by Michelle Garfinkel and Stergios Skaperdas. Oxford University Press, 2012.
    • 2019
    • Chapter

    Teams and Team Effectiveness in Health Services Organizations

    By: Bruce J. Fried and Amy C. Edmondson
    Book Abstract: Completely updated to address the challenges faced by modern health care organizations, this edition of Shortell and Kaluzny's Health Care Management: Organization Design and Behavior offers a more global perspective on how the United States and... View Details
    Keywords: Groups and Teams; Performance Effectiveness; Health; Health Industry
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    Fried, Bruce J., and Amy C. Edmondson. "Teams and Team Effectiveness in Health Services Organizations." Chap. 5 in Shortell & Kaluzny's Health Care Management: Organization Design and Behavior. 7th ed., edited by Lawton Robert Burns, Elizabeth H. Bradley, and Bryan Jeffrey Weiner, 98–131. Boston, MA: Cengage Learning, 2019.
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