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  • May 2018 (Revised October 2020)
  • Supplement

La Ribera Health Department (B): Epilogue

By: Regina E. Herzlinger, Emer Moloney and Daniela Beyersdorfer
The La Ribera case studies depict an innovative low cost/high quality privately financed hospital model struggling to achieve alignment with the Six Factors. It is reimbursed by the public sector in a Spanish environment whose Consumers, Structure, and Public Policy... View Details
Keywords: Trends And Opportunities; Government; Government Programs; Acquisition; Business Model; Business Plan; Trends; Opportunities; Government and Politics; Programs; Health Care and Treatment; Situation or Environment; Health Industry; Health Industry; Health Industry; Spain
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Herzlinger, Regina E., Emer Moloney, and Daniela Beyersdorfer. "La Ribera Health Department (B): Epilogue." Harvard Business School Supplement 318-134, May 2018. (Revised October 2020.)
  • October 2023
  • Article

Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record

By: Anna D Sinaiko, Caroline E Sloan, Mark J Soto, Olivia Zhao, Chen-Tan Lin and Foster R Goss
Keywords: Prescription Drugs; Electronic Health Records; Physicians; Prescription Drug Costs; Health Care and Treatment; Price; Health Industry
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Sinaiko, Anna D., Caroline E Sloan, Mark J Soto, Olivia Zhao, Chen-Tan Lin, and Foster R Goss. "Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record." JAMA Internal Medicine 183, no. 10 (October 2023): 1172–1175.
  • July 2002 (Revised April 2008)
  • Case

Helios Health (B)

By: Regina E. Herzlinger
Supplements the (A) case. View Details
Keywords: Price; Customization and Personalization; Information; Investment Return; Health Industry
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Herzlinger, Regina E. "Helios Health (B)." Harvard Business School Case 303-039, July 2002. (Revised April 2008.)
  • 13 Jul 2009
  • Research & Ideas

Diagnosing the Public Health Care Alternative

As health insurance reform is hotly debated in Washington, DC, what strategies should be central for the benefit of patients' health? HBS faculty with expertise in business administration, economic development, and operations strategy... View Details
Keywords: by Staff; Health
  • August 2013 (Revised August 2014)
  • Case

Aon Hewitt's Private Health Insurance Exchange

By: Regina E. Herzlinger, Aiden Y. Feng and Meghan D. Oliver
Aon Hewitt, a leading health insurance broker and consultant, is one of the first movers in forming exchanges to sell health insurance. What kinds of products should it offer on this exchange? View Details
Keywords: Health Care and Treatment; Insurance
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Herzlinger, Regina E., Aiden Y. Feng, and Meghan D. Oliver. "Aon Hewitt's Private Health Insurance Exchange." Harvard Business School Case 314-037, August 2013. (Revised August 2014.)
  • 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.
  • 2016
  • Working Paper

Entrepreneurship and Public Health Insurance

By: Gareth Olds
I examine the relationship between public health insurance and firm formation. Developing a variant of regression discontinuity, I find the Child Health Insurance Program lowered the child uninsured rate by 40% and increased self-employment by 15%. Monte Carlo evidence... View Details
Keywords: Insurance; Entrepreneurship
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Olds, Gareth. "Entrepreneurship and Public Health Insurance." Harvard Business School Working Paper, No. 16-144, June 2016.
  • February 2016 (Revised September 2017)
  • Case

Mohamed Azab and Seha Capital

By: Richard G. Hamermesh and Sarah McAra
In January 2011, Mohamed Azab, founder and CEO of health care investment firm Seha Capital, made his first health care investment in Hassab Labs, a diagnostic lab in Alexandria, Egypt. Weeks later, a revolution erupted across the country as the Arab Spring swept... View Details
Keywords: Health Care; Health; Pan-Africa; Health Care Investment; Financing; Developing World; Entrepreneurship; Health Care and Treatment; Investment; Financing and Loans; Developing Countries and Economies; Egypt; Africa
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Hamermesh, Richard G., and Sarah McAra. "Mohamed Azab and Seha Capital." Harvard Business School Case 816-066, February 2016. (Revised September 2017.)
  • September 2011 (Revised January 2012)
  • Case

Telemonitoring at Visiting Nurse Health System

By: F. Warren McFarlan, Mark Keil and Mala Kaul
The Telemonitoring at Visiting Nurse Health System case presents one home healthcare organization's efforts to use telemonitoring to improve the quality of care provided to at-risk patients who were discharged from hospitals and needed home care. After two years of... View Details
Keywords: Capital Budgeting; Cost vs Benefits; Risk Management; Technology Adoption; Technological Innovation; Organizational Change and Adaptation; Competitive Strategy; Health Industry; Health Industry
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McFarlan, F. Warren, Mark Keil, and Mala Kaul. "Telemonitoring at Visiting Nurse Health System." Harvard Business School Case 112-030, September 2011. (Revised January 2012.)
  • Article

Consumer-Driven Health Care: Taming the Health Care Cost Monster

By: Regina E. Herzlinger
Keywords: Health Care and Treatment; Customers; Cost; Health Industry
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Herzlinger, Regina E. "Consumer-Driven Health Care: Taming the Health Care Cost Monster." Journal of Financial Service Professionals 58, no. 2 (March 2004): 44–48.
  • 04 Jun 2007
  • Research & Ideas

Is Health Care Making You Better—or Dead?

Regina Herzlinger is not afraid to call them as she sees them. And what she sees looking at the American health care industry is a bunch of killers. Not only are hospitals, insurers, employers, Congress, and academics killing View Details
Keywords: by Sean Silverthorne; Health
  • 2021
  • Working Paper

The Health Costs of Cost-Sharing

By: Amitabh Chandra, Evan Flack and Ziad Obermeyer
We use the design of Medicare’s prescription drug benefit program to demonstrate three facts about the health consequences of cost-sharing. First, we show that an as-if-random increase of 33.6% in out-of-pocket price (11.0 percentage points (p.p.) change in... View Details
Keywords: Cost-sharing; Impact; Health Care and Treatment; Insurance; Health; Consumer Behavior
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Chandra, Amitabh, Evan Flack, and Ziad Obermeyer. "The Health Costs of Cost-Sharing." NBER Working Paper Series, No. 28439, February 2021.
  • 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).
  • 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
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Herzlinger, Regina E., and Charles C. Huang. "Note on Bundled Payment in Health Care." Harvard Business School Background Note 312-032, September 2011. (Revised August 2014.)
  • 20 Apr 2017
  • Cold Call Podcast

Making Health Insurance That Consumers Actually Like

Keywords: Re: Regina E. Herzlinger; Health; Health
  • February 2019
  • Article

Does It Matter If Your Health Insurer Is For Profit? Effects of Ownership on Premiums, Insurance Coverage, and Medical Spending

By: Leemore S. Dafny
There is limited empirical evidence about the impact of for-profit health insurers on various outcomes. I study the effects of conversions to for-profit status by Blue Cross Blue Shield (BCBS) affiliates in 11 states, spanning 28 geographic markets. I find both the... View Details
Keywords: Health Insurance; Medical Loss Ratio; Blue Cross; Corporate Governance; Health; Insurance; For-Profit Firms; Insurance Industry; United States
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Dafny, Leemore S. "Does It Matter If Your Health Insurer Is For Profit? Effects of Ownership on Premiums, Insurance Coverage, and Medical Spending." American Economic Journal: Economic Policy 11, no. 1 (February 2019): 222–265.
  • 2012
  • Chapter

Consumer-Driven Health Care: Conquering Health Care Cost and Quality Demons

By: Regina E. Herzlinger
Keywords: Health Care and Treatment; Cost Management; Quality; Demand and Consumers; Health Industry
Citation
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Herzlinger, Regina E. "Consumer-Driven Health Care: Conquering Health Care Cost and Quality Demons." In Accountability and Responsibility in Health Care: Issues in Addressing an Emerging Global Challenge. Vol. 1, edited by Bruce Rosen, Avi Israeli, and Stephen Shortell. World Scientific Series in Global Healthcare Economics and Public Policy. World Scientific, 2012.
  • 28 Nov 2006
  • Other Presentation

Value-Based Competition in Health Care: Issues for Singapore

By: Michael E. Porter
This presentation draws Michael E. Porter and Elizabeth Olmsted Teisberg: Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press, May 2006. Earlier publications about health care include the Harvard Business Review... View Details
Keywords: Integration; Competition; Customer Value and Value Chain; Insurance; Health Care and Treatment; Health Industry; Singapore
Citation
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Porter, Michael E. "Value-Based Competition in Health Care: Issues for Singapore." Lee Kuan Yew School of Public Policy, Singapore, November 28, 2006.
  • February 2018
  • Case

Aetna and the Transformation of Health Care

By: Rebecca M. Henderson, Russell Eisenstat and Matthew Preble
Mark Bertolini, chairman and CEO of the health insurer Aetna, faces a number of questions as he seeks to transform Aetna from a classic insurance company into a business that will engage much more deeply with its members around their personal health goals. His strategy... View Details
Keywords: Health Care and Treatment; Insurance; Transformation; Behavior; Leading Change; Strategy; Health Industry; Health Industry; United States; Connecticut
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Henderson, Rebecca M., Russell Eisenstat, and Matthew Preble. "Aetna and the Transformation of Health Care." Harvard Business School Case 318-048, February 2018.
  • October 24, 2018
  • Article

End the Corporate Health Care Tax

By: Mark R. Kramer and John Pontillo
Imagine if a single piece of legislation could effectively eliminate all U.S. corporate taxes, subsidize hundreds of millions of dollars in new corporate investment, increase the take-home pay of most U.S. employees, ease state and local budgets, and reduce the U.S.... View Details
Keywords: Corporate Taxation; Health Care and Treatment; Insurance; Taxation; Governing Rules, Regulations, and Reforms; United States
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Kramer, Mark R., and John Pontillo. "End the Corporate Health Care Tax." Harvard Business Review Digital Articles (October 24, 2018).
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