Publications

2012
Other Book

Redefining German Health Care: Moving to a Value-Based System

By: Michael E. Porter and Clemens Guth

The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends. Why has Germany failed to solve... View Details

Keywords: Health

February 2015
Supplement

The Affordable Care Act (B): Industry Negotiations

By: Joseph L. Bower and Michael Norris

In 2009, the Obama administration and Senator Max Baucus, chairman of the Senate Finance Committee enter into talks with industry groups that will be affected by the health reform that the Congress is working on. View Details

Keywords: Health Care; Health Care Policy; Health; Health Industry; United States

16 Jul 2008
Op-Ed

What Should Employers Do about Health Care?

ignored health care altogether, leaving it to government or dutifully paying their mandated health contributions. Many U.S. employers are dropping health benefits or hoping for... View Details

Keywords: by Michael E. Porter, Elizabeth O. Teisberg & Scott Wallace; Health

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

September 2014 (Revised March 2016)
Case

Mayo Clinic: The 2020 Initiative

By: Regina E. Herzlinger, Robert S. Huckman and Jenny Lesser

Describes the challenges facing Dr. John Noseworthy, President and CEO, in implementing a long-term strategy for the growth of the Mayo Clinic—a leading academic medical center with a reputation for excellence in tertiary and quaternary health care. The case highlights... View Details

Keywords: Health; Health Care Industry; Health Care Policy; Health Care and Treatment; Health Industry; United States

Educators

07 Mar 2000
Research & Ideas

Putting Health Care Consumers in the Driver’s Seat

A mid-November conference on consumer-driven health care attracted nearly two hundred providers of health-care services, technology, and information; government professionals; and insurance executives to the HBS campus for a two-day... View Details

Keywords: by Staff; Health

03 Jul 2012
Research & Ideas

HBS Faculty on Supreme Court Health Care Ruling

Without an individual mandate, instead of buying their own insurance, most of the sick will qualify for subsidized coverage either in the public health insurance exchanges created under health care View Details

Keywords: Re: Multiple Faculty; Health

January 2007 (Revised April 2011)
Case

Farmacias Similares: Private and Public Health Care for the Base of the Pyramid in Mexico

By: Michael Chu and Regina Garcia-Cuellar

Farmacias Similares, serving Mexico's low-income sector, grew to $600 million sales and 3,400 drugstores while deep reforms to help the poor swept the public health system. Adjacent to each store, for $2 per visit, medical clinics provided access to doctors for 2.3... View Details

Keywords: Private Sector; Public Sector; Health Care and Treatment; Growth and Development Strategy; Poverty; Pharmaceutical Industry; Retail Industry; Mexico

Educators

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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February 2021
Case

New England Baptist Hospital: Getting Paid for Value

By: Robert S. Kaplan, Mary Witkowski, Toby E. Emanuel and Syed S. Shehab

New England Baptist Hospital (NEBH), a national leader in adult orthopedic care, has the lowest rate of complications and 30-day readmissions in New England, but gets paid 30% less for its surgeries than nearby institutions. NEBH introduces, with several large... View Details

Keywords: Healthcare; Healthcare Spending; Healthcare Innovation; Healthcare Industry; Health Care Outcomes; Health Care Delivery; Health Care Reform; Bundled Payments; Health Care and Treatment; Spending; Innovation and Invention; Value Creation; Strategy; Health Industry; North America

Educators

February 2015
Supplement

The Affordable Care Act (E): The August 2009 Recess

By: Joseph L. Bower and Michael Norris

During the Congress's August recess in 2009, the Tea Party makes a big push to stop the health reform bill moving through Congress. View Details

Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; Health Industry; United States

Article

The Covid-19 Pandemic Should Not Delay Actions to Prevent Anticompetitive Consolidation in U.S. Health Care Markets

By: Leemore S. Dafny

This article describes potential regulatory and legislative reforms to assist antitrust enforcement agencies in halting anticompetitive acquisitions and practices, and preserving and promoting competition in health care markets. View Details

Keywords: Health Care and Treatment; Markets; Competition; Governing Rules, Regulations, and Reforms

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Research Summary

Overview

We are studying the practical application of Michael Porter's value-based strategy to reform health care by examining best practices of integrated practice units, outcome measurement, cost measurement, value-based payment, episode based payment, regionalization of... View Details

Keywords: Health Care; Health Care Outcomes; Healthcare IT; Health Care Quality; Health Economics; Value Agenda; Information Technology; Mobile App; Big Data; Electronic Health Records; Pers; Value Creation; Information Technology Industry; United States

May 2024
Article

The Health Risks of Generative AI-Based Wellness Apps

By: Julian De Freitas and G. Cohen

Artifcial intelligence (AI)-enabled chatbots are increasingly being used to help people manage their mental health. Chatbots for mental health and particularly ‘wellness’ applications currently exist in a regulatory ‘gray area’. Indeed, most generative AI-powered... View Details

Keywords: AI and Machine Learning; Well-being; Governing Rules, Regulations, and Reforms; Applications and Software

Read Now

Article

Do We Spend Too Much on Health Care?

By: Katherine Baicker and Amitabh Chandra

Health system reforms—such as changes in insurance design, patient cost sharing, payment reform, or price regulation—should be judged by whether they move us toward higher-value use of resources, rather than by whether they reduce spending. View Details

Keywords: Health Care and Treatment; Cost; Governing Rules, Regulations, and Reforms; Value Creation

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February 2015
Supplement

The Affordable Care Act (F): Regaining Momentum

By: Joseph L. Bower and Michael Norris

In the fall of 2009, President Obama makes a speech to a joint session of Congress in an attempt to regain lost momentum on health reform and get a bill through Congress. View Details

Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; Health Industry; United States

12 Jul 2004
Research & Ideas

Michael Porter’s Prescription For the High Cost of Health Care

is no villain here. Poor public-policy choices have contributed to the problem, but so have the bad choices made by health plans, hospitals, and the employers who buy their services. Decades of "reform" have failed, and attempts... View Details

Keywords: by Michael E. Porter; Health

February 2015
Supplement

The Affordable Care Act (G): The Final Votes

By: Joseph L. Bower and Michael Norris

In the fall of 2009, the House and Senate each voted to pass health reform bills. These bills then had to be combined into the Affordable Care Act and the ACA had to be passed by both houses. Reconciliation had to be used because of Republican Scott Brown's Senate... View Details

Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; Health Industry; United States