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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
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  • 25 Apr 2017
  • First Look

First Look at New Research, April 25

implications are discussed. Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=51617 forthcoming Management Science Discretionary Task Ordering: Queue Management in Radiological Services By: Ibanez, Maria, Jonathan R. Clark, View Details
Keywords: Sean Silverthorne
  • 03 Feb 2015
  • First Look

First Look: February 3

Mandates, and the Use of In Vitro Fertilization Services in the United States By: Kiatpongsan, Sorapop, Robert S. Huckman, and Mark D. Hornstein Abstract—Objective: To... View Details
Keywords: Sean Silverthorne
  • March–April 2024
  • Article

Retailers and Health Systems Can Improve Care Together

By: Robert S. Huckman, Vivian S. Lee and Bradley R Staats
Health systems are struggling to address the many shortcomings of health care delivery: rapidly growing costs, inconsistent quality, and inadequate and unequal access to primary and other types of care. However, if retailers and health systems were to form strong... View Details
Keywords: Health Care; Retail; Retailers; Consumer; Health Care and Treatment; Value; Consumer Behavior; Business Model; Partners and Partnerships; Health Industry; Retail Industry; United States
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  • August 2015
  • Article

Hospital Board and Management Practices Are Strongly Related to Hospital Performance on Clinical Quality Metrics

By: Thomas C Tsai, Ashish K. Jha, Atul A. Gawande, Robert S. Huckman, Nicholas Bloom and Raffaella Sadun
National policies to improve health care quality have largely focused on clinical provider outcomes and, more recently, payment reform. Yet the association between hospital leadership and quality, although crucial to driving quality improvement, has not been explored... View Details
Keywords: Hospitals; Quality; Governing and Advisory Boards; Management Practices and Processes; Service Delivery; Health Care and Treatment; Health Industry
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  • 2016
  • Working Paper

Cohort Turnover and Operational Performance: The July Phenomenon in Teaching Hospitals

By: Hummy Song, Robert S. Huckman and Jason R. Barro
We consider the impact of cohort turnover—the planned simultaneous exit of a large number of experienced employees and a similarly sized entry of new workers—on operational performance in the context of teaching hospitals. Specifically, we examine the impact of the... View Details
Keywords: Health Care; Health Care Operations; Hospitals; Productivity; Empirical Operations; Service Delivery; Training; Performance Productivity; Health Care and Treatment; Health Industry; United States
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  • July 2019
  • Article

Evaluation of Economic and Clinical Outcomes Under Centers for Medicare & Medicaid Services Mandatory Bundled Payments for Joint Replacements

By: Derek A. Haas, Xiaoran Zhang, Robert S. Kaplan and Zirui Song
In 2016, the Centers for Medicare & Medicaid Services (CMS) launched its first mandatory bundled payment program, the Comprehensive Care for Joint Replacement (CJR) model, by randomizing metropolitan statistical areas (MSAs) into the payment model. The paper analyzed... View Details
Keywords: Medicare; Medicaid; Bundled Payments; Health Care and Treatment; Cost Management; Performance Evaluation; Outcome or Result
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  • 18 Aug 2009
  • First Look

First Look: August 18

a purely social act with economic considerations. Download the paper: http://www.hbs.edu/research/pdf/10-012.pdf Input Constraints and the Efficiency of Entry: Lessons from Cardiac Surgery Authors:David M. Cutler, Robert View Details
Keywords: Martha Lagace
  • 06 Apr 2010
  • First Look

First Look: April 6

accompanies the cases "Medtronic: Patient Management Initiative" (A) and (B), HBS Nos. 302-005 and 309-064. Purchase this note:http://cb.hbsp.harvard.edu/cb/product/310075-PDF-ENG Jet Propulsion Laboratory Robert View Details
Keywords: Martha Lagace
  • 28 Jun 2016
  • First Look

June 28, 2016

supports our model’s underlying mechanisms. Download working paper: https://www.hbs.edu/faculty/Pages/item.aspx?num=49868 Cohort Turnover and Operational Performance: The July Phenomenon in Teaching Hospitals By: Song, Hummy, Robert View Details
Keywords: Sean Silverthorne
  • 22 Jan 2013
  • First Look

First Look: Jan. 22

Download the paper: http://ssrn.com/abstract=2028982   Cases & Course MaterialsNew Balance Athletic Shoe, Inc. (Abridged) Bowen, H. Kent, Robert S. Huckman, Carin-Isabel... View Details
Keywords: Sean Silverthorne
  • 14 Nov 2017
  • First Look

New Research and Ideas: November 14, 2017

magazine’s pages. Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=53458 November–December 2017 Harvard Business Review The IT Transformation Health Care Needs By: Sahni, Nikhil R., Robert S.... View Details
Keywords: Carmen Nobel
  • 20 Mar 2018
  • First Look

First Look at New Research and Ideas, March 20, 2018

link: https://www.hbs.edu/faculty/Pages/item.aspx?num=54267 February 6, 2018 Harvard Business Review What Could Amazon's Approach to Health Care Look Like? By: Huckman, Robert View Details
Keywords: Sean Silverthorne
  • November 2012
  • Case

New Balance Athletic Shoe, Inc. (Abridged)

By: H. Kent Bowen, Robert S. Huckman, Carin-Isabel Knoop and Matthew Preble
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: Production; Competitive Strategy; Supply Chain; Brands and Branding; Apparel and Accessories Industry; Sports Industry; Retail Industry; Asia; United States
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  • 03 Nov 2015
  • First Look

November 3, 2015

Discretionary Task Ordering: Queue Management in Radiological Services By: Ibanez, Maria, Jonathan R. Clark, Robert S. Huckman, and Bradley R. Staats Abstract—A long line of... View Details
Keywords: Sean Silverthorne
  • 23 Feb 2016
  • First Look

February 23, 2016

https://www.hbs.edu/faculty/Pages/item.aspx?num=50625 February 2016 Harvard Business Review The Harvard Contest That’s Trying to Improve Health Care Delivery By: Hamermesh, Richard G., Robert S. View Details
Keywords: Sean Silverthorne
  • September 2009
  • Article

A Detailed Analysis of the Reduction Mammaplasty Learning Curve: A Statistical Process Model for Approaching Surgical Performance Improvement

By: Matthew Carty MD, Rodney Chan, Robert S. Huckman, Daniel C. Snow and Dennis Orgill

Background: The increased focus on quality and efficiency improvement within academic surgery has met with variable success among plastic surgeons. Traditional surgical performance metrics, such as morbidity and mortality, are insufficient to improve the... View Details

Keywords: Experience and Expertise; Health Care and Treatment; Medical Specialties; Outcome or Result; Performance Efficiency; Performance Improvement
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  • June 2016
  • Article

When Doctors Go to Business School: Career Choices of Physician-MBAs

By: Damir Ljuboja, Brian W. Powers, Benjamin Robbins, Robert S. Huckman, Krishna Yeshwant and Sachin Jain
There has been substantial growth in the number of physicians pursuing Master of Business Administration (MBA) degrees over the past decade, but there is continuing debate over the utility of these programs and the career outcomes of their graduates. The authors... View Details
Keywords: Medical Education; MD; MBA; Physicians; Executive Education; Training; Personal Development and Career; Health Care and Treatment; Health Industry; United States
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  • 23 Oct 2019
  • News

Exploring Big Issues at the Intersection of Business and Society

applied to a wide range of issues,” explains Huckman, who co-chaired Viewpoints. The day opened with a keynote on “The Fragile State of the World,” by Rawi Abdelal, the Herbert F. Johnson Professor of... View Details
Keywords: Educational Innovation
  • Article

The Inpatient Discharge Lounge as a Potential Mechanism to Mitigate Emergency Department Boarding and Crowding

By: Brian Franklin, Sharif Vakili, Robert S. Huckman, Sarah Hosein, Nicholas Falk, Katherine Cheng, Maria Murray, Sheila Harris, Charles A. Morris and Eric Goralnick
Delayed access to inpatient beds for admitted patients contributes significantly to emergency department (ED) boarding and crowding, which have been associated with deleterious patient safety effects. To expedite inpatient bed availability, some hospitals have... View Details
Keywords: Health Care Delivery; Emergency Room; Operations Improvement; Operations Management; Health Care and Treatment; Service Delivery; Operations; Management; Performance Improvement; Service Operations
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