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      • March 2015 (Revised September 2016)
      • Case

      Terrapin Laboratory

      By: Richard G. Hamermesh and Joseph B. Fuller
      Describes the formation and rapid growth of a drug testing company. The company needs to decide whether to enter the painkiller testing market, in addition to growing its drug treatment center business. The associated teaching materials provide students the opportunity... View Details
      Keywords: Business Growth; Entrepreneurial Management; Entrepreneurship; Growth Strategy; Market Entry; Venture Capital; Growth Management; Expansion; Financing and Loans; Health Care and Treatment; Health Testing and Trials; Business Startups; Health Industry; Health Industry
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      Hamermesh, Richard G., and Joseph B. Fuller. "Terrapin Laboratory." Harvard Business School Case 315-098, March 2015. (Revised September 2016.)
      • February 2015 (Revised June 2017)
      • Case

      Intrapreneurship at DaVita HealthCare Partners

      By: Joseph B. Fuller, David J. Collis and Matthew G. Preble
      Josh Golomb, president and general manager of DaVita Rx (Rx), was about to meet with Kent Thiry, CEO of Rx's corporate parent, DaVita Healthcare Partners Inc. (DaVita), in August 2013. The two would discuss whether Golomb should lead a new DaVita venture, Paladina... View Details
      Keywords: Intrapreneurship; Entrepreneurial Organizations; Startup Management; Startup; Strategic Positioning; Corporate Entrepreneurship; Corporate Strategy; Business Startups; Strategic Planning; Competitive Strategy; Health Industry; United States
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      Fuller, Joseph B., David J. Collis, and Matthew G. Preble. "Intrapreneurship at DaVita HealthCare Partners." Harvard Business School Case 315-046, February 2015. (Revised June 2017.)
      • February 2015 (Revised November 2015)
      • Supplement

      Building an Integrated Biopharma Company: Crucell (B)

      By: Richard G. Hamermesh, Marianne Van Der Steen and Susan Harmeling
      The Crucell (B) case updates events at Crucell since 2009. In September, 2009, Johnson & Johnson acquired 18% of Crucell for $400 million. This investment was part of a business development deal. Subsequently, in 2012, Johnson & Johnson acquired Crucell for $2.8... View Details
      Keywords: Biotechnology; Biopharmacy Company; Licensing Agreements In Biopharmacy; Licensing; Human Cell-line Technology; Vaccine; Healthcare Innovation; Global Health; Entrepreneurship; Health Care and Treatment; Acquisition; Innovation and Invention; Biotechnology Industry; Pharmaceutical Industry
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      Hamermesh, Richard G., Marianne Van Der Steen, and Susan Harmeling. "Building an Integrated Biopharma Company: Crucell (B)." Harvard Business School Supplement 815-086, February 2015. (Revised November 2015.)
      • February 2015
      • Supplement

      The Affordable Care Act (A): Legislative Strategy in the House of Representatives

      By: Joseph L. Bower and Michael Norris
      In early 2009, the Obama administration and the Democratically-led Congress began working on what would eventually become the Affordable Care Act. The (A) case in this series discusses the legislative strategy in the House of Representatives, where three different... View Details
      Keywords: Health Care; Health Care Policy; Government And Politics; Government Administration; Health Care and Treatment; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (A): Legislative Strategy in the House of Representatives." Harvard Business School Supplement 315-032, February 2015.
      • February 2015
      • Supplement

      The Affordable Care Act (C): Legislative Strategy in the Senate

      By: Joseph L. Bower and Michael Norris
      In 2009, the Senate begins drafting its health care bills. Jurisdiction in the Senate is shared between two committees, but the more important is the Senate Finance Committee. View Details
      Keywords: Health Care; Health Care Policy; Government And Politics; Health; Government Administration; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (C): Legislative Strategy in the Senate." Harvard Business School Supplement 315-034, February 2015.
      • February 2015
      • Supplement

      The Affordable Care Act (D): Making a Decision on the Employer-Sponsored Health Insurance Tax Exclusion

      By: Joseph L. Bower and Michael Norris
      In the summer of 2009, a meeting is called in the White House to discuss the impact of changing the rules on the employer-sponsored health insurance tax exclusion. View Details
      Keywords: Health Care; Health Care Policy; Health; Government and Politics; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (D): Making a Decision on the Employer-Sponsored Health Insurance Tax Exclusion." Harvard Business School Supplement 315-035, February 2015.
      • 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
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (E): The August 2009 Recess." Harvard Business School Supplement 315-036, February 2015.
      • 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
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (F): Regaining Momentum." Harvard Business School Supplement 315-037, February 2015.
      • 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
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (G): The Final Votes." Harvard Business School Supplement 315-038, February 2015.
      • February 2015
      • Supplement

      The Affordable Care Act (H): Implementation Begins

      By: Joseph L. Bower and Michael Norris
      In the spring of 2010, after the ACA is signed into law, the government begins implementation. View Details
      Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (H): Implementation Begins." Harvard Business School Supplement 315-039, February 2015.
      • February 2015
      • Supplement

      The Affordable Care Act (I): The Supreme Court

      By: Joseph L. Bower and Michael Norris
      In the spring of 2012, the Supreme Court hears arguments and releases its decision on the constitutionality of the ACA. View Details
      Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (I): The Supreme Court." Harvard Business School Supplement 315-040, February 2015.
      • February 2015
      • Supplement

      The Affordable Care Act (J): Healthcare.gov

      By: Joseph L. Bower and Michael Norris
      In the fall of 2013, Healthcare.gov launches as an insurance exchange for consumers to buy health insurance. The launch is filled with glitches, and some worry if it will imperil the fate of the entire ACA. View Details
      Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (J): Healthcare.gov." Harvard Business School Supplement 315-041, February 2015.
      • 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
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (B): Industry Negotiations." Harvard Business School Supplement 315-033, February 2015.
      • February 2015
      • Article

      The Great Recession, Insurance Mandates, and the Use of In Vitro Fertilization Services in the United States

      By: Sorapop Kiatpongsan, Robert S. Huckman and Mark D. Hornstein
      Objective: To investigate the relationship between economic activities, insurance mandates, and the use of in vitro fertilization (IVF) in the United States.

      Design: We examined the correlation between the coincident index (a proxy for overall economic... View Details
      Keywords: Macroeconomics; Recessions; Medical Care; In Vitro Fertilization; Health Industry; United States
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      Kiatpongsan, Sorapop, Robert S. Huckman, and Mark D. Hornstein. "The Great Recession, Insurance Mandates, and the Use of In Vitro Fertilization Services in the United States." Fertility and Sterility 103, no. 2 (February 2015): 448–454.
      • Blog Post

      Innovation in Health Care Education: A Call to Action

      By: Regina E. Herzlinger, Vasant Kumar, Kevin Schulman and Karen Staman
      Health care administration educators are at a crossroads: the health care sector is rife with inefficiencies, erratic quality, unequal access, and sky-high costs, complex problems which call for innovative solutions, and yet, according to our content analysis of top... View Details
      Keywords: Health Care; Health Care Education; Education; Health; Health Care and Treatment; Health Industry; Health Industry
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      Herzlinger, Regina E., Vasant Kumar, Kevin Schulman, and Karen Staman. "Innovation in Health Care Education: A Call to Action." Health Affairs Blog (January 29, 2015). http://healthaffairs.org/blog/2015/01/29/innovation-in-health-care-education-a-call-to-action/.
      • January 2015 (Revised July 2019)
      • Case

      CVS Health: Promoting Drug Adherence

      By: Leslie John, John Quelch and Robert Huckman
      Email mking@hbs.edu for a courtesy copy.

      The case describes a program that CVS Health recently implemented to improve medication adherence, an important problem from a societal, public policy, and firm... View Details
      Keywords: Medication Adherence; Affordable Care Act (ACA); Marketing Strategy; Communication Strategy; Customer Value and Value Chain; Decisions; Health Care and Treatment; Goals and Objectives; Resource Allocation; Marketing Communications; Consumer Behavior; Measurement and Metrics; Service Delivery; Behavior; Motivation and Incentives; Social Issues; Information Technology; Value Creation; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; United States
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      John, Leslie, John Quelch, and Robert Huckman. "CVS Health: Promoting Drug Adherence." Harvard Business School Case 515-010, January 2015. (Revised July 2019.) (Email mking@hbs.edu for a courtesy copy.)
      • February 2015
      • Background Note

      A Note on the Affordable Care Act and the U.S. Health Care System

      By: Joseph L. Bower and Michael Norris
      This note provides an overview of the U.S. health care system as it stood in 2014, including an overview of hospitals, doctors, insurance companies, and other health care providers. It also discusses the major political actions on health care in the 20th century,... View Details
      Keywords: Health Care; Health Care Policy; Political Process; Health Care and Treatment; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "A Note on the Affordable Care Act and the U.S. Health Care System." Harvard Business School Background Note 315-031, January 2015.
      • 2015
      • Other Teaching and Training Material

      Innovating in Healthcare

      By: Regina E. Herzlinger, Margo I. Seltzer and Kevin Schulman
      With over 71,000 past enrollees, Innovating in Healthcare investigates the issues of health care spending, quality, and access that continue to plague America and global nations alike. With U.S. health care costs trending toward $4 trillion in 2020, the need to... View Details
      Keywords: edX; Healthcare; Health Care and Treatment; Innovation and Invention; Business Model
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      Herzlinger, Regina E., Margo I. Seltzer, and Kevin Schulman. "Innovating in Healthcare." edX Inc., 2015. Video. (HarvardX Massive Open Online Course.)
      • Article

      Time-driven Activity-based Costing of Multivessel Coronary Artery Bypass Grafting across National Boundaries to Identify Improvement Opportunities: Study Protocol

      By: F. Erhun, B. Mistry, T. Platcheck, A. Milstein, V.G. Narayanan and R. S. Kaplan
      Coronary artery bypass graft (CABG) surgery is a common treatment for coronary artery disease—a disease that affects over 10% of US adults and is a major cause of morbidity and mortality. In 2005, the mean cost for a CABG procedure among Medicare beneficiaries in the... View Details
      Keywords: Activity Based Costing and Management; Health Disorders; Health Care and Treatment; United States; India
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      Erhun, F., B. Mistry, T. Platcheck, A. Milstein, V.G. Narayanan, and R. S. Kaplan. "Time-driven Activity-based Costing of Multivessel Coronary Artery Bypass Grafting across National Boundaries to Identify Improvement Opportunities: Study Protocol." BMJ Open 5, no. 8 (2015).
      • December 2014 (Revised July 2021)
      • Case

      Discovery Limited

      By: Michael E. Porter, Mark R. Kramer and Aldo Sesia
      Discovery Ltd. is a South Africa-based insurance company. Started in the early 1990s, Discovery used behavioral economics and data collection to innovate in the health care insurance industry. Its founder Adrian Gore believed that the company's products needed to not... View Details
      Keywords: Shared Value; Health Care; Financial Services; Strategy; Value Creation; Health Care and Treatment; Insurance; Growth and Development Strategy; Health Industry; Health Industry; Health Industry; South Africa
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      Porter, Michael E., Mark R. Kramer, and Aldo Sesia. "Discovery Limited." Harvard Business School Case 715-423, December 2014. (Revised July 2021.)
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