Publications

August 3, 2022
Article

How Will Amazon Approach U.S. Primary Care?

By: Robert S. Huckman and Bradley Staats

Amazon has a playbook for reinventing businesses that it enters. It includes simplifying processes, experimenting to determine which new approaches work best, and continuously recombining its existing assets to come up with a better way to do things. It is likely to... View Details

Keywords: Amazon; Health Care; Technology; Primary Care; Health Care and Treatment; Information Infrastructure; Health Industry; Health Industry; United States

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August, 2022
Article

Billing and Insurance-Related Administrative Costs: A Cross-National Analysis

By: Barak D. Richman, Robert S. Kaplan, Japees Kohli, Dennis Purcell, Mahek Shah, Igna Bonfrer, Brian Golden, Rosemary Hannam, Will Mitchell, Daniel Cehic, Garry Crispin and Kevin A. Schulman

Billing and insurance-related costs are a significant source of wasteful health care spending in Organization for Economic Cooperation and Development nations, but these administrative burdens vary across national systems. We executed a microlevel accounting of these... View Details

Keywords: Health Care Costs; Administrative Costs; Cost; Health Care and Treatment; Health Industry

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January 2009 (Revised February 2009)
Case

Pitney Bowes: Employer Health Strategy

By: Michael E. Porter and Jennifer F Baron

Pitney Bowes, a Fortune 500 mail and document management firm, offered its first health plans in the years following World War II. Over the ensuing decades, Pitney Bowes adapted its approach to employee health amid rising health care costs, shifting employer attitudes... View Details

Keywords: Cost; Insurance; Policy; Health Care and Treatment; Compensation and Benefits; Employees; Corporate Strategy

September 1998 (Revised June 1999)
Case

Discovery Health (A)

A South African health insurance company undertakes a redesign of its prescription drug coverage policy in light of its experiences with Prozac. View Details

Keywords: Motivation and Incentives; Service Delivery; Insurance; Health Care and Treatment; Insurance Industry; South Africa

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

20 Apr 2017
Cold Call Podcast

Making Health Insurance That Consumers Actually Like

Keywords: Re: Regina E. Herzlinger; Health; Health

20 Apr 2017
News

Making Health Insurance That Consumers Actually Like

18 Aug 2014
Research & Ideas

Have a Better Idea To Improve Health Care?

adoption of successful health care ideas, the Forum has launched the Health Acceleration Challenge, a competition meant to identify and promote... View Details

Keywords: by Carmen Nobel; Health

Web

Geography of Care - Institute For Strategy And Competitiveness

cardiac care and care of end stage renal disease. They maintained Cleveland Clinic quality care through education... View Details

01 Apr 2015
Research & Ideas

The Slow, Steady Battle to Fix Cancer Care

payment model undoubtedly simplifies billing matters for the patients, the main impetus is to lower health care costs while simultaneously improving quality View Details

Keywords: by Carmen Nobel; Health

10 Jul 2017
News

Holistic care teams can finally revolutionize healthcare

February 1985 (Revised January 2024)
Case

Health Stop (A): What Type of Innovation Is It? And Six Factors Alignment

By: Regina E. Herzlinger, Joyce Lallman, Nancy Kane, Jefferson C. Grahling and James Wallace

How can we evaluate if innovative health care ventures can do good—benefit society—and do well—become financially viable? This question is the topic of the first module in the Innovating In Health Care course book. This note and case series enables readers to conduct... View Details

Keywords: For-Profit Firms; Business Model; Entrepreneurship; Health Care and Treatment; Strategy; Valuation; Health Industry; Health Industry

September–October 2023
Article

Prospective Evaluation of the Cost of Performing Breast Imaging Examinations Using Time-Driven Activity-Based Costing Method: A Single Center Study

By: Aamir Ali, Jordana Phillips, Damir Ljuboja, Syed S. Shehab, Etta D. Pisano, Robert S. Kaplan and Ammar Sarwar

We use time-driven activity-based costing (TDABC) to measure the cost of performing breast imaging using different modalities: full-field digital mammography (FFDM), digital breast tomosynthesis (DBT), contrast-enhanced mammography (CEM), US and MRI exams, and... View Details

Keywords: Time-Driven Activity-Based Costing; Health Care; Breast Cancer; Health Care and Treatment; Cost; Cost Accounting; Health Industry

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Article

Describing Wait Time Bottlenecks for ED Patients Undergoing Head CT

By: Jonathan G. Rogg, Robert S. Huckman, Michael Lev, Ali Raja, Yuchiao Chang and Benjamin White

Study objectives: Facing increased utilization and subsequent capacity and budget constraints, EDs must better understand bottlenecks and their effect on process flow to improve process efficiency. The primary objective of this study was to identify bottlenecks in... View Details

Keywords: Health Care; Bottleneck; Health Care and Treatment; Operations; Health Industry; United States

March 2018
Supplement

Sandra Brown Goes Digital (B): The Commitment Decision

By: Rosabeth Moss Kanter and Jonathan Cohen

Sandra Brown, a middle manager at a biotech company who has led internal and external movements for change over the last few years, faces a decision. Whether to continue to work for change at the company or move on to pursue new opportunities elsewhere, where her new... View Details

Keywords: Digital; Stakeholder Engagement; Managing Change; Career Path; Health Care Industry; Quality; Leading Change; Management; Organizational Change and Adaptation; Personal Development and Career; Decision Choices and Conditions

31 Jan 2018
News

Regi’s ‘Innovating in Health Care’ Case Corner

May 2021
Article

Making Doctors Effective Managers and Leaders: A Matter of Health and Well-Being

By: Lisa Rotenstein, Robert S. Huckman and Christine K. Cassel

The COVID-19 crisis has forced physicians to make daily decisions that require knowledge and skills they did not acquire as part of their biomedical training. Physicians are being called upon to be both managers—able to set processes and structures—and leaders—capable... View Details

Keywords: Health Care and Treatment; Management; Leadership; Health Pandemics; Health Industry

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

March 1999 (Revised February 2000)
Case

Patient Care Delivery Model at the Massachusetts General Hospital, The

By: Amy C. Edmondson, Richard M.J. Bohmer and Emily Heaphy

Examines the implementation of a new patient care delivery model at Massachusetts General Hospital. Uses clinical and financial data to examine different choices for staffing non-physician health care professionals and to understand the challenges of managing change... View Details

Keywords: Change Management; Service Delivery; Health Care and Treatment; Health Industry; Massachusetts