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      • August 2012 (Revised August 2014)
      • Case

      Cancer Treatment Centers of America® (A)

      By: Regina E. Herzlinger and Natalie Kindred
      Cancer Treatment Centers of America (CTCA), a U.S. network of four privately owned oncology focused factory hospitals, was weighing options for growth. CTCA was entirely cancer focused and specialized in treating patients with complex and advanced-stage cancers, who... View Details
      Keywords: Cancer; Cancer Treatment; Health Care; Healthcare; Accountability; Outcomes; Outcomes Measurement; Outcomes Reporting; Hub And Spoke Cancer Care; Hub And Spoke; Hub-and-spoke; Focused Factory; Mission and Purpose; Private Ownership; For-Profit Firms; Health Disorders; Medical Specialties; Policy; Business Model; Expansion; Decision Choices and Conditions; Advertising; Health Care and Treatment; Innovation and Invention; Health Industry; United States
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      Herzlinger, Regina E., and Natalie Kindred. "Cancer Treatment Centers of America® (A)." Harvard Business School Case 313-012, August 2012. (Revised August 2014.)
      • August 2012
      • Case

      ARISE: A Destination-for-a-Day Spa

      By: Michael Beer and Lynda St. Clair
      A new Dallas-based health and beauty spa aims to use a highly distinctive human resource system as the foundation of its competitive strategy. By encouraging employees to act as "personal wellness coaches" (PWCs) with high commitment and broad responsibilities, the... View Details
      Keywords: Compensation and Benefits; Motivation and Incentives; Organizational Design; Organizational Culture; Service Delivery; Competitive Strategy; Innovation Strategy; Health Industry; Health Industry; Health Industry; Texas
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      Beer, Michael, and Lynda St. Clair. "ARISE: A Destination-for-a-Day Spa." Harvard Business School Brief Case 913-521, August 2012.
      • July 2012
      • Case

      Performance Management at Vitality Health Enterprises, Inc.

      By: John Bingham and Michael Beer
      Vitality Health Enterprises, a medium-sized firm that manufactures health and personal care products, has experienced six straight quarters of strong revenue growth. James Hoffman, the new Senior Vice President of Human Resources, fears that the chain of success is... View Details
      Keywords: Performance Evaluation; Motivation and Incentives; Compensation and Benefits; Talent and Talent Management; Health Industry; Health Industry; Health Industry; United States
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      Bingham, John, and Michael Beer. "Performance Management at Vitality Health Enterprises, Inc." Harvard Business School Brief Case 913-501, July 2012.
      • June 2012 (Revised October 2018)
      • Case

      Home Nursing of North Carolina

      By: Richard S. Ruback and Royce Yudkoff
      Ari Medoff's (HBS '11) goal was to control his own professional destiny by owning his own company. His search identified a suitable acquisition in Home Nursing of North Carolina, and he had negotiated a purchase price of $3.5 million, or 4.2x trailing EBITDA. Medoff... View Details
      Keywords: Search Funds; Small Companies; Acquisitions; Negotiation; Medical Services; Negotiation Process; Valuation; Investment; Acquisition; Health Industry
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      Ruback, Richard S., and Royce Yudkoff. "Home Nursing of North Carolina." Harvard Business School Case 212-120, June 2012. (Revised October 2018.)
      • Blog Post

      Why Economic Conservatives Should Support the Individual Mandate in Health Care

      By: Regina E. Herzlinger

      Although many conservatives are gnashing their teeth about the Supreme Court's upholding the individual mandate, had it not been upheld, their worst nightmares would have occurred: government would have required hundreds of billions in additional taxes to pay for... View Details

      Keywords: Health Care; Health Care Industry; Health Insurance; Health; Health Care and Treatment; Health Industry
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      Herzlinger, Regina E. "Why Economic Conservatives Should Support the Individual Mandate in Health Care." Huffington Post, The Blog (June 29, 2012). http://www.huffingtonpost.com/regina-e-herzlinger/health-insurance-market-mandate_b_1637762.html.
      • June 2012
      • Case

      Reconfiguring Stroke Care in North Central London

      By: Michael E. Porter, James Mountford, Kamalini Ramdas and Samuel Takvorian
      In 2006, surgeon Ara Darzi identified several key areas, including acute stroke care, for improving health care across London. In response to his seminal call to action, stroke care was reorganized around eight hyper-acute stroke units covering London's five sectors,... View Details
      Keywords: Health Care; Health Care and Treatment; Performance Improvement; Performance Efficiency; Integration; Health Industry; London
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      Porter, Michael E., James Mountford, Kamalini Ramdas, and Samuel Takvorian. "Reconfiguring Stroke Care in North Central London ." Harvard Business School Case 712-496, June 2012.
      • April 2012
      • Article

      Paying a Premium on Your Premium? Consolidation in the U.S. Health Insurance Industry

      By: Leemore S. Dafny, Mark Duggan and Subramaniam Ramanarayanan
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      Dafny, Leemore S., Mark Duggan, and Subramaniam Ramanarayanan. "Paying a Premium on Your Premium? Consolidation in the U.S. Health Insurance Industry." American Economic Review 102, no. 2 (April 2012): 1161–1185.
      • May 2012 (Revised August 2014)
      • Case

      McKesson

      By: Regina E. Herzlinger and Natalie Kindred
      McKesson, a large, diversified drug distribution and health care IT company, is considering development of new business offerings to help private practice physicians remain independent. The company, with $122 billion in 2010 revenues, just made its first foray into... View Details
      Keywords: Health Care Industry; Health Care Policy; Organizational Transformations; Health Services; Health Care and Treatment; Business Model; Service Operations; Change Management; Corporate Strategy; Information Technology; Policy; Pharmaceutical Industry; Pharmaceutical Industry; United States
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      Herzlinger, Regina E., and Natalie Kindred. "McKesson." Harvard Business School Case 312-002, May 2012. (Revised August 2014.)
      • May 18, 2012
      • Article

      Randomized Government Safety Inspections Reduce Worker Injuries with No Detectable Job Loss

      By: David I Levine, Michael W. Toffel and Matthew S. Johnson
      Controversy surrounds occupational health and safety regulators, with some observers claiming that workplace regulations damage firms' competitiveness and destroy jobs and others arguing that they make workplaces safer at little cost to employers and employees. We... View Details
      Keywords: Regulation; Occupational Safety; Evaluation; Regression; Matching; Difference In Differences; Safety; Health; Working Conditions; Governing Rules, Regulations, and Reforms; Competitive Advantage; Performance; Manufacturing Industry; California
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      Levine, David I., Michael W. Toffel, and Matthew S. Johnson. "Randomized Government Safety Inspections Reduce Worker Injuries with No Detectable Job Loss." Science 336, no. 6083 (May 18, 2012): 907–911. (Online supplement (appendix). Featured in an article by the head of US OSHA, and in U.S. News & World Report and many other news outlets. Basis of U.S. Congressional testimony on promoting safe workplaces.)
      • April 2012
      • Case

      Bella Healthcare India

      By: Dorothy Leonard and Sunru Yong
      Bella Healthcare India was originally established in Bangalore as a low-cost manufacturing facility for a U.S.-based cardiology equipment developer. Under country manager Joseph Cherian it evolved considerably, developing its own research and development capabilities.... View Details
      Keywords: India; Productivity; Organizational Development; International Business; R&D; Cross-cultural Relations; Medical Equipment & Devices; Joint Ventures; Medical Specialties; Research and Development; Product Development; Organizational Change and Adaptation; Strategy; Decision Choices and Conditions; Health Care and Treatment; Product Launch; Failure; Cross-Cultural and Cross-Border Issues; Medical Devices and Supplies Industry; Bangalore
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      Leonard, Dorothy, and Sunru Yong. "Bella Healthcare India." Harvard Business School Brief Case 124-440, April 2012.
      • April 2012
      • Article

      Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry

      By: Jonathan R. Clark and Robert S. Huckman
      The long-standing argument that focused operations outperform others stands in contrast to claims about the benefits of broader operational scope. The performance benefits of focus are typically attributed to reduced complexity, lower uncertainty, and the development... View Details
      Keywords: Performance Capacity; Operations; Advertising; Production; Corporate Strategy; Relationships; Medical Specialties; Complexity; Risk and Uncertainty; Experience and Expertise; Diversification; Quality; Health Industry
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      Clark, Jonathan R., and Robert S. Huckman. "Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry." Management Science 58, no. 4 (April 2012): 708–722.
      • March 2012 (Revised January 2013)
      • Case

      Boston Children's Hospital: Measuring Patient Costs

      By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
      The case describes two pilot projects on applying activity-based costing to measuring the cost of treating patients. It presents process maps and financial data relating to the processes used during (1) an office visit to a plastic surgeon for three different diagnoses... View Details
      Keywords: Health Care; Time-Driven Activity-Based Costing; Costing; Hospitals; Activity Based Costing and Management; Mathematical Methods; Health Industry
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      Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Boston Children's Hospital: Measuring Patient Costs." Harvard Business School Case 112-086, March 2012. (Revised January 2013.)
      • March 2012 (Revised April 2013)
      • Case

      Schön Klinik: Eating Disorder Care

      By: Michael E. Porter, Emma Stanton, Jessica A. Hohman and Caleb Stowell
      The Schön Klinik is a private, for-profit German hospital group trying to establish itself as a premium health care provider in a competitive German market. The case details Schön Klinik's founding, its early focus on measurement and improvement, and the design and... View Details
      Keywords: Health Care Quality; Outcomes; Quality Improvement; Strategy And Performance Measurement; Integration; Measurement and Metrics; Competition; Health Disorders; Health Care and Treatment; Outcome or Result; Performance Evaluation; Business Processes; Health Industry; Germany
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      Porter, Michael E., Emma Stanton, Jessica A. Hohman, and Caleb Stowell. "Schön Klinik: Eating Disorder Care." Harvard Business School Case 712-475, March 2012. (Revised April 2013.)
      • March 2012 (Revised December 2014)
      • Case

      Schön Klinik: Measuring Cost and Value

      By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
      The case illustrates how a leading German hospital group has invested deeply in the measurement of patient-level outcomes and costs, the foundations of a health care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC)... View Details
      Keywords: Health Care; Costing; Activity-Based Costing; Hospitals; Activity Based Costing and Management; Value; Health Care and Treatment; Outcome or Result; Health Industry; Germany
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      Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Schön Klinik: Measuring Cost and Value." Harvard Business School Case 112-085, March 2012. (Revised December 2014.)
      • 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
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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.
      • March 2012
      • Article

      Fixing What's Wrong with U. S. Politics

      By: David A. Moss
      In America today there's a growing sense that the political system is broken and that its ineffectiveness is a major threat to U.S. competitiveness. Why do so many think the political system is not working? Research shows that in Congress, Republicans and Democrats are... View Details
      Keywords: Government and Politics; System; Conflict Management; Performance Productivity; Policy; Public Administration Industry; United States
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      Moss, David A. "Fixing What's Wrong with U. S. Politics." Harvard Business Review 90, no. 3 (March 2012).
      • 1 Mar 2012
      • Talk

      German Health Care: Moving to a Value-Based System

      By: Michael E. Porter
      Michael E. Porter of Harvard Business School assesses the German health care system and offers suggestions for reforming to a value-based system, where rewards flow to those practices performing best. Introduced by Karl Lauterbach, professor of health economics and... View Details
      Keywords: Health Care; Health Care and Treatment; Health Industry; Germany
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      Porter, Michael E. "German Health Care: Moving to a Value-Based System." American Academy in Berlin, Berlin, Germany, March 1, 2012.
      • March 2012
      • Article

      How to Make Finance Work

      By: Robin Greenwood and David S. Scharfstein
      Once a sleepy old boys' club, the U.S. financial sector is now a dynamic and growing business that attracts the best and the brightest. It is tempting to declare the industry a roaring success. But its purpose is to serve the needs of U.S. households and firms, and by... View Details
      Keywords: Business Ventures; Value; Competitive Advantage; Investment; Performance Evaluation; Household; Financial Crisis; Finance; Financial Services Industry; United States
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      Greenwood, Robin, and David S. Scharfstein. "How to Make Finance Work." Harvard Business Review 90, no. 3 (March 2012).
      • March 2012
      • Article

      Macroeconomic Policy and U.S. Competitiveness

      By: Richard H.K. Vietor and Matthew Weinzierl
      The United States is on a glide path to fiscal disaster, with experts projecting that the federal government will take in far less money than it spends-indefinitely. Our current fiscal policy is eroding competitiveness in several ways, and business conditions in the... View Details
      Keywords: Macroeconomics; Government and Politics; Financial Crisis; Policy; Competition; Public Administration Industry; United States
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      Vietor, Richard H.K., and Matthew Weinzierl. "Macroeconomic Policy and U.S. Competitiveness." Harvard Business Review 90, no. 3 (March 2012).
      • March 2012
      • Article

      Reviving Entrepreneurship

      By: Josh Lerner and William Sahlman
      New enterprises don't exist in a vacuum: They rise or fall depending on myriad contextual factors, all of them interrelated, and all of them affected by government policy. U.S. lawmakers must carefully consider the effects of interventions in at least 12 areas, ranging... View Details
      Keywords: Entrepreneurship; Government and Politics; Policy; Economy; Public Administration Industry; United States
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      Lerner, Josh, and William Sahlman. "Reviving Entrepreneurship." Harvard Business Review 90, no. 3 (March 2012): 116–119.
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