Publications

March 2010 (Revised October 2011)
Case

Highland District County Hospital: Gastroenterology Care in Sweden

By: Michael E. Porter, Jennifer F Baron and Martin Rejler

Sweden's Highland District County Hospital, similar to a community hospital in the US, undertook a major restructuring to integrate care delivery for medical conditions served by the Department of Medicine. Each subspecialty within the Department would form a single,... View Details

Keywords: Health Care and Treatment; Sweden

August 2001 (Revised February 2020)
Case

Consumer-Driven Health Care: Medtronic's Health Insurance Options

By: Regina E. Herzlinger, John Hurwitch and Seth Bokser

Describes the variety of health insurance plans that this medical device company offers, including a high-deductible, consumer-driven health plan with a health reimbursement account that also enables health care providers to quote their own prices. Asks students to... View Details

Keywords: Health Care and Treatment; Insurance; Decision Choices and Conditions; Compensation and Benefits; Demand and Consumers

10 Apr 2023
News

Health Care Systems Need to Better Understand Patients as Consumers

17 Feb 2016
Blog Post

Through The Eyes of The Patient: A Recap of The 13th Annual Health Care Conference

Pharmaceutical/Biotech. Topics discussed in these sessions ranged from proving patient engagement and clinical efficacy in digital health technologies, to the impact of consumer engagement on new payment and View Details

Keywords: Health Care

30 Jan 2018
News

We need employers to step up and change health care

2022
Article

Rapid Growth of Remote Patient Monitoring Is Driven by a Small Number of Primary Care Providers

By: Mitchell Tang, Ateev Mehrotra and Ariel Dora Stern

Growing enthusiasm for remote patient monitoring has been motivated by the hope that it can improve care for patients with poorly controlled chronic illness. In a national commercially insured population in the U.S., we found that billing for remote patient monitoring... View Details

Keywords: Remote Monitoring; Medical Billing; Health Care Costs; Telehealth; Diabetes; Chronic Disease; Insurance Claims; Diseases; Primary Care Providers; COVID-19 Pandemic; Health Care and Treatment; Insurance; Cost; Health Industry; United States

Read Now

3 PM – 4 PM EDT, 21 Apr 2015
Webinars: Trending@HBS

Webinar on the 2015 HBS-HMS Forum on Health Care Innovation

Harvard Business School and Harvard Medical School's Forum on Health Care Innovation invites you to an exclusive opportunity to examine what's next in health care. Building... View Details

08 Jun 2009
News

When Insurance Isn't Enough: Toward a Value(s)-Based Health Care System

July 2013 (Revised July 2015)
Background Note

Innovating in Health Care—Framework

By: Regina E. Herzlinger

Contains the framework for the second-year Innovating in Health Care course. Delineates the role of six exogenous forces on new ventures: structure, financing, regulations, consumers, accountability, technology, and public policy and presents the essential elements of... View Details

Keywords: Health Care and Treatment; Management; Health Industry

March 2009 (Revised September 2010)
Case

Dartmouth-Hitchcock Medical Center: Spine Care

By: Robert S. Huckman, Michael E. Porter, Rachel Gordon and Natalie Kindred

Describes the Spine Center at Dartmouth-Hitchcock Medical Center, a multidisciplinary unit that offers patients suffering from spinal problems "one-stop" access to a range of providers including orthopedic surgeons, neurosurgeons, neurologists, medical specialists in... View Details

Keywords: Health Care and Treatment; Medical Specialties; Service Delivery; Service Operations; Integration; Value Creation; Health Industry; United States

March 2015 (Revised June 2015)
Case

Medalogix

By: Richard G. Hamermesh and Matthew G. Preble

This case examines an exciting new approach to health care that will help care providers identify when hospice services are the appropriate type of care for patients. The company, Medalogix, already has a product on the market that uses a proprietary algorithm to... View Details

Keywords: Health Care; Health Care Entrepreneurship; Health Care Services; Implementing Strategy; Dissemination; Innovation; Market Selection; Health; Health Care and Treatment; Analytics and Data Science; Marketing Strategy; Innovation and Management; Innovation Strategy; Health Industry; United States

February 2019
Article

Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending

By: David Cutler, Jonathan Skinner, Ariel Dora Stern and David Wennberg

There is considerable controversy about the causes of regional variations in health care expenditures. Using vignettes from patient and physician surveys linked to fee-for-service Medicare expenditures, this study asks whether patient demand-side factors or physician... View Details

Keywords: Health Care and Treatment; Spending; Geographic Location; Values and Beliefs

August 2018 (Revised August 2019)
Case

Oscar Health Insurance: What Lies Ahead for a Unicorn Insurance Entrant?

By: Leemore Dafny and Victoria Marone

Keywords: Oscar Insurance; Fintech; US Health Care; Affordable Care Act (ACA); Health Insurance Marketplaces; Insurer Competition; Provider Consolidation; Market Entry; Health Care and Treatment; Entrepreneurship; Market Entry and Exit; Negotiation; Growth Management; Health Industry; Health Industry; New York (state, US); New Jersey

March 2014
Teaching Note

Royal Caribbean Cruises Ltd.: Safety, Environment and Health

By: John A. Quelch

In January 2014, Gary Bald, senior vice president of Safety, Environment and Health at Royal Caribbean Cruise Lines (RCL), prepared for a review meeting with the company's chief executive, Adam Goldstein, and chairman, Richard Fain. Prior to joining RCL in 2006, Bald... View Details

Keywords: Health Care; Public Health; Cruising; Cruise Lines; Royal Caribbean; Safety; Security; Biodefense; Epidemic; Norovirus; Fire Safety; Crew; Environmental Protection; Innovation; Ship Design; Vacation; Recreation

2011
Chapter

Health Care Applications: From Hospitals to Physicians, from Productive Efficiency to Quality Frontiers

By: Jon Chilingerian and H. David Sherman

This chapter focuses on health-care applications of DEA. The paper begins with a brief history of health applications and discusses some of the models and the motivation behind the applications. Using DEA to develop quality frontiers in health services is offered as a... View Details

Keywords: Data Envelopment Analysis; Physicians; Hospitals; HMOs; Frontier Analysis; Efficiency; Health Care and Treatment; Performance; Quality

Read Now

January 2021
Article

COVID-19 Hasn't Been a Tipping Point for Value-Based Care, but It Should Be

By: Thomas W. Feeley

Four out of five health care provider organizations are suffering ongoing losses as a result of the COVID-19 pandemic, according to the recent NEJM Catalyst Insights Council survey on value-based payment and care. Yet Council members, who are still largely entrenched... View Details

Keywords: Value-based Health Care; Health Pandemics; Health Care and Treatment; Cost

Read Now

December 2021
Article

Primary Care Access During the COVID-19 Pandemic: a Simulated Patient Study

By: Michael Anne Kyle, Renuka Tipirneni, Nitya Thakore, Sneha Dave and Ishani Ganguli

Background
Primary care practices have experienced major strains during the COVID-19 pandemic, such that patients newly seeking care may face potential barriers to timely visits.
Objective
To quantify availability and wait times for new patient... View Details

Keywords: COVID-19; Ambulatory Care; Policy/economics; Access; Telemedicine; Health Pandemics; Health Care and Treatment

Register to Read

December 2023 (Revised February 2024)
Case

Transforming Healthcare Delivery at Karolinska University Hospital

By: Susanna Gallani, Mary Witkowski, Elena Corsi and Nikolina Jonsson

The case study examines the journey toward value-based healthcare at Karolinska University Hospital. The hospital's ambitious shift to a patient-centered care delivery model, accompanied by the construction of a new facility, encountered challenges such as high costs,... View Details

Keywords: Change Management; Transformation; Transition; Business Organization; Communication Strategy; Information Infrastructure; Service Delivery; Organizational Change and Adaptation; Organizational Structure; Health Industry; Sweden; Europe