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  • All HBS Web  (4,369)
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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
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Porter, Michael E., and Jennifer F Baron. "Pitney Bowes: Employer Health Strategy." Harvard Business School Case 709-458, January 2009. (Revised February 2009.)
  • 15 Apr 2020
  • News

Designating Certain Post-Acute Care Facilities As COVID-19 Skilled Care Centers Can Increase Hospital Capacity And Keep Nursing Home Patients Safer

  • January 1998 (Revised March 2000)
  • Case

Reading Rehabilitation Hospital: Implementing Patient-Focused Care

Reading Rehab Hospital has experimented with a popular new concept in health care--patient-focused care--intended to increase quality and reduce costs by organizing care delivery around particular diagnoses or "service lines," rather than around the functions or... View Details
Keywords: Demand and Consumers; Production; Service Operations; Health Care and Treatment; Health Industry
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Gittell, Jody H., and Mason Brown. "Reading Rehabilitation Hospital: Implementing Patient-Focused Care." Harvard Business School Case 898-172, January 1998. (Revised March 2000.)
  • 22 Jun 2020
  • News

On Track: Health Care, Patient Data, and Provider Performance

  • December 2022
  • Article

Cost Standard Set Program: Moving Forward to Standardization of Cost Assessment Based on Clinical Condition

By: Anna Paula Beck da Silva Etges, Richard D. Urman, Anne Geubelle, Robert Kaplan and Carisi Anne Polanczyk
This communication announces the International Cost Standard Set Program. Its goal is to establish global standardized frameworks for measuring the costs of treating specific clinical conditions. A scientific committee, including 16 international healthcare cost... View Details
Keywords: Time-Driven Activity-Based Costing; Value-based Health Care; Cost; Health Care and Treatment; Activity Based Costing and Management; Health Industry
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da Silva Etges, Anna Paula Beck, Richard D. Urman, Anne Geubelle, Robert Kaplan, and Carisi Anne Polanczyk. "Cost Standard Set Program: Moving Forward to Standardization of Cost Assessment Based on Clinical Condition." Journal of Comparative Effectiveness Research 11, no. 17 (December 2022): 1219–1223.

    "Behavioral Hazard in Health Insurance"

    A fundamental implication of standard moral hazard models is overuse of low-value medical care because copays are lower than costs. In these models, the demand curve alone can be used to make welfare statements, a fact relied on by much empirical work. There is... View Details
    • 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
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    Edmondson, Amy C., Richard M.J. Bohmer, and Emily Heaphy. "Patient Care Delivery Model at the Massachusetts General Hospital, The." Harvard Business School Case 699-154, March 1999. (Revised February 2000.)
    • 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
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    Porter, Michael E., Jennifer F Baron, and Martin Rejler. "Highland District County Hospital: Gastroenterology Care in Sweden." Harvard Business School Case 710-469, March 2010. (Revised October 2011.)
    • 2009
    • Working Paper

    Applying the Care Delivery Value Chain: HIV/AIDS Care in Resource Poor Settings

    By: Joseph Rhatigan, Sachin H Jain, Joia S. Mukherjee and Michael E. Porter
    The care delivery value chain is a framework that can help conceptualize the organization and structure of care delivery for medical conditions.  We apply this framework to HIV/AIDS care in resource-limited settings. Several conclusions arise than can help inform... View Details
    Keywords: Customer Value and Value Chain; Framework; Health Care and Treatment; Health Disorders; Service Delivery
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    Rhatigan, Joseph, Sachin H Jain, Joia S. Mukherjee, and Michael E. Porter. "Applying the Care Delivery Value Chain: HIV/AIDS Care in Resource Poor Settings." Harvard Business School Working Paper, No. 09-093, February 2009.
    • 16 Jul 2008
    • Op-Ed

    What Should Employers Do about Health Care?

    delivery reveals some powerful, and ultimately optimistic, principles. First, the best way truly to reduce health care cost is to improve its quality—better diagnoses, more... View Details
    Keywords: by Michael E. Porter, Elizabeth O. Teisberg & Scott Wallace; Health
    • 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
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    Rogg, Jonathan G., Robert S. Huckman, Michael Lev, Ali Raja, Yuchiao Chang, and Benjamin White. "Describing Wait Time Bottlenecks for ED Patients Undergoing Head CT." American Journal of Emergency Medicine 35, no. 10 (October 2017): 1510–1513.
    • 19 Oct 2018
    • News

    Lessons from Mayo Clinic’s Redesign of Stroke Care

    • 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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    Huckman, Robert S., and Bradley Staats. "How Will Amazon Approach U.S. Primary Care?" Harvard Business Review (website) (August 3, 2022).
    • March 2024
    • Article

    Differences in Care Team Response to Patient Portal Messages by Patient Race and Ethnicity

    By: Mitchell Tang, Rebecca Mishuris, Lily Payvandi and Ariel Dora Stern
    Importance: The COVID-19 pandemic was associated with substantial growth in patient portal messaging. Higher message volumes have largely persisted, reflecting a new normal. Prior work has documented lower message use by patients who belong to minoritized racial... View Details
    Keywords: Health Pandemics; Technology Adoption; Prejudice and Bias; Equality and Inequality; Communication Technology; Race; Ethnicity; Health Industry
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    Tang, Mitchell, Rebecca Mishuris, Lily Payvandi, and Ariel Dora Stern. "Differences in Care Team Response to Patient Portal Messages by Patient Race and Ethnicity." JAMA Network Open 7, no. 3 (March 2024).
    • May 2018 (Revised October 2020)
    • Supplement

    La Ribera Health Department (B): Epilogue

    By: Regina E. Herzlinger, Emer Moloney and Daniela Beyersdorfer
    The La Ribera case studies depict an innovative low cost/high quality privately financed hospital model struggling to achieve alignment with the Six Factors. It is reimbursed by the public sector in a Spanish environment whose Consumers, Structure, and Public Policy... View Details
    Keywords: Trends And Opportunities; Government; Government Programs; Acquisition; Business Model; Business Plan; Trends; Opportunities; Government and Politics; Programs; Health Care and Treatment; Situation or Environment; Health Industry; Health Industry; Health Industry; Spain
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    Herzlinger, Regina E., Emer Moloney, and Daniela Beyersdorfer. "La Ribera Health Department (B): Epilogue." Harvard Business School Supplement 318-134, May 2018. (Revised October 2020.)
    • January 2014 (Revised March 2014)
    • Teaching Note

    Cancer Screening in Japan: Market Research and Segmentation

    By: John A. Quelch
    Keywords: Market Research; Market Segmentation; Health Care Industry; Health Care and Treatment; Innovation and Invention; Marketing Strategy; Health Industry; Health Industry; Health Industry; Japan
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    Quelch, John A. "Cancer Screening in Japan: Market Research and Segmentation." Harvard Business School Teaching Note 514-100, January 2014. (Revised March 2014.)
    • December 2007
    • Article

    Regional Health Information Organizations: Current Activities and Financing

    Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish... View Details
    Keywords: Information Technology; Financing and Loans; Health Care and Treatment; Information Management; Health Industry; United States
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    Adler-Milstein, Julia Rose, Andrew McAfee, David Bates, and Ashish Jha. "Regional Health Information Organizations: Current Activities and Financing." Web Exclusive Health Affairs (December 2007): w60–w69.
    • September 2016
    • Article

    Value Based Care and Bundled Payments: Anesthesia Care Costs for Outpatient Oncology Surgery Using Time-driven Activity-based Costing

    By: Katy E. French, Alexis B. Guzman, Augustin C. Rubio, John C. Frenzel and Thomas Feeley
    Background: With the movement towards bundled payments, stakeholders should know the true cost of the care they deliver. Time-driven activity-based costing (TDABC) can be used to estimate costs for each episode of care. In this analysis, TDABC is used to both... View Details
    Keywords: Cost; Insurance; Health Care and Treatment; Health Industry; Health Industry
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    French, Katy E., Alexis B. Guzman, Augustin C. Rubio, John C. Frenzel, and Thomas Feeley. "Value Based Care and Bundled Payments: Anesthesia Care Costs for Outpatient Oncology Surgery Using Time-driven Activity-based Costing." Healthcare: The Journal of Delivery Science and Innovation 4, no. 3 (September 2016): 173–180.
    • October 2018 (Revised August 2019)
    • Case

    Beth Israel Deaconess: Consolidating to Strengthen, or to Stave Off, Competition?

    By: Leemore Dafny
    In July 2017, CEO Kevin Tabb of Boston's Beth Israel Deaconess Medical Center announced his plan to consolidate 11 Massachusetts hospitals under a common management structure. These hospitals collectively generated $5 billion in patient revenue and 25% of... View Details
    Keywords: Beth Israel Deaconess; Lahey; Partners; Health Care; Hospitals; Payers; Providers; Anti-trust; Health Care Regulation; Mergers and Acquisitions; Health Care and Treatment; Market Design; Duopoly and Oligopoly; Negotiation; Consolidation; Competition; Health Industry; Massachusetts; Boston
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    Dafny, Leemore. "Beth Israel Deaconess: Consolidating to Strengthen, or to Stave Off, Competition?" Harvard Business School Case 319-026, October 2018. (Revised August 2019.)
    • Article

    Economic Principles for Medicare Reform

    By: Amitabh Chandra and Craig Garthwaite
    In this article, we develop an economic framework for Medicare reform that highlights trade-offs that reform proposals should grapple with but often ignore. Central to our argument is a tension in administratively set prices, which may improve short-term efficiency but... View Details
    Keywords: Medicare; Value-based Care; Health Care Reform; Markets In Health Care; Health Care and Treatment; Value; Governing Rules, Regulations, and Reforms
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    Chandra, Amitabh, and Craig Garthwaite. "Economic Principles for Medicare Reform." Annals of the American Academy of Political and Social Science 686, no. 1 (November 2019): 63 – 92.
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