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  • 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.)

    "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
    • February 8, 2022
    • Article

    Time-Driven Activity-Based Cost Comparison of Treating Five Acute, Low-Severity Conditions

    By: Alan Yang, Andy Hung-Yi Lee, Joseph W. Kopp, Katherine D. Rose, Adam M. Licurse, Philip D. Anderson and Robert S. Kaplan
    In 2017, patients made 145 million visits to emergency departments (EDs), generating $76.3 billion in charges. About a third of ED visits, however, were for conditions that were treatable in lower-resourced settings. We used time-driven activity-based costing (TDABC)... View Details
    Keywords: Time-Driven ABC; Health Care Costs; Activity Based Costing and Management; Health Care and Treatment
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    Yang, Alan, Andy Hung-Yi Lee, Joseph W. Kopp, Katherine D. Rose, Adam M. Licurse, Philip D. Anderson, and Robert S. Kaplan. "Time-Driven Activity-Based Cost Comparison of Treating Five Acute, Low-Severity Conditions." NEJM Catalyst (February 8, 2022).
    • May 2007 (Revised July 2011)
    • Case

    The West German Headache Center: Integrated Migraine Care

    By: Michael E. Porter, Clemens Guth and Elisa M. Dannemiller
    Describes the joint efforts of the German health plan KKH and Essen University Hospital to develop an integrated practice unit (IPU), and the West German Headache Center's efforts to improve the quality of migraine care. Provides an overview of the German health care... View Details
    Keywords: Business Model; Health Care and Treatment; Medical Specialties; Industry Structures; Service Delivery; Integration; Health Industry; Germany
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    Porter, Michael E., Clemens Guth, and Elisa M. Dannemiller. "The West German Headache Center: Integrated Migraine Care." Harvard Business School Case 707-559, May 2007. (Revised July 2011.)
    • 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
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    Chun, Samuel S., and Shaun Matisson. "Discovery Health (A)." Harvard Business School Case 599-046, September 1998. (Revised June 1999.)
    • February 2020 (Revised January 2024)
    • Case

    Wellthy: The Economics of Caring

    By: Brian L. Trelstad and Joseph B. Fuller
    In 2014, Lindsay Jurist-Rosner (MBA ’09) founded Wellthy, a B2C business that coordinates care for working professionals seeking help to support loved ones with chronic diseases or aging parents. With personal experience as a young professional providing care for her... View Details
    Keywords: B2B Vs. B2C; Future Of Work; Health; Social Entrepreneurship; Growth and Development Strategy; Health Industry; United States
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    Trelstad, Brian L., and Joseph B. Fuller. "Wellthy: The Economics of Caring." Harvard Business School Case 320-028, February 2020. (Revised January 2024.)
    • 20 Apr 2017
    • News

    Making Health Insurance That Consumers Actually Like

    • 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 of care. In the traditional fee-for-service model,... View Details
    Keywords: by Carmen Nobel; Health
    • September 2011 (Revised January 2012)
    • Case

    Telemonitoring at Visiting Nurse Health System

    By: F. Warren McFarlan, Mark Keil and Mala Kaul
    The Telemonitoring at Visiting Nurse Health System case presents one home healthcare organization's efforts to use telemonitoring to improve the quality of care provided to at-risk patients who were discharged from hospitals and needed home care. After two years of... View Details
    Keywords: Capital Budgeting; Cost vs Benefits; Risk Management; Technology Adoption; Technological Innovation; Organizational Change and Adaptation; Competitive Strategy; Health Industry; Health Industry
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    McFarlan, F. Warren, Mark Keil, and Mala Kaul. "Telemonitoring at Visiting Nurse Health System." Harvard Business School Case 112-030, September 2011. (Revised January 2012.)
    • summer 1998
    • Article

    The Managerial Revolution in the U.S. Health Care Sector: Lessons from the U.S. Economy

    By: Regina E. Herzlinger
    Keywords: Health Industry; United States
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    Herzlinger, Regina E. "The Managerial Revolution in the U.S. Health Care Sector: Lessons from the U.S. Economy." Health Care Management Review 23, no. 3 (summer 1998): 19–29.
    • 15 Mar 2021
    • Working Paper Summaries

    The Health Costs of Cost-Sharing

    Keywords: by Amitabh Chandra, Evan Flack, and Ziad Obermeyer
    • 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
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    Edmondson, Amy C., Brian R. Golden, and Gary J. Young. "Turnaround at the Veterans Health Administration (A)." Harvard Business School Case 608-061, July 2007. (Revised January 2008.)
    • July 2022
    • Teaching Plan

    Wellthy: The Economics of Caring

    By: Brian Trelstad
    Teaching Plan for HBS Case No. 320-028. In 2014, Lindsay Jurist-Rosner (MBA ’09) founded Wellthy, a B2C business that coordinates care for working professionals seeking help to support loved ones with chronic diseases or aging parents. With personal experience as a... View Details
    Keywords: B2B Vs. B2C; Future Of Work; Health; Social Entrepreneurship; Growth and Development Strategy; Health Care and Treatment; Recruitment; Corporate Social Responsibility and Impact; Health Industry; United States
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    Trelstad, Brian. "Wellthy: The Economics of Caring." Harvard Business School Teaching Plan 322-076, July 2022.
    • 05 Sep 2012
    • What Do You Think?

    Will Business Management Save US Health Care?

    Summing Up What Role Will Management Play in Saving US Health Care? The verdict is in, according to respondents of this month's column: Problems confronting health care in the... View Details
    Keywords: by Jim Heskett; Health
    • 20 Apr 2017
    • Cold Call Podcast

    Making Health Insurance That Consumers Actually Like

    Keywords: Re: Regina E. Herzlinger; Health; Health
    • September 2013
    • Supplement

    The Abraaj Group and the Acibadem Healthcare Investment (B)

    By: Paul A. Gompers, Bora Uluduz and Firdevs Abacioglu
    This case provides an update on the ultimate outcome of the transaction presented in The Abraaj Group and the Acibadem Healthcare Investment (A). View Details
    Keywords: Health Care; Leveraged Buyouts; Private Equity; Health Care and Treatment; Europe
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    Gompers, Paul A., Bora Uluduz, and Firdevs Abacioglu. "The Abraaj Group and the Acibadem Healthcare Investment (B)." Harvard Business School Supplement 214-022, September 2013.
    • 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.)
    • March 2014
    • Teaching Note

    E-Cigarettes: Marketing Versus Public Health

    By: John A. Quelch
    Electronic cigarettes (e-cigarettes) were heralded by some as a healthcare game changer, enabling smokers to switch to a new product which carried lower risk of cancer. However, there were concerns about the public health risk of e-cigarettes, particularly the chance... View Details
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    Quelch, John A. "E-Cigarettes: Marketing Versus Public Health." Harvard Business School Teaching Note 514-108, March 2014.
    • Article

    Lessons from Mayo Clinic's Redesign of Stroke Care

    By: Robert S. Kaplan, W. David Freeman, Kevin M. Barrett, Lisa Nordan, Aaron C. Spaulding and Meredith Karney
    Facing escalating costs of medications and technology, health care patients and providers in the United States continue to search for opportunities to reduce overall costs while maintaining and improving health care outcomes. The Mayo Clinic Comprehensive Stroke Center... View Details
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    Kaplan, Robert S., W. David Freeman, Kevin M. Barrett, Lisa Nordan, Aaron C. Spaulding, and Meredith Karney. "Lessons from Mayo Clinic's Redesign of Stroke Care." Special Issue on HBR Insight Center: The Future of Health Care. Harvard Business Review (website) (October 2018).
    • 15 Jul 2020
    • Video

    The HBS Health Minute: Thinking Outside the Building to Meet Unmet Health Needs

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