Publications

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September 2017
Editorial

Helping Patients with Cancer Navigate Narrow Networks

By: Stephen M. Schleicher, Emeline M. Aviki and Thomas W. Feeley

The Affordable Care Act of 2010 (ACA) was designed primarily to improve patient access to affordable health care. The access-expanding provisions of the ACA included federal- and state-based health insurance exchanges with minimum coverage requirements and preexisting... View Details

Keywords: Health Care and Treatment; Insurance; Problems and Challenges; United States

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July 2015
Background Note

The State of U.S. Public Health: Challenges and Trends

By: Rosabeth M. Kanter, Howard Koh and Pamela Yatsko

The World Health Organization defines health as "a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity." For many Americans, the World Health Organization's definition of true health seems unattainable, given... View Details

Keywords: Public Health; Public Sector; Health Care and Treatment; Health Industry; United States

May 2014 (Revised March 2016)
Case

Health City Cayman Islands

By: Tarun Khanna and Budhaditya Gupta

Narayana Health (NH) had been successfully delivering affordable high quality tertiary care to the masses in India through its chain of hospitals for over a decade. To encourage the adoption of the NH affordable care delivery model worldwide, Dr. Shetty, Chairman of... View Details

Article

Overturning the ACA's Medicaid Expansion Would Likely Decrease Low-Income, Reproductive-Age Women's Healthcare Spending and Utilization

By: Lucy Chen, Richard G. Frank and Haiden A. Huskamp

In late 2020, the Supreme Court began hearing a case challenging the Affordable Care Act (ACA), which led to coverage gains for many low-income, reproductive-age women. To explore potential implications of a full ACA repeal for this population, we examined gains... View Details

Keywords: Medicaid; Women's Health; Health Insurance; Health Care and Treatment; Gender; Insurance; Poverty; Health Industry; United States

2020
Working Paper

Spreading the Health: Americans' Estimated and Ideal Distributions of Death and Health(care)

By: Sorapop Kiatpongsan and Michael I. Norton

The 2010 Patient Protection and Affordable Care Act intensified debates over the role of government in the distribution of healthcare. A nationally-representative sample of Americans reported their estimated and ideal distributions of healthcare (unmet need for... View Details

Keywords: Healthcare; Mortality; Inequality; Justice; Equity; Health; Health Care and Treatment; Equality and Inequality; Fairness; Public Opinion; United States

SSRN

January 2019 (Revised June 2019)
Technical Note

U.S. Commercial Health Insurance Industry

By: Susanna Gallani, Mary Witkowski and Harry B. Wolberg

This note describes the role of commercial payers in the U.S. healthcare industry. We begin with a review of the historical evolution of commercial payers and their role in the market, from the beginning to the Affordable Care Act and beyond. Every wave of reforms in... View Details

Keywords: Health Care and Treatment; Insurance; Governing Rules, Regulations, and Reforms; Organizational Change and Adaptation; Health Industry; Insurance Industry; United States

2019
Working Paper

U.S. Antitrust Law and Policy in Historical Perspective

By: Laura Phillips Sawyer

The key pieces of antitrust legislation in the United States—the Sherman Antitrust Act of 1890 and the Clayton Act of 1914—contain broad language that has afforded the courts wide latitude in interpreting and enforcing the law. This article chronicles the judiciary’s... View Details

Keywords: Antitrust; Trusts; Restraint Of Trade; Merger; Cartel; New Deal; Harvard School; Chicago School Of Law And Economics; Post-Chicago; Law; Competition; Policy; Vertical Integration; Horizontal Integration; Acquisition

19 Sep 2011
Research & Ideas

Doomsday Coming for Catastrophic Risk Insurers?

reinsurers may one day cease to exist in their current form, reinsurance will go on.) They should also act more like risk-taking investors and less like risk-averse corporations, their capital fluctuating "with people's decisions... View Details

Keywords: by Maggie Starvish; Financial Services

2023
Working Paper

Achieving Universal Health Insurance Coverage in the United States: Addressing Market Failures or Providing a Social Floor?

By: Katherine Baicker, Amitabh Chandra and Mark Shepard

The United States spends substantially more on health care than most developed countries, yet leaves a greater share of the population uninsured. We suggest that incremental insurance expansions focused on addressing market failures will propagate inefficiencies and... View Details

Keywords: Public Sector; Insurance; Health Care and Treatment; Policy; Innovation and Invention

11 Oct 2011
Working Paper Summaries

US Healthcare Reform and the Pharmaceutical Industry

Keywords: by Arthur Daemmrich; Pharmaceutical; Health

Article

Germany's Digital Health Reforms in the COVID-19 Era: Lessons and Opportunities for Other Countries

By: Sara Gerke, Ariel D. Stern and Timo Minssen

Reimbursement is a key challenge for many new digital health solutions, whose importance and value have been highlighted and expanded by the current COVID-19 pandemic. Germany’s new Digital Healthcare Act (Digitale–Versorgung–Gesetz or DVG) entitles all individuals... View Details

Keywords: COVID-19; Reimbursement; Digital Health Reforms; Health Pandemics; Health Care and Treatment; Internet and the Web; Governing Rules, Regulations, and Reforms; Germany

10 Oct 2023
Research & Ideas

In Empowering Black Voters, Did a Landmark Law Stir White Angst?

between 2000 and 2018, the researchers identify a “surge in racial animosity induced by the [Voting Rights Act]'' that persists over decades. “While the Act improved the conditions of Black Americans along multiple dimensions, it also... View Details

Keywords: by Rachel Layne

Article

Association of the Meaningful Use Electronic Health Record Incentive Program with Health Information Technology Venture Capital Funding

By: Samuel Lite, William J. Gordon and Ariel Dora Stern

IMPORTANCE
Although the Health Information Technology for Economic and Clinical Health (HITECH) Act has accelerated electronic health record (EHR) adoption since its passage, clinician satisfaction with EHRs remains low, and the association of HITECH with... View Details

Keywords: Health Care and Treatment; Information Technology; Laws and Statutes; Innovation and Invention; Entrepreneurship; Venture Capital

November 19, 2019
Article

The Unexpected Benefits of Pursuing a Passion Outside of Work

By: Jon M. Jachimowicz, Joyce He and Julian Arango

We are often told to pursue work we’re passionate about. But, for many people, this simply isn’t feasible. Not every job affords the possibility of doing what you love. And people care deeply about many different things—not all of which will be how they want to earn a... View Details

Keywords: Passion; Work; Health; Welfare; Satisfaction

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20 Mar 2000
Research & Ideas

No Place Like Home: America’s Housing Crisis and Its Impact on Business

affordable housing is the low-income housing tax credit, part of the Tax Reform Act of 1986," she says. "In essence, it provides a tax benefit to private investors — typically banks and insurance... View Details

Keywords: by Garry Emmons; Construction; Real Estate

September 2011
Supplement

Expansion at Narayana Hrudayalaya

By: Tarun Khanna and Tanya Bijlani

Narayana Hrudayalaya has expanded into a multi-specialty health city in Bangalore, with a 25-acre campus that offers complex tertiary care procedures ranging from orthopedics to cancer care. In 2008, NH raised private equity from JP Morgan and Pinebridge Investments to... View Details

Keywords: Investment; Price; Health Care and Treatment; Emerging Markets; Social Enterprise; Expansion; Health Industry; Bangalore; Cayman Islands; Miami

June 2017
Case

MIA: Profit at the Base of the Pyramid

By: Lynda M. Applegate, José Antonio Dávila Castilla, Sarah Mehta and Aldo Sesia

In January 2016, Guillermo Jaime had just returned home to Mexico City after attending a Harvard Business School executive education program. Jaime was the founder and CEO of Mejoramiento Integral Asistido (MIA), a company providing affordable housing to low-income... View Details

Keywords: Base Of The Pyramid; Social Capitalism; Housing; Emerging Markets; Social Enterprise; Society; Wealth and Poverty; Social Entrepreneurship; Construction Industry; Mexico