Publications

June 1994 (Revised February 1999)
Case

Marcia Radosevich and Health Payment Review--1989 (A)

Martha Radosevich, president of Health Payment Review, a small software start-up, confronts a serious cash-flow problem: Health Payment Review has built a PC-based prototype but has run out of funds to build a commercially acceptable mainframe product. As a stop-gap... View Details

Keywords: Negotiation; Cash Flow; Entrepreneurship; Applications and Software; Sales; Information Technology Industry

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; Health Industry; United States

October 24, 2018
Article

End the Corporate Health Care Tax

By: Mark R. Kramer and John Pontillo

Imagine if a single piece of legislation could effectively eliminate all U.S. corporate taxes, subsidize hundreds of millions of dollars in new corporate investment, increase the take-home pay of most U.S. employees, ease state and local budgets, and reduce the U.S.... View Details

Keywords: Corporate Taxation; Health Care and Treatment; Insurance; Taxation; Governing Rules, Regulations, and Reforms; United States

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Web

Health Care - Faculty & Research

to date in value-based care delivery. Keywords: Business Model ; Business Units ; Financing and Loans ; Innovation Strategy ; Growth and Development Strategy ; Service Operations ; Mergers and Acquisitions ; Insurance ; View Details

November 2024
Article

The Health Costs of Cost Sharing

By: Amitabh Chandra, Evan Flack and Ziad Obermeyer

What happens when patients suddenly stop their medications? We study the health consequences of drug interruptions caused by large, abrupt, and arbitrary changes in price. Medicare’s prescription drug benefit as-if-randomly assigns 65-year-olds a drug budget as a... View Details

Keywords: Outcome or Result; Health Care and Treatment; Budgets and Budgeting; Cost

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2010
Chapter

Consumer-Driven Universal Health Care is the Best Solution

By: Regina E. Herzlinger

The best way to achieve universal health insurance coverage is to implement a consumer-controlled system rather than a government-controlled system. View Details

Keywords: Health Care and Treatment; Insurance; Customers; System

24 Sep 2024
Blog Post

Climate Finance in Africa: Health, Self-Interest, Avoided Future Cost

and national security issues worsened in part by migration out of newly unlivable situations. How can investors, businesses, and global society face these issues? Governments and development finance institutions (DFIs) clearly don’t have... View Details

April 5, 2023
Article

We Need an Operation Warp Speed for Long COVID

By: Esther K. Choo and Scott Duke Kominers

With millions of people affected and at least $1 trillion of economic value at stake, long COVID is our next national health emergency. View Details

Keywords: COVID; COVID-19; COVID-19 Pandemic; Scientific Research; Policy; Health Policy; Innovation; Science; Public Finance; Public Health; Health Disorders; Health Care and Treatment; Human Capital

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February 2012 (Revised June 2013)
Case

Moving to Universal Coverage: Health Care Reform in Massachusetts

By: Michael E. Porter and Jennifer F Baron

State health care reform in Massachusetts has involved a phased process, focusing first on coverage expansion and then turning to delivery system innovation and cost containment. In 2006, the state adopted an individual mandate to obtain health care coverage which,... View Details

Keywords: Health Care and Treatment; Business and Government Relations; Insurance; Massachusetts

March 2008 (Revised January 2010)
Background Note

Note on Accountability in the U.S. Health Care System

By: Regina E. Herzlinger and Michael Millenson

This note explains how health care providers, health insurers, and consumers are held accountable for their performance and the entrepreneurial opportunities thus created. View Details

Keywords: Entrepreneurship; Ethics; Insurance; Corporate Accountability; Health Care and Treatment; Demand and Consumers; Health Industry; United States

September 2011
Article

How to Solve the Cost Crisis in Health Care

By: Robert S. Kaplan and Michael E. Porter

Existing health care costing systems have serious flaws that make it impossible to measure costs accurately at the individual patient and medical condition level. This gap has severely limited meaningful cost reduction throughout the system. The paper describes a new... View Details

Keywords: Cost; Health Care and Treatment; Measurement and Metrics; Service Delivery; Outcome or Result; Quality; Health Industry

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01 Jan 2020
News

2020 Vision: What to Expect in Healthcare Finance Over the Next Decade

Article

Do We Spend Too Much on Health Care?

By: Katherine Baicker and Amitabh Chandra

Health system reforms—such as changes in insurance design, patient cost sharing, payment reform, or price regulation—should be judged by whether they move us toward higher-value use of resources, rather than by whether they reduce spending. View Details

Keywords: Health Care and Treatment; Cost; Governing Rules, Regulations, and Reforms; Value Creation

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01 Jun 2017
News

Ink: Home Cooking, Secure Retirements, and Restoring Humanity to Finance

largest senior population in the history of the United States. And millions of boomer households are financially unprepared, one extended health crisis, job loss, or traumatic event from insolvency. As individuals facing this situation,... View Details

02 Jan 2020
News

Medicare for All or Public Option: Can Either Heal Health Care?

February 2015
Supplement

The Affordable Care Act (C): Legislative Strategy in the Senate

By: Joseph L. Bower and Michael Norris

In 2009, the Senate begins drafting its health care bills. Jurisdiction in the Senate is shared between two committees, but the more important is the Senate Finance Committee. View Details

Keywords: Health Care; Health Care Policy; Government And Politics; Health; Government Administration; Health Industry; United States

2023
Article

Digital Health Reimbursement Strategies of 8 European Countries and Israel: Scoping Review and Policy Mapping

By: Robin van Kessel, Divya Srivastava, Ilias Kyriopoulos, Giovanni Monti, David Novillo-Ortiz, Ran Milman, Wojciech Wilhelm Zhang-Czabanowski, Greta Nasi, Ariel Dora Stern, George Wharton and Elias Mossialos

Background: The adoption of digital health care within health systems is determined by various factors, including pricing and reimbursement. The reimbursement landscape for digital health in Europe remains underresearched. Although various emergency reimbursement... View Details

Keywords: Technology Adoption; Health Care and Treatment; Cross-Cultural and Cross-Border Issues; Price; Health Industry; Europe; Israel

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November 2010 (Revised May 2012)
Background Note

Assessing a Company's Future Financial Health

By: Thomas R. Piper

The case provides students with (1) an understanding of the essence of long-term financial health; (2) familiarity with the calculation and meaning of various financial ratios; and (3) an understanding of the influence of a company's operating and competitive... View Details

Keywords: Financial Condition; Forecasting and Prediction; Investment Return; Operations; Competitive Strategy