Publications

Read Now

02 Jan 2020
Op-Ed

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

The United States has serious health care problems: More than 27 million uninsured people, costs that are growing faster than income, and a staggering $37 trillion of unfunded liabilities in the Medicare program. Perhaps most alarming:... View Details

Keywords: by Regina E. Herzlinger and James Wallace; Health; Health

17 Sep 2020
Research & Ideas

Many Small-Business Employees May Be Close to Losing Health Insurance

A health insurance crisis may be looming for employees of small businesses, with many firms struggling to cover their share of these costs, new research from Harvard Business School finds. Nearly one-third of employers surveyed weren’t... View Details

Keywords: by Rachel Layne; Health

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

2020
Chapter

Health Care Markets a Decade After the ACA: Bigger, but Probably Not Better

By: Leemore S. Dafny

Love it or hate it, the Affordable Care Act (ACA) embraced and extended the role of private markets in financing and delivering health care in the United States. Ten years after the ACA’s passage, it is unclear whether health care markets are better (along a range of... View Details

Keywords: Health Care and Treatment; Markets; Laws and Statutes; Outcome or Result; Health Industry; United States

2018
Working Paper

Two Hundred Years of Health and Medical Care: The Importance of Medical Care for Life Expectancy Gains

By: Maryaline Catillon, David Cutler and Thomas Getzen

Using two hundred years of national and Massachusetts data on medical care and health, we examine how central medical care is to life expectancy gains. While common theories about medical care cost growth stress growing demand, our analysis highlights the importance of... View Details

Keywords: Mortality; Life Expectancy; Medical Care; Productivity; Public Health; Healthcare Spending; Spending Per Year Of Life Gained; Personal Medicine; Technophysio Evolution; Health; Economics; Health Care and Treatment; Spending; Data and Data Sets; Health Industry

Read Now

February 2009
Teaching Note

Pitney Bowes: Employer Health Strategy (TN)

By: Michael E. Porter and Jennifer F Baron

Teaching Note for 709458. View Details

Keywords: Health; Employees; Cost; Policy; Situation or Environment; Innovation and Invention; Contracts; Programs; Strategy; Manufacturing Industry; Service Industry; United States

07 Mar 2018
Research & Ideas

Electronic Health Records Were Supposed to Cut Medical Costs. They Haven't.

Despite the promise that electronic health records would cut billing costs, savings have yet to materialize, according to a major new study by researchers at Harvard Business School and Duke University. “The theory was that part of... View Details

Keywords: by Roberta Holland; Health

1981
Case

Town of Holden Health Insurance Procurement

By: Dutch Leonard

Keywords: Health; Local Range; Insurance; Financial Management

31 Mar 2023
Research & Ideas

Can a ‘Basic Bundle’ of Health Insurance Cure Coverage Gaps and Spur Innovation?

By the early 1980s, several high-income countries—including Switzerland, the United Kingdom, Australia, Canada, and New Zealand—had universal health insurance covering 100 percent of the population. Meanwhile, 40 years later, the United... View Details

Keywords: by Kasandra Brabaw; Health; Health

November 1997
Background Note

Assessing a Company's Financial Health (Abridged)

By: Thomas R. Piper

Keywords: Financial Condition

2009
Book

Designing Care: Aligning the Nature and Management of Health Care

By: Richard Bohmer

Today's health-care providers face growing criticism - from policy makers and patients alike. As costs continue to spiral upward and concerns about quality of care escalate, the debate has focused on how to finance health care. Yet funding solutions can't... View Details

Keywords: Cost Management; Health Care and Treatment; Service Delivery; Business Processes; Organizational Culture

March 2014
Editorial

Limits on Use of Health Economic Assessments for Rare Diseases

By: Hanna I. Hyry, Ariel Dora Stern, Jonathan CP Roos and Timothy M. Cox

Funding of expensive treatments for rare ('orphan') diseases is contentious. These agents fare poorly on 'efficiency' or health economic measures, such as the QALY, because of high cost and frequently poor gains in quality of life and survival. We show that... View Details

Keywords: Cost; Health Disorders; Health Care and Treatment; Pharmaceutical Industry

25 Jan 2013
Research & Ideas

Why a Harvard Finance Instructor Went to the Kumbh Mela

(Ganges) River, the Yamuna River, and the mythical underground Saraswathi. Legend says that on his return to the Himalaya, Vishnu flew over this spot and dropped sacred nectar from a pitcher—a kumbh. “We are all here to witness how devotion, design, health, and View Details

Keywords: by John D. Macomber; Construction; Real Estate

04 Apr 2011
Research & Ideas

Attention Medical Shoppers: What Health Care Can Learn from Walmart and Amazon

In order to get its financial and management woes under control, the health care industry might want to peek at the playbooks of retail giants like Walmart, Google, and Amazon.com. This was a key conversation point at "Perspectives... View Details

Keywords: by Carmen Nobel; Health

January 2008 (Revised August 2012)
Case

Retail Sales of Health Insurance: Blue Cross Blue Shield of Florida

By: Regina E. Herzlinger and Grady Clouse

The BCBS of Florida is contemplating whether to enter the consumer-driven health care market and if so, whether to target such groups—and individuals—and in which of its geographic markets, and how. View Details

Keywords: Health Care and Treatment; Nonprofit Organizations; Strategy; Insurance; Insurance Industry; Florida

Educators

March/April 2003
Article

A Prescription for Health Care Cost Reform

By: Anthony W Ulwick, Clayton M. Christensen and Jerome H Grossman

Keywords: Cost; Health; Governing Rules, Regulations, and Reforms; Health Industry

January 2000 (Revised October 2002)
Case

Cambridge Hospital Community Health Network - The Primary Care Unit

By: V.G. Narayanan, Lisa Brem and Ryan Moore

The Cambridge Hospital Community Health Network needed to gain a better understanding of its unit-of-service costs, which had been rising at a rate of 10% per year. The network's step-down costing system gave only aggregate costing information, and there was some... View Details

Keywords: Activity Based Costing and Management; Health Care and Treatment; Cost Accounting; Cost; Network Effects; Health Industry; Health Industry; Massachusetts

Educators

November 2010 (Revised January 2011)
Teaching Note

Assessing a Company's Future Financial Health (TN)

By: Thomas R. Piper

Teaching Note for 911412. View Details

Keywords: Financial Condition; Forecasting and Prediction

2023
Article

Dynamic HTA for Digital Health Solutions: Opportunities and Challenges for Patient-Centered Evaluation

By: Jan B. Brönneke, Annika Herr, Simon Reif and Ariel D. Stern

Germany’s 2019 Digital Healthcare Act (Digitale-Versorgung-Gesetz, or DVG) created a number of opportunities for the digital transformation of the health care delivery system. Key among these was the creation of a reimbursement pathway for patient-centered digital... View Details

Keywords: Digital Transformation; Applications and Software; Product Development; Insurance; Policy; Health Industry; Germany