Publications

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

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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

1981
Case

Town of Holden Health Insurance Procurement

By: Dutch Leonard

Keywords: Health; Local Range; Insurance; Financial Management

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

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

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/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

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

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Research Summary

Overview

By: John Beshears

In his research, Professor Beshears shows how managers can influence the behavior of customers and employees by changing the decision-making environment to call attention to a decision, to use psychological framing to shape assessments of options, or to help... View Details

Keywords: Behavioral Economics; Consumer Finance; Household Finance; Health Care; Organizational Economics; Decision Making; Economics; Negotiation; Behavioral Finance

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

June 10, 2021
Article

Preparing Hospitals for the Next Pandemic

By: Regina E. Herzlinger and Barak D. Richman

The COVID-19 epidemic response has shown that the U.S. is blessed with heroic physicians and other health care providers, researchers, and facilities. But it has also revealed a health care system that was woefully unprepared for the surge of pandemic patients. In the... View Details

Keywords: Hospital; Hospital Management; Hospitals—administration; Health Care; Health Care Industry; Health Care Investment; Health Care Operations; Health Pandemics; Health Care and Treatment; Operations; Performance Improvement; Investment; Health Industry; United States

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2024
Working Paper

Does Private Equity Have Any Business Being in the Health Care Business?

By: Nori Gerardo Lietz and Zirui Song

Private Equity (“PE”) has come under increased scrutiny by the press, academics, and policymakers, as well as the public, for its investments in health care delivery. This scrutiny has been exacerbated by recent high profile hospital bankruptcies following PE... View Details

Keywords: Private Equity; Government Administration; Acquisition; Health Industry

SSRN

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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