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  • Article

Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective

By: Michaela J. Kerrissey, Jonathan Clark, Mark Friedberg, Wei Jiang, Ashley Kay Fryer, Molly Frean, Stephen Shortell, Patricia Ramsay, Lawrence Casalino and Sara J. Singer
Structural integration is increasing among medical groups, but whether these changes yield care that is more integrated remains unclear. We explored the relationships between structural integration characteristics of 144 medical groups and perceptions of integrated... View Details
Keywords: Integration; Health Care Delivery; Organization Structure; Organizational Structure; Health Care and Treatment; Perception; Perspective; Health Industry; United States
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  • 2023
  • Working Paper

Are Hospital Quality Indicators Causal?

By: Amitabh Chandra, Maurice Dalton and Douglas O. Staiger
Hospitals play a key role in patient outcomes and spending, but efforts to improve their quality are hindered because we do not know whether hospital quality indicators are causal or biased. We evaluate the validity of commonly used quality indicators, such as... View Details
Keywords: Quality; Health Care and Treatment; Measurement and Metrics; Outcome or Result; Health Industry
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  • Article

Time-driven Activity-based Costing of Multivessel Coronary Artery Bypass Grafting across National Boundaries to Identify Improvement Opportunities: Study Protocol

By: F. Erhun, B. Mistry, T. Platcheck, A. Milstein, V.G. Narayanan and R. S. Kaplan
Coronary artery bypass graft (CABG) surgery is a common treatment for coronary artery disease—a disease that affects over 10% of US adults and is a major cause of morbidity and mortality. In 2005, the mean cost for a CABG procedure among Medicare beneficiaries in the... View Details
Keywords: Activity Based Costing and Management; Health Disorders; Health Care and Treatment; United States; India
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  • 2016
  • Article

Integrated Care from the Patient's Perspective and its Relationship to Medical Group Attributes.

By: Michaela Kerrissey, Jonathan Clark, Ashley-Kay Fryer, Wei Jiang, Maryaline Catillon, Patricia Ramsay, Stephen Shortell, Lawrence Casalino, Mark Friedberg and Sara J. Singer
Integrating care for patients with multiple chronic conditions is essential to improving quality. Yet little is known about care integration from the patient’s perspective and how it relates to medical group characteristics. We created a nationally representative... View Details
Keywords: Care Coordination; Integrated Care; Health; Health Care and Treatment; Quality; Perspective; Health Industry
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  • 29 Jan 2019
  • First Look

New Research and Ideas, January 29, 2019

forthcoming Journal of International Economics Corporate Debt, Firm Size and Financial Fragility in Emerging Markets By: Alfaro, Laura, Gonzalo Asis, Anusha Chari, and Ugo Panizza Abstract— The post-Global Financial Crisis period shows a surge in corporate leverage in... View Details
Keywords: Dina Gerdeman
  • January 2, 2020
  • Article

Changes in Quality of Care After Hospital Mergers and Acquisitions

By: Nancy Dean Beaulieu, Leemore S. Dafny, B. E. Landon, Jesse Dalton, Ifedayo Kuye and J. Michael McWilliams
Background: The hospital industry has consolidated substantially during the past two decades and at an accelerated pace since 2010. Multiple studies have shown that hospital mergers have led to higher prices for commercially insured patients, but research about effects... View Details
Keywords: Hospitals; Mergers and Acquisitions; Health Care and Treatment; Quality
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  • 2010
  • Chapter

The Paranoid Style in the Study of American Politics

By: David Moss and Mary Oey
What drives policy making in a democracy? The conventional view is that political actors, like economic actors, pursue their self interest, and that special interest groups dominate the policy making process by satisfying policy makers' need for money and other forms... View Details
Keywords: Policy; Government Legislation; Media; Interests; Power and Influence; Public Opinion; United States
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  • 2008
  • Other Unpublished Work

The Paranoid Style in the Study of American Politics

By: David Moss and Mary Oey

The conventional view is that political actors, like economic actors, pursue their self interest, and that special interest groups dominate the policy making process by satisfying policy makers' need for money and other forms of political support. Indeed, many... View Details

Keywords: Policy; Government Legislation; Media; Interests; Power and Influence; Public Opinion; United States
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  • Web

Publications - Institute For Strategy And Competitiveness

sequence of activities required to deliver high-value care. June 2021 Article The CMS New Rule on Ambulatory Surgical Centers Earns Only Partial Credit The CMS New Rule on Ambulatory Surgical Centers Earns Only Partial Credit by Junaid Nabi and Robert S. Kaplan The... View Details
  • 14 Feb 2023
  • HBS Case

Is Sweden Still 'Sweden'? A Liberal Utopia Grapples with an Identity Crisis

“because they feel they get a lot” for it. As of 2022, for example, Swedish health insurance and other benefits account for 30 percent of government spending, compared to 10 percent for Social Security and Medicare in the US. The future... View Details
Keywords: by Lane Lambert
  • 04 Sep 2001
  • Research & Ideas

Is Government Just Stupid? How Bad Decisions Are Made

choice without government interference. If elected, I will do everything possible to guarantee that there will be no real reduction in Social Security or Medicare spending. If elected, I will do everything possible to protect our natural... View Details
Keywords: by Max H. Bazerman, Jonathan Baron & Katherine Shonk
  • Web

2023 Reunion Presentations - Alumni

Medicare for All, free community college, and elimination of fossil fuels) seem unlikely to work as currently envisioned. I also address the current preoccupation in the media and politics with what is wrong, rather than how to fix... View Details
  • Web

Health Care - Faculty & Research

become nearly ubiquitous for high-priced brand-name prescription drugs. Medicare bans such coupons on the grounds that they are kickbacks that induce utilization, but they are commonly used by commercially-insured enrollees. We estimate... View Details
  • Web

Publications - Institute For Strategy And Competitiveness

care for specific events.... June 2021 The CMS New Rule on Ambulatory Surgical Centers Earns Only Partial Credit by Junaid Nabi and Robert S. Kaplan The Centers of Medicare and Medicaid Services (CMS) recently announced that it will be... View Details
  • 02 Jun 2021
  • Research & Ideas

A Rare Find in Health Care: A Simple Solution to Racial Inequity

Kakani and Columbia University professor Adam Sacarny, focuses on another explanation: differences in hospital quality. Hospital care improves, but gaps persist The researchers analyzed about 20 years of Medicare data, reflecting the... View Details
Keywords: by Michael Blanding; Health
  • 12 Jun 2018
  • Research & Ideas

In a Landscape of 'Me Too' Drug Development, What Spurs Radical Innovation?

novel” To gauge the impact of receiving what economists call a “cashflow shock,” researchers looked at the introduction of Medicare Part D, which expanded coverage for patients over the age of 65. That would result in more drug sales,... View Details
Keywords: by Rachel Layne; Health; Pharmaceutical
  • 31 Mar 2023
  • Research & Ideas

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

Medicare for All plan similarly argued that every citizen should have access to the same level of health care. The researchers advocate for this kind of top-up coverage because it provides a safeguard against the basic plan becoming too... View Details
Keywords: by Kasandra Brabaw; Insurance; Health
  • Web

Research - Health Care

Do Copayment Coupons Affect Branded Drug Prices and Quantities Purchased? By: Leemore S. Dafny , Kate Ho and Edward Kong Drug copayment coupons to reduce patient cost-sharing have become nearly ubiquitous for high-priced brand-name prescription drugs. View Details
  • 05 Dec 2016
  • Research & Ideas

How The 2016 Presidential Candidates Misled Us With Truthful Statements

Medicare to negotiate lower prices with drug companies and allow Americans to buy drugs at more affordable prices. The facts: Some of the information in the claim was true. The prices of brand-name drugs have more than doubled during that... View Details
Keywords: by Dina Gerdeman
  • Web

2022 Reunion Presentations - Alumni

cost and in less time. I will also discuss the role of ventures in addressing climate change. Some of the popular solutions to these challenges (e.g., Medicare for All, free community college, and elimination of fossil fuels) seem... View Details