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  • May 2024 (Revised January 2025)
  • Technical Note

Health Care Payment in the United States

By: Robert S. Huckman, Jeff Charca and Craig Garthwaite
This document provides an overview of how various actors (e.g., physicians, hospitals, and other health care providers) are paid in the United States health care system. It is particularly focused on features of the payment system that contribute to strategic decisions... View Details
Keywords: Compensation and Benefits; Organizational Change and Adaptation; Health Industry
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Huckman, Robert S., Jeff Charca, and Craig Garthwaite. "Health Care Payment in the United States." Harvard Business School Technical Note 624-071, May 2024. (Revised January 2025.)
  • 04 Jul 2011
  • Research & Ideas

Making the Case for Consumer-Driven Health Care

of health care is a major research topic at Harvard Business School and its Healthcare Initiative, where some 40 faculty conduct research on questions as diverse as how "work-around" cultures develop in hospitals to the best... View Details
Keywords: by Carmen Nobel; Health
  • 23 Nov 2009
  • Research & Ideas

Management’s Role in Reforming Health Care

are used to good service from other industries and expect higher performance than they see on the delivery sector. They obviously worry a lot about whether their insurance will cover the medical services... View Details
Keywords: by Martha Lagace; Health
  • 2019
  • Chapter

Teams and Team Effectiveness in Health Services Organizations

By: Bruce J. Fried and Amy C. Edmondson
Book Abstract: Completely updated to address the challenges faced by modern health care organizations, this edition of Shortell and Kaluzny's Health Care Management: Organization Design and Behavior offers a more global perspective on how the United States and... View Details
Keywords: Groups and Teams; Performance Effectiveness; Health; Health Industry
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Fried, Bruce J., and Amy C. Edmondson. "Teams and Team Effectiveness in Health Services Organizations." Chap. 5 in Shortell & Kaluzny's Health Care Management: Organization Design and Behavior. 7th ed., edited by Lawton Robert Burns, Elizabeth H. Bradley, and Bryan Jeffrey Weiner, 98–131. Boston, MA: Cengage Learning, 2019.
  • Article

Health Care Providers Need a Value Management Office

By: Robert S. Kaplan, Catherine H. MacLean, Alexander Dresner, Derek A. Haas and Thomas W. Feeley
Many health care organizations are striving to implement a value agenda that delivers better patient outcomes at lower cost, medical condition by medical condition. To accelerate the dissemination and adoption of the value agenda, across many more medical conditions,... View Details
Keywords: Service Delivery; Value; Health Care and Treatment; Health Industry
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Kaplan, Robert S., Catherine H. MacLean, Alexander Dresner, Derek A. Haas, and Thomas W. Feeley. "Health Care Providers Need a Value Management Office." Harvard Business Review (website) (December 2, 2015). (Part of the “Leading Change in Health Care” series, a collaboration of the editors of Harvard Business Review and NEJM Group.)
  • January 2010
  • Case

Ledina Lushko: Navigating Health Care Delivery

By: Sachin H Jain, Michael E. Porter, Fatima Akrouh and Carolyn Daly
Ledina Lushko was diagnosed with Adrenal Cortical Carcinoma in 2008 and sought care at a highly regarded medical institution in the United States. This case lays out her journey through the health care system in detail and all of the effort involved in finding... View Details
Keywords: Health; Health Care and Treatment; Health Disorders; Service Delivery; Health Industry; United States
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Jain, Sachin H., Michael E. Porter, Fatima Akrouh, and Carolyn Daly. "Ledina Lushko: Navigating Health Care Delivery." Harvard Business School Case 710-459, January 2010.
  • 2014
  • Article

Notes from the Search for Deep Indicators in Services

By: James L. Heskett
Much of the research in the service sector over the last four decades has concerned itself with the search for deep indicators that explain service performance. This paper provides a brief retrospective of some of this research and illustrates the directions that this... View Details
Keywords: Service Delivery; Organizational Culture; Performance; Service Industry
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Heskett, James L. "Notes from the Search for Deep Indicators in Services." Journal of Service Management 25, no. 3 (2014): 298–309.
  • 13 Jul 2011
  • Research & Ideas

Experimental Researcher Helps Improve Health Care in Zambia

Sometimes big ideas start with small experiments. That's been the experience of Harvard Business School professor Nava Ashraf, whose experimental approach to research in developing countries has produced insights that have influenced government policies. Ashraf, an... View Details
Keywords: by Roger Thompson; Health
  • May 2015 (Revised September 2015)
  • Case

AIP Healthcare Japan: Investing in Japan's Retirement Home Market

By: John A. Quelch and Qing Xia
The CEO of a health care-based REIT is considering alternative nursing home investment strategies. Students must consider macro-industry trends, scale and scope issues and consumer segmentation data in making their recommendations. View Details
Keywords: Health Care; Health Care Services; REIT; Marketing; Investment; Health Care and Treatment; Segmentation; Accommodations Industry; Health Industry; Real Estate Industry; Japan
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Quelch, John A., and Qing Xia. "AIP Healthcare Japan: Investing in Japan's Retirement Home Market." Harvard Business School Case 515-102, May 2015. (Revised September 2015.)
  • 08 Apr 2009
  • Research & Ideas

Clayton Christensen on Disrupting Health Care

describe it—in a way that applies to health care or any industry—is innovation that transforms a product or service that historically has been very complicated and expensive into something that is affordable... View Details
Keywords: by Deborah Blagg; Health
  • October 1999 (Revised November 1999)
  • Case

VITAS: Innovative Hospice Care

VITAS, a for-profit hospice, has grown through acquisitions and start-ups. The company considers a rollup strategy, and Deirdre Lawe must decide whether to make a particular acquisition. View Details
Keywords: Value Creation; For-Profit Firms; Service Delivery; Health Care and Treatment; Acquisition; Service Industry
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Hallowell, Roger H., and Tonicia C. Hampton. "VITAS: Innovative Hospice Care." Harvard Business School Case 800-031, October 1999. (Revised November 1999.)
  • September–October 2023
  • Article

Prospective Evaluation of the Cost of Performing Breast Imaging Examinations Using Time-Driven Activity-Based Costing Method: A Single Center Study

By: Aamir Ali, Jordana Phillips, Damir Ljuboja, Syed S. Shehab, Etta D. Pisano, Robert S. Kaplan and Ammar Sarwar
We use time-driven activity-based costing (TDABC) to measure the cost of performing breast imaging using different modalities: full-field digital mammography (FFDM), digital breast tomosynthesis (DBT), contrast-enhanced mammography (CEM), US and MRI exams, and... View Details
Keywords: Time-Driven Activity-Based Costing; Health Care; Breast Cancer; Health Care and Treatment; Cost; Cost Accounting; Health Industry
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Ali, Aamir, Jordana Phillips, Damir Ljuboja, Syed S. Shehab, Etta D. Pisano, Robert S. Kaplan, and Ammar Sarwar. "Prospective Evaluation of the Cost of Performing Breast Imaging Examinations Using Time-Driven Activity-Based Costing Method: A Single Center Study." Journal of Breast Imaging 5, no. 5 (September–October 2023): 546–554.
  • May 2025
  • Case

Dell Med: Transforming Care Delivery & Payment

By: Robert S. Kaplan, David N. Bernstein and Mary L. Witkowski
Health care in the U.S. and globally continues to undergo massive transformation, surging towards a system that rewards value for patients. However, widespread adoption of value-based health care remains a challenge. This case study focuses on the care delivery... View Details
Keywords: Integrated Practice Units; Outcomes Measurement; Time-Driven Activity-Based Costing; Health Care and Treatment; Business Strategy; Leading Change; Decisions; Transformation; Service Delivery; Adoption; Value; Health Industry; United States; Texas
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Kaplan, Robert S., David N. Bernstein, and Mary L. Witkowski. "Dell Med: Transforming Care Delivery & Payment." Harvard Business School Case 125-117, May 2025.
  • 16 Feb 2010
  • Research & Ideas

The Outside-In Approach to Customer Service

must be more profound and open-ended, with an intent not only to discover how your customers engage with your products or services but also to understand some of the broader parameters of the constraints they are facing in their own... View Details
Keywords: by Sarah Jane Gilbert; Consumer Products
  • March 9, 2021
  • Article

Addressing Consolidation in Health Care Markets

By: Leemore S. Dafny
This Viewpoint proposes three steps the Biden administration can take to slow consolidation within health care, which has been shown to raise costs without improving service or quality: better fund federal antitrust enforcement agencies; appoint agency heads committed... View Details
Keywords: Antitrust Issues And Policies; Health Care and Treatment; Markets; Consolidation; Competition; Government Administration
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Dafny, Leemore S. "Addressing Consolidation in Health Care Markets." JAMA, the Journal of the American Medical Association 325, no. 10 (March 9, 2021): 927–928.
  • 04 Jun 2007
  • Research & Ideas

Is Health Care Making You Better—or Dead?

what happened to Kaiser. Q: Your HBS colleague, Richard Bohmer, talks favorably about clinics now sprouting up in malls and big chains that offer very basic services at affordable prices. Is that a sample of innovation now starting to... View Details
Keywords: by Sean Silverthorne; Health
  • May 1993
  • Case

Patient Transfusion Services Lab of Central Blood Bank

By: James L. Heskett
The vice president of the Lab and Clinical Services at Central Blood Bank is faced with the challenge of convincing a hospital to use economical shared patient transfusion testing services. View Details
Keywords: Health Care and Treatment; Quality; Service Operations; Mathematical Methods; Customer Satisfaction; Health Industry
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Heskett, James L. "Patient Transfusion Services Lab of Central Blood Bank." Harvard Business School Case 693-091, May 1993.
  • February 2024 (Revised December 2024)
  • Case

Best Buy Health: Enabling Care at Home

By: Robert S. Huckman, Rosabeth Moss Kanter, Antonio Moreno, Bradley Staats and Sarah Mehta
This case explores retailer Best Buy’s decision to enter health care. Best Buy Health aims to enable care at home across three prongs: consumer health, active aging, and virtual care. A key pillar of Best Buy Health's strategy is leveraging the Geek Squad—the company's... View Details
Keywords: Business Ventures; Health Care and Treatment; Innovation and Invention; Business Strategy; Market Entry and Exit; Service Delivery; Service Operations; Electronics Industry; Health Industry; Retail Industry; United States; Minnesota
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Huckman, Robert S., Rosabeth Moss Kanter, Antonio Moreno, Bradley Staats, and Sarah Mehta. "Best Buy Health: Enabling Care at Home." Harvard Business School Case 624-009, February 2024. (Revised December 2024.)
  • 15 Feb 2000
  • Research & Ideas

Growing Pains: Prescriptions for U.S. Health Care

We know the symptoms all too well. We wait months to see a doctor. Office visits end, it seems, just moments after they begin. Managed care firms hold sway over doctors' treatment plans, and health insurance premiums are heading for the... View Details
Keywords: by Staff; Health
  • 04 Apr 2011
  • Research & Ideas

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

that the system isn't set up to incentivize health care workers to do that. "The reason it's never done is that nobody gets paid to do it .there's no incentive to do anything," Cutler said. View Details
Keywords: by Carmen Nobel; Health
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