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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
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Porter, Michael E., and Jennifer F Baron. "Moving to Universal Coverage: Health Care Reform in Massachusetts." Harvard Business School Case 712-466, February 2012. (Revised June 2013.)
  • September 2011 (Revised January 2012)
  • Case

Telemonitoring at Visiting Nurse Health System

By: F. Warren McFarlan, Mark Keil and Mala Kaul
The Telemonitoring at Visiting Nurse Health System case presents one home healthcare organization's efforts to use telemonitoring to improve the quality of care provided to at-risk patients who were discharged from hospitals and needed home care. After two years of... View Details
Keywords: Capital Budgeting; Cost vs Benefits; Risk Management; Technology Adoption; Technological Innovation; Organizational Change and Adaptation; Competitive Strategy; Health Industry; Health Industry
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McFarlan, F. Warren, Mark Keil, and Mala Kaul. "Telemonitoring at Visiting Nurse Health System." Harvard Business School Case 112-030, September 2011. (Revised January 2012.)
  • 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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Baicker, Katherine, and Amitabh Chandra. "Do We Spend Too Much on Health Care?" New England Journal of Medicine 383, no. 7 (August 13, 2020): 605–608.
  • February 2015
  • Supplement

The Affordable Care Act (J): Healthcare.gov

By: Joseph L. Bower and Michael Norris
In the fall of 2013, Healthcare.gov launches as an insurance exchange for consumers to buy health insurance. The launch is filled with glitches, and some worry if it will imperil the fate of the entire ACA. View Details
Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; Health Industry; United States
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Bower, Joseph L., and Michael Norris. "The Affordable Care Act (J): Healthcare.gov." Harvard Business School Supplement 315-041, February 2015.
  • 05 Aug 2002
  • Research & Ideas

Are Consumers the Cure for Broken Health Insurance?

The health insurance system in the United States is broken, and business is paying the price. Employers' insurance premiums reached an estimated $450 billion in 2000, and then... View Details
Keywords: by Regina E. Herzlinger
  • December 2007
  • Article

Regional Health Information Organizations: Current Activities and Financing

Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish... View Details
Keywords: Information Technology; Financing and Loans; Health Care and Treatment; Information Management; Health Industry; United States
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Adler-Milstein, Julia Rose, Andrew McAfee, David Bates, and Ashish Jha. "Regional Health Information Organizations: Current Activities and Financing." Web Exclusive Health Affairs (December 2007): w60–w69.
  • April 24, 2023
  • Article

In the COVID Era, Why Corporate Benefits Demand CEO/CFO Leadership

By: Regina E. Herzlinger
The expectation that employers provide their employees’ health benefits has been around since World War II. Unfortunately, although today’s employees expect employers to treat them as individuals, ease their experiences, prioritize their wellbeing, and control cost,... View Details
Keywords: COVID; COVID-19 Pandemic; CEO; Leadership; Health Insurance; Benefits; CFO; Compensation and Benefits
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Herzlinger, Regina E. "In the COVID Era, Why Corporate Benefits Demand CEO/CFO Leadership." CMR Insights (April 24, 2023).
  • 15 Nov 2004
  • Research & Ideas

Solving the Health Care Conundrum

policy changes are not essential for these changes to happen. Key policy areas to be addressed are: Access: Ultimately, access to care must be addressed through mandatory health insurance with subsidies for... View Details
Keywords: by Michael E. Porter; Health
  • 15 Jul 2013
  • Research & Ideas

Five Imperatives for Improving Health Care

to be reimbursed very well by insurance companies, and they've set themselves up to do a lot of those particular procedures? "Those are two different scenarios, and we'd like to see more of the former than the latter." Promoting... View Details
Keywords: by Carmen Nobel; Health
  • August 2014
  • Case

Blue Cross Blue Shield of Florida, Inc.

By: Regina E. Herzlinger and Meng Li
Keywords: Health; Health Care Industry; Health Insurance; United States; Health Care and Treatment; Health Industry; United States; Florida
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Herzlinger, Regina E., and Meng Li. "Blue Cross Blue Shield of Florida, Inc." Harvard Business School Case 315-009, August 2014.
  • March 2021
  • Supplement

Humana (C) — Reorganization

By: Regina E. Herzlinger and Ashley Ifeadike
A summary of Humana's restructuring of its business around its pillars. View Details
Keywords: Health Care; Health Care Industry; Health Insurance; Health Care Operations; Health; Health Care and Treatment; Insurance; Operations; Restructuring; Health Industry
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Herzlinger, Regina E., and Ashley Ifeadike. "Humana (C) — Reorganization." Harvard Business School Supplement 321-122, March 2021.
  • 23 Nov 2009
  • Research & Ideas

Management’s Role in Reforming Health Care

Aligning the Nature and Management of Health Care (Harvard Business Press, 2009), explains how to create more knowledgeable, flexible, and responsive delivery organizations. “Some of the most important innovations are not technologic—they... View Details
Keywords: by Martha Lagace; Health
  • March 2011 (Revised March 2011)
  • Case

Horizon Blue Cross Blue Shield of New Jersey - Managing in the Shadow of Health Care Reform

By: Felix Oberholzer-Gee, Raffaella Sadun and Richard G. Hamermesh
Per the Patient Protection and Affordable Care Act (PPACA), which President Obama signed in 2010, states would be required to create state-wide health insurance marketplaces - the Health Benefit Exchanges (HBEs) - in which individuals and small employers could choose... View Details
Keywords: Insurance; Health Care and Treatment; Governing Rules, Regulations, and Reforms; Emerging Markets; Risk and Uncertainty; Health Industry; Health Industry; New Jersey
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Oberholzer-Gee, Felix, Raffaella Sadun, and Richard G. Hamermesh. "Horizon Blue Cross Blue Shield of New Jersey - Managing in the Shadow of Health Care Reform." Harvard Business School Case 711-403, March 2011. (Revised March 2011.)
  • 02 Aug 2004
  • Research & Ideas

Health Care Research and Prospects

As is clear to anyone who pays medical insurance premiums or has undergone any kind of medical procedure, the business of health care is an expensive one. The technology is expensive. The research is... View Details
Keywords: by Wendy Guild Swearingen; Health
  • 30 May 2007
  • Research & Ideas

Health Care Under a Research Microscope

The $2 trillion health care system is one of the United States' largest industries—but one of its worst performing by almost any measure other than technological innovation. The problems are painful, including escalating costs, expensive... View Details
Keywords: by Sean Silverthorne; Health; Health
  • 2016
  • Teaching Note

Advanced Leadership Pathways: General Gale Pollock and Services for the Vision Impaired

By: Rosabeth M. Kanter, Tessa Natanay Hamilton and Ai-Ling Jamila Malone
Teaching note for case 314029. Following a successful military career as an Army Nurse, achieving rank as Major General, becoming the first female Acting Surgeon General of the Army, and the 22nd Chief of the Army Nurse Corps, Pollock developed a vested interest in... View Details
Keywords: Health Care; Health Care Education; Insurance Companies; Military; Leadership Skills; Health Care and Treatment; Education; Insurance; Business Startups; Information Technology; Applications and Software; Change Management; Health Industry; Health Industry
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Kanter, Rosabeth M., Tessa Natanay Hamilton, and Ai-Ling Jamila Malone. "Advanced Leadership Pathways: General Gale Pollock and Services for the Vision Impaired." Harvard Business Publishing Teaching Note 316-036, 2016. (Harvard Advanced Leadership Initiative.)
  • 2012
  • Other Book

Redefining German Health Care: Moving to a Value-Based System

By: Michael E. Porter and Clemens Guth
The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends. Why has Germany failed to solve... View Details
Keywords: Health
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Porter, Michael E., and Clemens Guth. Redefining German Health Care: Moving to a Value-Based System. Heidelberg: Springer, 2012.
  • 2021
  • Working Paper

Kidney Exchange: An Operations Perspective

By: Itai Ashlagi and Alvin E. Roth
Many patients in need of a kidney transplant have a willing but incompatible (or poorly matched) living donor. Kidney exchange programs arrange exchanges among such patient-donor pairs, in cycles and chains of exchange, so each patient receives a compatible kidney.... View Details
Keywords: Kidney Exchange Programs; Health Disorders; Health Care and Treatment; Programs; Design
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Ashlagi, Itai, and Alvin E. Roth. "Kidney Exchange: An Operations Perspective." NBER Working Paper Series, No. 28500, February 2021.
  • August 2003 (Revised September 2008)
  • Background Note

Note on Financing of the U.S. Health Care Sector

By: Regina E. Herzlinger and Jeff Grahling
This course describes the public and private sources of financing of the U.S. health-care sector,and identifies the characteristics of insurance policies, their costs, the structure of the insurance industry, and the role of consultants and brokers. The insurance... View Details
Keywords: Economic Sectors; Financing and Loans; Insurance; Industry Structures; Health Industry; Health Industry; United States
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Herzlinger, Regina E., and Jeff Grahling. "Note on Financing of the U.S. Health Care Sector." Harvard Business School Background Note 304-039, August 2003. (Revised September 2008.)
  • July 1, 2018
  • Editorial

The IRS Can Save American Health Care: Letting Workers Spend Pretax Dollars on Insurance Would Do a Lot—Without Requiring Congress to Act

By: Regina E. Herzlinger and Joel Klein
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Herzlinger, Regina E., and Joel Klein. "The IRS Can Save American Health Care: Letting Workers Spend Pretax Dollars on Insurance Would Do a Lot—Without Requiring Congress to Act." Wall Street Journal (online) (July 1, 2018).
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