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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.)
  • 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
  • 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
  • 08 Apr 2009
  • Research & Ideas

Clayton Christensen on Disrupting Health Care

reactor" in accelerating the rise in health-care costs. Why is this system such a problem? A: By some estimates, 50 percent of all health care is driven by physician and hospital supply, not by patients' needs. Today's doctors work in a... View Details
Keywords: by Deborah Blagg; Health
  • 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.)
  • Article

Regulating Hospital Prices Based on Market Concentration Is Likely to Leave High-Price Hospitals Unaffected

By: Maximilian J. Pany, Michael E. Chernew and Leemore S. Dafny
Concern about high hospital prices for commercially insured patients has motivated several proposals to regulate these prices. Such proposals often limit regulations to highly concentrated hospital markets. Using a large sample of 2017 US commercial insurance claims,... View Details
Keywords: Health Care Providers; Hospitals; Insurance Market Regulation; Price Regulation; Markets; Health Care and Treatment; Cost; Quality; Insurance; Price; Governing Rules, Regulations, and Reforms
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Pany, Maximilian J., Michael E. Chernew, and Leemore S. Dafny. "Regulating Hospital Prices Based on Market Concentration Is Likely to Leave High-Price Hospitals Unaffected." Health Affairs 40, no. 9 (September 2021): 1386–1394.
  • 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).
  • 2021
  • Working Paper

The Health Costs of Cost-Sharing

By: Amitabh Chandra, Evan Flack and Ziad Obermeyer
We use the design of Medicare’s prescription drug benefit program to demonstrate three facts about the health consequences of cost-sharing. First, we show that an as-if-random increase of 33.6% in out-of-pocket price (11.0 percentage points (p.p.) change in... View Details
Keywords: Cost-sharing; Impact; Health Care and Treatment; Insurance; Health; Consumer Behavior
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Chandra, Amitabh, Evan Flack, and Ziad Obermeyer. "The Health Costs of Cost-Sharing." NBER Working Paper Series, No. 28439, February 2021.
  • 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.)
  • 04 Jun 2007
  • Research & Ideas

Is Health Care Making You Better—or Dead?

the needs of human beings, not around the needs of the status quo, didn't happen. Consumer-Driven Health Care was another book that I wrote to help change the demand for health care, to get innovation in the... View Details
Keywords: by Sean Silverthorne; 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.
  • October 2016 (Revised March 2019)
  • Case

Carrum Health: Scaling Bundled Payments

By: Robert S. Huckman and Sarah Mehta
Founded in 2014, Carrum Health helped self-insured employers located in three markets (San Diego, California; Seattle, Washington; and San Francisco, California) save money on their employees’ planned surgeries. It did so by contracting directly with top-quality... View Details
Keywords: Health Financing; Health Insurance; Value-based Healthcare Reimbursements; Bundled Payments; Innovation; Scale; Health; Health Care and Treatment; Cost Management; Growth and Development Strategy; Decision Choices and Conditions; Health Industry; California; San Francisco; San Diego; Seattle
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Huckman, Robert S., and Sarah Mehta. "Carrum Health: Scaling Bundled Payments." Harvard Business School Case 617-017, October 2016. (Revised March 2019.)
  • 16 Jul 2008
  • Op-Ed

What Should Employers Do about Health Care?

In the United States, employers have often treated health benefits as a necessary evil. They have focused on the rising cost of providing health insurance benefits and taken... View Details
Keywords: by Michael E. Porter, Elizabeth O. Teisberg & Scott Wallace; Health
  • Article

Narrow Networks on the Health Insurance Exchanges: What Do They Look Like and How Do They Affect Pricing? A Case Study of Texas

By: Leemore S. Dafny, Igal Hendel and Nathan Wilson
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Dafny, Leemore S., Igal Hendel, and Nathan Wilson. "Narrow Networks on the Health Insurance Exchanges: What Do They Look Like and How Do They Affect Pricing? A Case Study of Texas." American Economic Review: Papers and Proceedings 105, no. 5 (May 2015): 110–114.
  • 3 Jun 2023
  • Talk

Health Care Innovation Opportunities Created by COVID-19 and How to Make Them Happen

By: Regina E. Herzlinger
The crush of patients created by COVID enabled the creation of sites for care outside the traditional hospital, such as retail pharmacies, ambulatory surgery centers, urgent care centers, telemedicine, and wireless sensors. Public policy mirrored these changes by... View Details
Keywords: Policy; Health Pandemics; Health Care and Treatment; Innovation and Invention; Health Industry; Health Industry
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Herzlinger, Regina E. "Health Care Innovation Opportunities Created by COVID-19 and How to Make Them Happen." Harvard Business School Alumni Reunion, Boston, MA, June 3, 2023. (Link to cases described in this talk.)
  • 05 Sep 2012
  • What Do You Think?

Will Business Management Save US Health Care?

Summing Up What Role Will Management Play in Saving US Health Care? The verdict is in, according to respondents of this month's column: Problems confronting health care in the US are much larger and broader... View Details
Keywords: by Jim Heskett; Health
  • 07 Mar 2000
  • Research & Ideas

Putting Health Care Consumers in the Driver’s Seat

A mid-November conference on consumer-driven health care attracted nearly two hundred providers of health-care services, technology, and information; government professionals; and insurance executives to the... View Details
Keywords: by Staff; Health
  • August 1989 (Revised May 1993)
  • Case

Computer Company's Health Plan

By: Regina E. Herzlinger
Keywords: Health; Insurance
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Herzlinger, Regina E. "Computer Company's Health Plan." Harvard Business School Case 190-038, August 1989. (Revised May 1993.)
  • 28 Nov 2006
  • Other Presentation

Value-Based Competition in Health Care: Issues for Singapore

By: Michael E. Porter
This presentation draws Michael E. Porter and Elizabeth Olmsted Teisberg: Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press, May 2006. Earlier publications about health care include the Harvard Business Review... View Details
Keywords: Integration; Competition; Customer Value and Value Chain; Insurance; Health Care and Treatment; Health Industry; Singapore
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Porter, Michael E. "Value-Based Competition in Health Care: Issues for Singapore." Lee Kuan Yew School of Public Policy, Singapore, November 28, 2006.
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