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November 2004 (Revised September 2019)
Background Note

The U.S. Health Club Industry in 2004

By: John R. Wells, Gabriel Ellsworth and Benjamin Weinstock

In 2004, the $16.8 billion U.S. health club industry continued its strong record of growth. There were almost 27,000 health clubs in the United States, up from 6,700 two decades earlier, and these clubs claimed 41 million members, over 14% of the U.S. population.... View Details

Keywords: Health Clubs; Fitness; Gyms; Chain; Weight Loss; Obesity; Exercise; Personal Training; Bally Total Fitness; 24 Hour Fitness; YMCA; Gold's Gym; Curves; Franchise; Franchising; Subscription; Promotional Sales; Promotions; Fixed Costs; Body; Accrual Accounting; Revenue Recognition; Buildings and Facilities; Business Growth and Maturation; Business Model; For-Profit Firms; Trends; Customers; Demographics; Age; Income; Private Equity; Financing and Loans; Profit; Revenue; Geographic Scope; Multinational Firms and Management; Health; Nutrition; Business History; Employees; Retention; Human Capital; Working Conditions; Contracts; Business or Company Management; Goals and Objectives; Growth and Development Strategy; Markets; Demand and Consumers; Supply and Industry; Industry Growth; Industry Structures; Operations; Service Operations; Franchise Ownership; Private Ownership; Public Ownership; Problems and Challenges; Sales; Salesforce Management; Situation or Environment; Opportunities; Nonprofit Organizations; Welfare; Sports; Strategy; Business Strategy; Competition; Competitive Strategy; Consolidation; Corporate Strategy; Customization and Personalization; Expansion; Segmentation; Hardware; Health Industry; United States

Educators

November 2014 (Revised May 2017)
Teaching Note

Fresno's Social Impact Bond for Asthma

By: John A. Quelch

The case desccribes a social impact bond (SIB) to fund home-based remediation programs designed to reduce asthma attacks among Fresno residents (especially children) and thereby save on health care costs (ambulance callouts, emergency room visits etc.). The case... View Details

Keywords: Programs; Social Issues; Investment Return; Health Care and Treatment; Health Industry; California

2023
Working Paper

Achieving Universal Health Insurance Coverage in the United States: Addressing Market Failures or Providing a Social Floor?

By: Katherine Baicker, Amitabh Chandra and Mark Shepard

The United States spends substantially more on health care than most developed countries, yet leaves a greater share of the population uninsured. We suggest that incremental insurance expansions focused on addressing market failures will propagate inefficiencies and... View Details

Keywords: Public Sector; Insurance; Health Care and Treatment; Policy; Innovation and Invention

02 Jun 2014
Research & Ideas

Excerpt: ‘A Social Strategy’

benefit. In the first instance, observing that millions of people connect to friends and strangers on social platforms, some companies have chosen to enter the fray in a similar way, by trying to build... View Details

14 Sep 2023
Blog Post

MBAs Accelerate Their Social Enterprise Ventures

The Social Enterprise Accelerator is offered to students in the summer between their first and second year, supporting student founders in the development of their social... View Details

09 Jul 2010
Working Paper Summaries

The Limits of Nonprofit Impact: A Contingency Framework for Measuring Social Performance

Keywords: by Alnoor Ebrahim & V. Kasturi Rangan

TeachingInterests

Managing Health Care Delivery - Executive Education

By: Robert S. Huckman

While delivering patient care has always been a primary goal of health care organizations, financial outcomes have long been the metric by which success is measured. Increasingly, however, health care leaders are being held accountable for... View Details

2014
Working Paper

The Diseconomies of Queue Pooling: An Empirical Investigation of Emergency Department Length of Stay

By: Hummy Song, Anita L. Tucker and Karen L. Murrell

We conduct an empirical investigation of the impact of queue management on patients' average wait time and length of stay (LOS). Using an Emergency Department's (ED) patient-level data from 2007 to 2010, we find that patients' average wait time and LOS are longer when... View Details

Keywords: Pooling; Queue Management; Strategic Servers; Social Loafing; Empirical Operations; Health Care; Fairness; Management Practices and Processes; Service Delivery; Health Care and Treatment; Health Industry

2016
Working Paper

Entrepreneurship and Public Health Insurance

By: Gareth Olds

I examine the relationship between public health insurance and firm formation. Developing a variant of regression discontinuity, I find the Child Health Insurance Program lowered the child uninsured rate by 40% and increased self-employment by 15%. Monte Carlo evidence... View Details

Keywords: Insurance; Entrepreneurship

15 Nov 2004
Research & Ideas

Solving the Health Care Conundrum

determines what is covered for federal employees and members of Congress, with a process for addressing new areas to be covered. Configuration and value of View Details

Keywords: by Michael E. Porter; Health

20 Jul 2021
News

Rewriting the Social Contract

April 2014
Article

Between Self-interest and Reciprocity: The Social Bright Side of Self-control Failure

By: Eliran Halali, Yoella Bereby-Meyer and Nachshon Meiran

Despite the importance of reciprocity in many areas of social life, little is known about possible factors affecting it and its interplay with the self-interest motive to maximize one’s own gains. In this study, we examined the role of cognitive control in reciprocal... View Details

Keywords: Cognitive Control; Ego Depletion; Fairness; Trust Game; Ultimatum Game; Reciprocity; Self-control Failure

Find at Harvard

21 Nov 2014
News

Teaching Hospitals Are the Best Place to Test Health Innovation

Keywords: health care; innovation; product development; collaboration; efficiency; Health, Social Assistance; Health, Social Assistance

October 2022
Case

Weapons of Self Destruction: Zak Pym Williams and the Cultivation of Mental Wellness

By: Lauren Cohen, Ronnie Stangler and Grace Headinger

Zak Pym Williams, mental health advocate, grappled with the question of how to create a proactive mental health family environment for his children. Having witnessed how mental health challenges such as addiction and depression had impacted the past four generations of... View Details

Keywords: Family; U.S.; Mental Health; Family Business; Entertainment; Values and Beliefs; Ethics; Leading Change; Family and Family Relationships; Well-being; Social Issues; Entertainment and Recreation Industry; United States; California

Educators

2020
Working Paper

Older People Are Less Pessimistic About the Health Risks of COVID-19

By: Pedro Bordalo, Katherine B. Coffman, Nicola Gennaioli and Andrei Shleifer

A central question for understanding behaviour during the COVID-19 pandemic, at both the individual and collective levels, is how people perceive the health and economic risks they face. We conducted a survey of over 1,500 Americans from May 6–13, 2020, to understand... View Details

Keywords: Health Pandemics; Risk and Uncertainty; Perception; Age

2020
Working Paper

Working (From Home) During a Crisis: Online Social Contributions by Workers During the Coronavirus Shock

By: Prithwiraj Choudhury, Wesley W. Koo and Xina Li

Prior research has documented that during mortality-related crises workers face psychic costs and are motivated to make social contributions. In addition, management practices that encourage workers to make social contributions during a crisis create value for firms.... View Details

Keywords: Crisis; Social Contributions; Work From Home (WFH); Cannot Work From Home (CWFH); Social Distancing; Online Communities; Coronavirus; COVID-19; Health Pandemics; Employees; Working Conditions; Internet and the Web; Crisis Management

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