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      • February 2015
      • Supplement

      The Affordable Care Act (A): Legislative Strategy in the House of Representatives

      By: Joseph L. Bower and Michael Norris
      In early 2009, the Obama administration and the Democratically-led Congress began working on what would eventually become the Affordable Care Act. The (A) case in this series discusses the legislative strategy in the House of Representatives, where three different... View Details
      Keywords: Health Care; Health Care Policy; Government And Politics; Government Administration; Health Care and Treatment; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "The Affordable Care Act (A): Legislative Strategy in the House of Representatives." Harvard Business School Supplement 315-032, February 2015.
      • February 2015
      • Background Note

      A Note on the Affordable Care Act and the U.S. Health Care System

      By: Joseph L. Bower and Michael Norris
      This note provides an overview of the U.S. health care system as it stood in 2014, including an overview of hospitals, doctors, insurance companies, and other health care providers. It also discusses the major political actions on health care in the 20th century,... View Details
      Keywords: Health Care; Health Care Policy; Political Process; Health Care and Treatment; Health Industry; United States
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      Bower, Joseph L., and Michael Norris. "A Note on the Affordable Care Act and the U.S. Health Care System." Harvard Business School Background Note 315-031, January 2015.
      • September 2014 (Revised March 2021)
      • Case

      La Ribera Health Department (A)

      By: Regina E. Herzlinger, Emer Moloney and Daniela Beyersdorfer
      The La Ribera case studies depict an innovative low cost/high quality privately financed hospital model struggling to achieve alignment with the Six Factors. It is reimbursed by the public sector in a Spanish environment whose Consumers, Structure, and Public Policy... View Details
      Keywords: Health Care; Health Care Financing; Health Care Industry; Health Care Operations; Health Care and Treatment; Operations; Business Model; Government and Politics; Programs; Innovation Strategy; Vertical Integration; Health Industry; Europe; Spain
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      Herzlinger, Regina E., Emer Moloney, and Daniela Beyersdorfer. "La Ribera Health Department (A)." Harvard Business School Case 315-006, September 2014. (Revised March 2021.)
      • September 2014 (Revised March 2016)
      • Case

      Mayo Clinic: The 2020 Initiative

      By: Regina E. Herzlinger, Robert S. Huckman and Jenny Lesser
      Describes the challenges facing Dr. John Noseworthy, President and CEO, in implementing a long-term strategy for the growth of the Mayo Clinic—a leading academic medical center with a reputation for excellence in tertiary and quaternary health care. The case highlights... View Details
      Keywords: Health; Health Care Industry; Health Care Policy; Health Care and Treatment; Health Industry; United States
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      Herzlinger, Regina E., Robert S. Huckman, and Jenny Lesser. "Mayo Clinic: The 2020 Initiative." Harvard Business School Case 615-027, September 2014. (Revised March 2016.)
      • June 2014 (Revised November 2016)
      • Case

      Access Health CT: Marketing Affordable Care (A)

      By: John A. Quelch and Michael Norris
      At the close of open-enrollment in March of 2014, Kevin Counihan, CEO of Access Health CT, Connecticut's state health insurance exchange, stops to consider the success it has experienced so far and think about how to ensure its long-term sustainability. View Details
      Keywords: Health Care; Health Care Industry; Health Care Policy; Public Health Insurance Exchange; Health Care and Treatment; Health Industry; Connecticut
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      Quelch, John A., and Michael Norris. "Access Health CT: Marketing Affordable Care (A)." Harvard Business School Case 514-119, June 2014. (Revised November 2016.) (Title updated to reflect publication of (B) case.)
      • March 2014 (Revised September 2014)
      • Supplement

      Cancer Treatment Centers of America® (B)

      By: Regina E. Herzlinger and Natalie Kindred
      This case, a follow-up to Cancer Treatment Centers of America (A), HBS No. 313-012, begins with the debate over New Hampshire's certificate-of-need (CON) law, which restricts hospital expansion. This debate ignited significant public criticism of Cancer Treatment... View Details
      Keywords: Cancer; Cancer Treatment; Accountability; Outcomes; Outcomes Reporting; Outcomes Measurement; Survival; For-profit Hospitals; Health Care; Healthcare; Hospital; Certificate Of Need; Health Care and Treatment; Outcome or Result; Corporate Accountability; Policy; Health Industry; United States
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      Herzlinger, Regina E., and Natalie Kindred. "Cancer Treatment Centers of America® (B)." Harvard Business School Supplement 314-003, March 2014. (Revised September 2014.)
      • November 2013 (Revised November 2014)
      • Case

      Infection Control at Massachusetts General Hospital

      By: Robert S. Huckman and Nikolaos Trichakis

      The case explores the challenges facing Massachusetts General Hospital concerning the adoption of a new infection control policy, which promises to improve operational performance, patient safety, and profitability. The new policy requires coordination between... View Details

      Keywords: Safety; Organizational Change and Adaptation; Integration; Health Care and Treatment; Policy; Health Industry; Boston
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      Huckman, Robert S., and Nikolaos Trichakis. "Infection Control at Massachusetts General Hospital." Harvard Business School Case 614-044, November 2013. (Revised November 2014.)
      • October 2013
      • Case

      FasterCures: Removing Barriers to Treatments

      By: Richard G. Hamermesh and James Weber

      In mid-2013, as FasterCures celebrated its 10th anniversary as a center of the Milken Institute, Executive Director Margaret Anderson thought about what the organization should do to ensure it had even more impact in its next 10 years. FasterCures was a non-profit... View Details

      Keywords: Health Care; Health Care Industry; Health Care Policy; Health Services; Healthcare; Healthcare Reform; Healthcare Ventures; Nonprofit; Non-profit Management; Not-for-profit; Incubator; Accelerator; Venture Philanthropy; Medical Services; Medical Solutions; Medical Research; Medical Treatment; Clinical Trials; Drug Reimbursement; Early Stage; Early Stage Research Funding; Early Stage Funding; Milken Institute; Michael Milken; David Baltimore; Partnering For Cures; National Institutes Of Health; Cancer Care In The U.S.; Cancer Care Services; Policy-making; Health Care and Treatment; Health; Health Testing and Trials; Entrepreneurship; Social Entrepreneurship; Nonprofit Organizations; Policy; Health Industry; United States; District of Columbia
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      Hamermesh, Richard G., and James Weber. "FasterCures: Removing Barriers to Treatments." Harvard Business School Case 814-003, October 2013.
      • October 2013
      • Article

      The Strategy That Will Fix Health Care

      By: Michael E. Porter and Thomas H. Lee
      In health care, the days of business as usual are over. Around the world, every health care system is struggling with rising costs and uneven quality, despite the hard work of well-intentioned, well-trained clinicians. Health care leaders and policy makers have tried... View Details
      Keywords: Organizational Change and Adaptation; Strategy; Value; Customer Focus and Relationships; Health Care and Treatment; Health Industry
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      Porter, Michael E., and Thomas H. Lee. "The Strategy That Will Fix Health Care." Harvard Business Review 91, no. 10 (October 2013): 50–70.
      • September 2013
      • Article

      Testimonials Do Not Convert Patients from Brand to Generic Medication

      By: John Beshears, James J. Choi, David Laibson, Brigitte C. Madrian and Gwendolyn Reynolds

      Objectives: To assess whether the addition of a peer testimonial to an informational mailing increases conversion rates from brand name prescription medications to lower-cost therapeutic equivalents, and whether the testimonial's efficacy increases when... View Details

      Keywords: Testimonial; Peer Information; Social Proximity; Communication; Generic Medication; Familiarity; Marketing Communications; Decision Choices and Conditions; Identity; Health Care and Treatment; Marketing Reference Programs; Power and Influence; Brands and Branding; Health Industry
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      Beshears, John, James J. Choi, David Laibson, Brigitte C. Madrian, and Gwendolyn Reynolds. "Testimonials Do Not Convert Patients from Brand to Generic Medication." American Journal of Managed Care 19, no. 9 (September 2013): e314–e316.
      • October 2013
      • Article

      With a Little Help from My (Random) Friends: Success and Failure in Post-Business School Entrepreneurship

      By: Josh Lerner and Ulrike Malmendier
      To what extent do peers affect our occupational choices? This question has been of particular interest in the context of entrepreneurship and policies to create a favorable environment for entry. Such influences, however, are hard to identify empirically. We exploit... View Details
      Keywords: Behavior; Entrepreneurship; Attitudes; Relationships; Cognition and Thinking
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      Lerner, Josh, and Ulrike Malmendier. "With a Little Help from My (Random) Friends: Success and Failure in Post-Business School Entrepreneurship." Review of Financial Studies 26, no. 10 (October 2013): 2411–2452. (Earlier versions distributed as National Bureau of Economic Research Working Paper No. 16918 and Harvard Business School Working Paper No. 11-108.)
      • 2013
      • Working Paper

      International Health Economics

      By: Mark Egan and Tomas J. Philipson
      Perhaps because health care is a local service sector, health economists have paid little attention to international linkages between domestic health care economies. However, the growth in domestic health care sectors is often attributed to medical innovations whose... View Details
      Keywords: Health Care and Treatment; Innovation and Invention; Global Range; Economics
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      Egan, Mark, and Tomas J. Philipson. "International Health Economics." NBER Working Paper Series, No. 19280, August 2013.
      • July 2013 (Revised July 2015)
      • Background Note

      Innovating in Health Care—Framework

      By: Regina E. Herzlinger
      Contains the framework for the second-year Innovating in Health Care course. Delineates the role of six exogenous forces on new ventures: structure, financing, regulations, consumers, accountability, technology, and public policy and presents the essential elements of... View Details
      Keywords: Health Care and Treatment; Management; Health Industry
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      Herzlinger, Regina E. "Innovating in Health Care—Framework." Harvard Business School Background Note 314-017, July 2013. (Revised July 2015.)
      • September 2012 (Revised August 2015)
      • Case

      Shanghai Pharmaceuticals

      By: Regina E. Herzlinger and Natalie Kindred
      Shanghai Pharmaceuticals (SPH), a vertically integrated Chinese pharmaceutical conglomerate, was considering its strategic options in the context of a rapidly evolving industry, policy, and economic environment. The company—essentially a collection of subsidiaries... View Details
      Keywords: Business Subsidiaries; Business Conglomerates; Vertical Integration; Decision Choices and Conditions; Mergers and Acquisitions; Consolidation; Health Care and Treatment; Global Strategy; State Ownership; Pharmaceutical Industry; Health Industry; Shanghai; United States; Europe
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      Herzlinger, Regina E., and Natalie Kindred. "Shanghai Pharmaceuticals." Harvard Business School Case 313-016, September 2012. (Revised August 2015.)
      • August 2012 (Revised December 2023)
      • Background Note

      Note on Health Insurance Coverage, Coding, and Payment

      By: Regina E. Herzlinger and Jo Ellen Slurzberg
      This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details
      Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Insurance Industry
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      Herzlinger, Regina E., and Jo Ellen Slurzberg. "Note on Health Insurance Coverage, Coding, and Payment." Harvard Business School Background Note 313-042, August 2012. (Revised December 2023.)
      • August 2012 (Revised August 2014)
      • Case

      Cancer Treatment Centers of America® (A)

      By: Regina E. Herzlinger and Natalie Kindred
      Cancer Treatment Centers of America (CTCA), a U.S. network of four privately owned oncology focused factory hospitals, was weighing options for growth. CTCA was entirely cancer focused and specialized in treating patients with complex and advanced-stage cancers, who... View Details
      Keywords: Cancer; Cancer Treatment; Health Care; Healthcare; Accountability; Outcomes; Outcomes Measurement; Outcomes Reporting; Hub And Spoke Cancer Care; Hub And Spoke; Hub-and-spoke; Focused Factory; Mission and Purpose; Private Ownership; For-Profit Firms; Health Disorders; Medical Specialties; Policy; Business Model; Expansion; Decision Choices and Conditions; Advertising; Health Care and Treatment; Innovation and Invention; Health Industry; United States
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      Herzlinger, Regina E., and Natalie Kindred. "Cancer Treatment Centers of America® (A)." Harvard Business School Case 313-012, August 2012. (Revised August 2014.)
      • May 2012 (Revised August 2014)
      • Case

      McKesson

      By: Regina E. Herzlinger and Natalie Kindred
      McKesson, a large, diversified drug distribution and health care IT company, is considering development of new business offerings to help private practice physicians remain independent. The company, with $122 billion in 2010 revenues, just made its first foray into... View Details
      Keywords: Health Care Industry; Health Care Policy; Organizational Transformations; Health Services; Health Care and Treatment; Business Model; Service Operations; Change Management; Corporate Strategy; Information Technology; Policy; Pharmaceutical Industry; Health Industry; United States
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      Herzlinger, Regina E., and Natalie Kindred. "McKesson." Harvard Business School Case 312-002, May 2012. (Revised August 2014.)
      • March 2012
      • Article

      Reviving Entrepreneurship

      By: Josh Lerner and William Sahlman
      New enterprises don't exist in a vacuum: They rise or fall depending on myriad contextual factors, all of them interrelated, and all of them affected by government policy. U.S. lawmakers must carefully consider the effects of interventions in at least 12 areas, ranging... View Details
      Keywords: Entrepreneurship; Government and Politics; Policy; Economy; Public Administration Industry; United States
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      Lerner, Josh, and William Sahlman. "Reviving Entrepreneurship." Harvard Business Review 90, no. 3 (March 2012): 116–119.
      • June 28, 2011
      • Article

      Using Implementation Intentions Prompts to Enhance Influenza Vaccination Rates

      By: Katherine L Milkman, John Beshears, James J. Choi, David Laibson and Brigitte C. Madrian
      We evaluate the results of a field experiment designed to measure the effect of prompts to form implementation intentions on realized behavioral outcomes. The outcome of interest is influenza vaccination receipt at free on-site clinics offered by a large firm to its... View Details
      Keywords: Behavioral Economics; Nudge; Libertarian Paternalism; Public Health; Flu Shot; Behavior; Consumer Behavior; Health Care and Treatment; Cognition and Thinking
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      Milkman, Katherine L., John Beshears, James J. Choi, David Laibson, and Brigitte C. Madrian. "Using Implementation Intentions Prompts to Enhance Influenza Vaccination Rates." Proceedings of the National Academy of Sciences 108, no. 26 (June 28, 2011): 10415–10420.
      • June 2011
      • Teaching Note

      Novasys Medical (TN)

      By: Richard G. Hamermesh
      Teaching Note for 810027. View Details
      Keywords: Product Development; Health Care and Treatment; Policy; Medical Devices and Supplies Industry
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      Hamermesh, Richard G. "Novasys Medical (TN)." Harvard Business School Teaching Note 811-084, June 2011.
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