Publications

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Article

Germany's Digital Health Reforms in the COVID-19 Era: Lessons and Opportunities for Other Countries

By: Sara Gerke, Ariel D. Stern and Timo Minssen

Reimbursement is a key challenge for many new digital health solutions, whose importance and value have been highlighted and expanded by the current COVID-19 pandemic. Germany’s new Digital Healthcare Act (Digitale–Versorgung–Gesetz or DVG) entitles all individuals... View Details

Keywords: COVID-19; Reimbursement; Digital Health Reforms; Health Pandemics; Health Care and Treatment; Internet and the Web; Governing Rules, Regulations, and Reforms; Germany

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June 2018
Supplement

Amil and the Health Care System in Brazil (B)

By: Regina Herzlinger, Ana Maria Malik, Ruth Costas and Priscilla Zogbi

Brazilian Managed Care Organization Amil faces a series of challenges while trying to redefine the terms of its relationship with hospitals and clinics and to implement a new health care model based on primary care and family medicine. View Details

Keywords: Health Care; Brazil; Managed Care; Innovation; Health Care Industry; Health Care and Treatment; Health; Cost Management; Innovation and Invention; Competitive Strategy; Health Industry; Health Industry; Brazil

March 2021 (Revised December 2021)
Supplement

Humana (B) — Strategy Execution

By: Regina E. Herzlinger and Ashley Ifeadike

After Humana debuted its new pillar strategy focused on driving integration across members’ health care experiences, feedback from investors in private conferences and other forums was positive but stressed the need for execution and faced several questions in order to... View Details

Keywords: Health Care; Health Care Operations; Health Insurance; Health Care and Treatment; Insurance; Operations; Strategy; Health Industry

Fast Answer

Insurance industry: companies and analysis

Where can I find information on the insurance industry? Best's Library Center: provides profiles of property, casualty, life and health insurance companies in the United... View Details

25 Jul 2016
News

Insurers will consolidate even if mega-mergers fail

25 Jun 2020
News

Perspectives in Health: Oscar Health - Examining the Role of Insurers During and After the Pandemic

Keywords: Insurance Carriers and Related Activities; Insurance Carriers and Related Activities

February 2000
Case

E2M Health Services

By: Richard M.J. Bohmer and Naomi Atkins

Outlines the growth of an innovative diabetes disease management organization from 1994-99. Having demonstrated the success of their model in managing diabetes populations in Texas and New York State, the CEO and president must decide the future strategy of the company... View Details

Keywords: Business Model; Customer Focus and Relationships; Decision Choices and Conditions; Financial Markets; Revenue; Innovation and Invention; Business or Company Management; Marketing Strategy; Internet; Health Industry

August 1999
Case

Health Resources & Technology

Health Resources & Technology is an entrepreneurial company with aggressive growth goals. The company sells medical-consultation services to insurance carriers that then repackage the service with their health care policies. Founded by two Brigham & Women's Hospital... View Details

Keywords: Information Technology; Goals and Objectives; Competitive Strategy; Health Care and Treatment; Growth and Development Strategy; Health Industry

12 Aug 2009
News

Health Care's Taxing Problem

winter 1971
Article

Patient Incentives and Hospital Insurance

By: Robert S. Kaplan and Lester Lave

Keywords: Health; Insurance; Motivation and Incentives; Health Industry

October 2002
Book Review

Book Review of Beatrix Hoffman's The Wages of Sickness: The Politics of Health Insurance in Progressive America

By: David A. Moss

Keywords: Health Care and Treatment; Insurance; Health Industry; United States

August 2022 (Revised January 2023)
Case

Icario Health: AI to Drive Health Engagement

By: David C. Edelman

Icario Health has built a market-leading artificial intelligence (AI) engine to help health insurers drive better health behaviors for their members, enabling the insurers to improve their Medicare performance. View Details

Keywords: Marketing; Health Care and Treatment; AI and Machine Learning; Health Industry; United States

March 2021
Case

Humana (A)

By: Regina E. Herzlinger and Ashley Ifeadike

To implement a bold new strategy, Humana needed to decide how to prioritize the pillars; where to own and where to partner; how much risk is acceptable; and how to continue to deliver strong operational performance while implementing a new strategy. Had the firm made... View Details

Keywords: Health ＆ Wellness; Health Care Industry; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Strategy; Health Industry; United States

Article

Overturning the ACA's Medicaid Expansion Would Likely Decrease Low-Income, Reproductive-Age Women's Healthcare Spending and Utilization

By: Lucy Chen, Richard G. Frank and Haiden A. Huskamp

In late 2020, the Supreme Court began hearing a case challenging the Affordable Care Act (ACA), which led to coverage gains for many low-income, reproductive-age women. To explore potential implications of a full ACA repeal for this population, we examined gains... View Details

Keywords: Medicaid; Women's Health; Health Insurance; Health Care and Treatment; Gender; Insurance; Poverty; Health Industry; United States

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March 2018
Case

University Hospitals Cleveland Medical Center: Managing Capacity in Neurology

By: Joel Goh, Robert S. Huckman and Nikhil Sahni

In December 2014, Dr. Anthony Furlan, chair of the Department of Neurology at University Hospitals Cleveland Medical Center (UH), faced a mandate from the hospital’s executive leadership team. Specifically, all UH departments were directed to take steps within six... View Details

Keywords: Health Care; Hospitals; Capacity Planning; Scheduling; Health Care and Treatment; Service Operations; Performance Capacity; Health Industry; North America; United States; Ohio; Cleveland

January 2009 (Revised February 2009)
Case

Pitney Bowes: Employer Health Strategy

By: Michael E. Porter and Jennifer F Baron

Pitney Bowes, a Fortune 500 mail and document management firm, offered its first health plans in the years following World War II. Over the ensuing decades, Pitney Bowes adapted its approach to employee health amid rising health care costs, shifting employer attitudes... View Details

Keywords: Cost; Insurance; Policy; Health Care and Treatment; Compensation and Benefits; Employees; Corporate Strategy

March 1999 (Revised October 1999)
Case

Tufts Health Plan

By: Richard M.J. Bohmer and Nancy D. Beaulieu

Describes the introduction of capitation by a managed care company and the challenges of managing financial risk in the Medicare population. Focuses on the relationship between the health plan and physicians. View Details

Keywords: Health; Behavior; Motivation and Incentives; Risk and Uncertainty; Insurance; Health Industry; Health Industry