Publications

2023
Article

Comparison of COVID-19 Hospitalization Costs across Care Pathways: A Patient-level Time-driven Activity-based Costing Analysis in a Brazilian Hospital

By: Ricardo Bertoglio Cardoso, Miriam Allein Zago Marcolino, Milena Soriano Marcolino, Camila Felix Fortis, Leila Beltrami Moreira, Ana Paula Coutinho, Nadine Oliveira Clausell, Junaid Nabi, Robert S. Kaplan, Ana Paula Beck da Silva Etges and Carisi Anne Polanczyk

The COVID-19 pandemic raised awareness of the need to better understand where and how patient-level costs are incurred in health care organizations. This study used time-driven activity-based costing to estimate COVID-19 patient-level hospital costs in a Brazilian... View Details

Keywords: Health Care and Treatment; Cost; Health Industry; Brazil

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01 Feb 2002
News

Health Industry Alumni Convene for Conference

Current issues in health care; ranging from finance and patients' rights to genomics and personalized medicine; were among the subjects discussed last November at the HBS Health Industry Alumni Association's... View Details

Keywords: Ambulatory Health Care Services; Ambulatory Health Care Services

April 2016 (Revised May 2016)
Case

Hôpital Universitaire de Mirebalais, Partners In Health in Haiti

By: Robert S. Kaplan, Bipin Mistry and Karla Bertrand

The case describes the application of Time-Driven Activity-Based Costing (TDABC) at a new tertiary hospital, operated by Partners in Health in Mirebelais, Haiti. A project team mapped the clinical processes for use in estimating the direct costs of personnel,... View Details

Keywords: Time-Driven Activity-Based Costing; Activity Based Costing and Management; Cost Accounting; Developing Countries and Economies; Health Care and Treatment; Health Industry; Haiti

January 2024 (Revised April 2024)
Teaching Note

Somatus: Value-Based Kidney Care (A) & (B)

By: Ariel D. Stern, Robert S. Huckman and Sarah Mehta

This teaching note accompanies case no. 622-009 and 622-045 (Somatus: Value-Based Kidney Care, A and B). View Details

Keywords: Business Startups; Disruption; Entrepreneurship; Health Care and Treatment; Health Disorders; Medical Specialties; Innovation and Invention; Disruptive Innovation; Management; Business Strategy; Value Creation; Health Industry; United States; Virginia

March 2000
Teaching Note

Oxford Health Plans (A): Specialty Management [and] Oxford Health Plans (B): Crisis Strikes TN

By: James L. Heskett, Richard M.J. Bohmer and Jody H. Gittell

Teaching Note for (9-898-042) and (9-800-366). View Details

Keywords: Business or Company Management; Crisis Management; Medical Specialties; Health Care and Treatment; Health Industry; United States

27 Nov 2023
News

The Key Hurdle: Paying For Value-Based Care

August 2023
Article

Impact of Social Needs Case Management on Use of Medical and Behavioral Health Services: Secondary Analysis of a Randomized Controlled Trial

By: Mark D. Fleming, Crystal Guo, Margae Knox, Daniel M. Brown, Elizabeth A. Hernandez and Amanda L. Brewster

Social needs case management is an increasingly common strategy used by health care organizations to address integrated health and social needs. These programs connect patients to resources such as food assistance, housing, transportation, or income benefits, in... View Details

Keywords: Health Care and Treatment; Medical Specialties; Programs; Human Needs; Welfare; Health Industry; California

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17 Sep 2020
Research & Ideas

Many Small-Business Employees May Be Close to Losing Health Insurance

overwhelmingly reported they would pay wages first, but health care premiums were the second-most critical bill overall, and clearly ahead of rent,” the researchers write. “As one respondent put it,... View Details

Keywords: by Rachel Layne; Health

January 2016
Article

Incorporating Longitudinal Pediatric Patient-centered Outcome Measurement into the Clinical Workflow Using a Commercial Electronic Health Record: A Step Toward Increasing Value for the Patient

By: Kathleen Carberry, Zachary Landman, Michelle Xie, Thomas W. Feeley, John Henderson and Charles Fraser Jr.

Patient-centered outcomes measurement provides healthcare organizations with crucial information for increasing value for patients; however, organizations have struggled to obtain outcomes data from electronic health record (EHR) systems. This study describes how Texas... View Details

Keywords: Epic; Electronic Health Records; Outcomes; Value; Patient-Centered Outcomes Measurement; Value Creation; Information Technology; Health Care and Treatment; Customer Focus and Relationships; Health Industry; Texas

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November 2015 (Revised October 2016)
Case

athenahealth's More Disruption Please Program

By: Robert F. Higgins and Erin Trimble

Keywords: Health Care Entrepreneurship; Health Care; Healthcare; Healthcare Industry; Healthcare Innovation; Healthcare IT; Disruptive Innovation; Disruptive Change; Health Industry; Boston

01 Mar 2012
News

How to Close the Health Gap

higher rates in poor countries. You’ve heard of the wealth gap. Welcome to the health gap. The people who need the medicines most in the world are the least likely to receive them. “Now that we have such extraordinary capabilities, what... View Details

Keywords: Sean Silverthorne; Ambulatory Health Care Services; Ambulatory Health Care Services; Ambulatory Health Care Services; Ambulatory Health Care Services

April 2022
Article

Consumers Value Effort over Ease When Caring for Close Others

By: Ximena Garcia-Rada, Mary Steffel, Elanor F. Williams and Michael I. Norton

Many products and services are designed to make caregiving easier, from premade meals for feeding families to robo-cribs that automatically rock babies to sleep. Yet, using these products may come with a cost: consumers may feel they have not exerted enough effort.... View Details

Keywords: Effor; Caregiving; Close Relationships; Symbolic Meaning; Signaling; Relationships; Consumer Behavior; Perception

March 2012 (Revised January 2013)
Case

Boston Children's Hospital: Measuring Patient Costs

By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman

The case describes two pilot projects on applying activity-based costing to measuring the cost of treating patients. It presents process maps and financial data relating to the processes used during (1) an office visit to a plastic surgeon for three different diagnoses... View Details

Keywords: Health Care; Time-Driven Activity-Based Costing; Costing; Hospitals; Activity Based Costing and Management; Mathematical Methods; Health Industry

04 May 2016
News

Every Company Is a Health Company

2023
Article

Dynamic HTA for Digital Health Solutions: Opportunities and Challenges for Patient-Centered Evaluation

By: Jan B. Brönneke, Annika Herr, Simon Reif and Ariel D. Stern

Germany’s 2019 Digital Healthcare Act (Digitale-Versorgung-Gesetz, or DVG) created a number of opportunities for the digital transformation of the health care delivery system. Key among these was the creation of a reimbursement pathway for patient-centered digital... View Details

Keywords: Digital Transformation; Applications and Software; Product Development; Insurance; Policy; Health Industry; Germany

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21 Oct 2009
News

Redefining Health Care: Elizabeth Teisberg Interviewed

23 Nov 2016
News

Opposition builds in Mountain States, Wellmont Health hospital merger

September 2017
Article

Time-Driven Activity-Based Costing to Estimate Cost of Care at Multidisciplinary Aerodigestive Centers

By: Robert S. Kaplan, Jordan A. Garcia, Bipin Mistry, Stephen Hardy, Mary Shannon Fracchia, Cheryl Hersh, Carissa Wentland, Joseph Vadakekalam and Christopher J. Hartnick

Time-driven activity-based costing was used to estimate the cost of care for patients with laryngeal cleft seen between 2008 and 2013 at the Massachusetts Eye and Ear Infirmary Pediatric Aerodigestive Center. Retrospective chart review was performed to identify clinic... View Details

Keywords: Time-Driven Activity-Based Costing; Activity Based Costing and Management; Health Care and Treatment