Publications

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

26 Dec 2014
News

Delivering Higher Value Care Means Spending More Time with Patients

October 2013 (Revised June 2014)
Case

Demarketing Soda in New York City

By: John A. Quelch, Margaret L. Rodriguez, Carin-Isabel Knoop and Christine Snively

In 2013, New York City Mayor Michael Bloomberg tried and failed to institute a ban on serving sizes of large sugary beverages. Obesity posed a large public health risk to the city. Mayor Bloomberg's proposed ban was one of many attempts to combat the rising threat of... View Details

Keywords: Soda; Public Health; Business And Public Policy; Obesity; Business and Government Relations; Public Sector; Strategy; Marketing Strategy; Marketing; Health; City; Food and Beverage Industry; New York (city, NY)

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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2012
Report

Better Outcomes, Lower Costs: A Conversation with Dr. Atul Gawande

By: Mark R. Kramer

In the face of increasing health care costs and uncertainty about health care quality in the United States, community-based collective impact initiatives driven by regional funders offers a new way to improve patient outcomes at the local level. Collectively,... View Details

Keywords: Community Foundations; Health Outcomes; Health Care and Treatment; Quality; Cost Management; United States

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12 Nov 2015
News

Can Consumers be Trusted with Their Own Health Care?

December 2007
Article

Regional Health Information Organizations: Current Activities and Financing

Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish... View Details

Keywords: Information Technology; Financing and Loans; Health Care and Treatment; Information Management; Health Industry; United States

May 1999 (Revised July 2000)
Teaching Note

Reading Rehabilitation Hospital: Implementing Patient-Focused Care TN

By: Jody H. Gittell and Sandra J. Sucher

Teaching Note for (9-898-172). A rewritten version of an earlier teaching note. View Details

Keywords: Health; Health Care and Treatment; Medical Specialties; Health Testing and Trials; Valuation; Service Operations; Balance and Stability; Production; Demand and Consumers; Risk and Uncertainty; Technology; Health Industry

17 Sep 2020
Research & Ideas

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

business owner to do as the clock keeps ticking? At some point, absent some major policy change, landlord patience will run out, and small businesses will have to make rent or mortgage payments. “Respondents overwhelmingly reported they... View Details

Keywords: by Rachel Layne; Health

October 2017
Case

Pricing PatientPing

By: Frank V. Cespedes, Julia Kelley and Amram Migdal

In 2017, Jay Desai, the CEO of Boston-based health care technology company PatientPing, had to consider a number of interrelated pricing challenges. Founded in late 2013, PatientPing sold a software platform that allowed health care providers to receive real-time... View Details

Keywords: Pricing; Health Tech; Health Technology; Marketing; Sales Process; Sales Strategy; Price; Sales; Marketing Strategy; Health Care and Treatment; Health Industry; Health Industry; Boston; North America; Massachusetts; United States

27 Nov 2023
News

The Key Hurdle: Paying For Value-Based Care

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

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

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

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

September 2017 (Revised February 2023)
Case

Intermountain Healthcare: Pursuing Precision Medicine

By: Richard G. Hamermesh, Kathy E. Giusti, Robert S. Huckman and Julia Kelley

Headquartered in Salt Lake City, Intermountain Healthcare operates 23 hospitals and hundreds of clinics in Utah and Idaho and provides insurance to approximately 850,000 patients through its insurance arm, SelectHealth. In 2013, Intermountain, known for its commitment... View Details

Keywords: Precision Medicine; Healthcare; Innovation; Cancer; Cancer Research; Health Care; Technology; Health Care and Treatment; Innovation Leadership; Disruptive Innovation; Entrepreneurship; Decision Choices and Conditions; Health Industry; Health Industry; Utah; United States; North America

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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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