Publications

01 May 2008
News

Interview: Does Our Health System Deliver Value?

Spring 2014
Article

The Market for Blood

By: Robert Slonim, Carmen Wang and Ellen Garbarino

Donating blood, "the gift of life," is among the noblest activities and it is performed worldwide nearly 100 million times annually. The economic perspective presented here shows how the gift of life, albeit noble and often motivated by altruism, is heavily influenced... View Details

Keywords: Altruism; Philanthropy; Analysis Of Health Care Markets; Market Design; Philanthropy and Charitable Giving; Health

November 2023
Article

Effects of Remote Patient Monitoring Use on Care Outcomes Among Medicare Patients with Hypertension

By: Mitchell Tang, Carter Nakamoto, Ariel Dora Stern, Jose Zubizarreta, Felippe Marcondes, Lori Uscher-Pines, Lee Schwamm and Ateev Mehrotra

Background: Remote patient monitoring (RPM) is a promising tool for improving chronic disease management. Use of RPM for hypertension monitoring is growing rapidly, raising concerns about increased spending. However, the effects of RPM are still... View Details

Keywords: Cost; Health Care and Treatment; Measurement and Metrics

Web

Health Plans - Institute For Strategy And Competitiveness

HBS ISC Health Care Health Care Value-Based Health View Details

18 Oct 2016
News

Why Business Should Invest in Community Health

Article

The Inpatient Discharge Lounge as a Potential Mechanism to Mitigate Emergency Department Boarding and Crowding

By: Brian Franklin, Sharif Vakili, Robert S. Huckman, Sarah Hosein, Nicholas Falk, Katherine Cheng, Maria Murray, Sheila Harris, Charles A. Morris and Eric Goralnick

Delayed access to inpatient beds for admitted patients contributes significantly to emergency department (ED) boarding and crowding, which have been associated with deleterious patient safety effects. To expedite inpatient bed availability, some hospitals have... View Details

Keywords: Health Care Delivery; Emergency Room; Operations Improvement; Operations Management; Health Care and Treatment; Service Delivery; Operations; Management; Performance Improvement; Service Operations

2021
Working Paper

The Luck of the Draw: The Causal Effect of Physicians on Birth Outcomes

By: Arlen Guarin, Christian Posso, Estefania Saravia and Jorge Tamayo

Identifying the effect of physicians’ skills on health outcomes is a challenging task due to the nonrandom sorting between physicians and hospitals. We overcome this challenge by exploiting a Colombian government program that randomly assigned 2,126 physicians to 618... View Details

Keywords: Physicians' Health Skills; Health Birth Outcomes; Birthing Outcomes; Experimental Evidence; Health Care and Treatment; Competency and Skills; Outcome or Result; Health Industry; Colombia

28 Feb 2017
News

Genomic Data Collaborations Advancing in Hopes of Improving Personalized Cancer Research, Care

January 1978
Case

Zero-Base Budgeting in the Public Health Service

By: Regina E. Herzlinger

Keywords: Health Care and Treatment; Budgets and Budgeting

October 2017
Article

Progress In Interoperability: Measuring US Hospitals' Engagement In Sharing Patient Data

By: A Jay Holmgren, Vaishali Patel and Julia Adler-Milstein

Achieving an interoperable health care system remains a top US policy priority. Despite substantial efforts to encourage interoperability, the first set of national data in 2014 suggested that hospitals’ engagement levels were low. With 2015 data now available, we... View Details

Keywords: Health; Technology; Electronic Health Records; Health Care and Treatment; Data and Data Sets; Technology Networks; Policy; United States

January 2017
Case

Kada Orthopedics: A Bone of Contention

By: Kevin Schulman and Matt Strickland

Kada Orthopedics is a small implantable orthopedic device manufacturer founded by industry veterans trying to sell stable-technology products to an increasingly cost-conscious healthcare market. Although they have marginally successful product in early 2016, the... View Details

Keywords: Market Design; Growth And Development Strategy; Health Care; Business Startup; Growth and Development; Health Care and Treatment; Medical Specialties; Business Startups; Supply and Industry; Medical Devices and Supplies Industry; United States

Educators

August 2020
Article

Do Physician Incentives Increase Patient Medication Adherence?

By: Edward Kong, John Beshears, David Laibson, Brigitte Madrian, Kevin Volpp, George Loewenstein, Jonathan Kolstad and James J. Choi

We conducted a randomized experiment (911 primary care practices and 8,935 nonadherent patients) to test the effect of paying physicians for increasing patient medication adherence in three drug classes: diabetes medication, antihypertensives, and statins. We measured... View Details

Keywords: Health Economics; Medication Adherence; Physician Payment Incentives; Primary Care; Quality Improvement; Health Care and Treatment; Motivation and Incentives; Behavior

01 Dec 2011
News

Research With Impact: Changing Global Health Practices

public policy, and social challenges. In health care, for example, the dominant policy model assumes that access and affordability are the keys to improving care for the poor. In Ashraf’s view, “We can’t... View Details

Keywords: birth control; Administration of Housing Programs, Urban Planning, and Community Development; Government

September 2013
Supplement

John G. Meara, Boston Children's Hospital, Measuring Costs, TDABC

By: Robert S. Kaplan

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

November 2012 (Revised June 2014)
Case

Boston Children's Hospital: Measuring Patient Costs (V)

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

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

Educators

September 17, 2020
Article

Protecting Vulnerable Older Patients during the Pandemic

By: Umar Ikram, Susanna Gallani, Jose F. Figueroa and Thomas W. Feeley

Older people (70 years and older) with multiple chronic conditions have the highest risk of being hospitalized and dying from COVID-19. The recent COVID-19 pandemic has highlighted how a strong primary care system can play an important role in protecting this group of... View Details

Keywords: COVID-19; High-risk Patients; Primary Care; Health Pandemics; Health Care and Treatment; Innovation and Invention; Demographics; Age

October 2012
Case

Designing a Culture of Collaboration at Lake Nona Medical City

By: Amy C. Edmondson, Sydney Ribot and Tiona Zuzul

Describes Lake Nona, a 7,000-acre residential and research cluster in central Florida, and its process and innovation culture, and Lake Nona Institute, the organization behind the planning and governance of this new eco-friendly community. Emphasis is placed on the... View Details

Keywords: Collaboration; Innovation; Health Care; Real Estate; Entrepreneurship; Collaborative Innovation and Invention; Governance; Real Estate Industry; Florida

Educators

September 2, 2020
Article

How to Pay for Public Option Without Tax Hike

By: Regina E. Herzlinger and Richard Boxer

A bipartisan combination of the two parties’ most popular initiatives can expand health care coverage, significantly reduce costs, and enable freedom of choice, without raising taxes. Along the way, we can revitalize competition between public and private plans. Our... View Details

Keywords: Health Insurance; Public Option; Health Care and Treatment; Insurance; Cost Management; United States