Publications

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27 Feb 2019
Research & Ideas

The Hidden Cost of a Product Recall

American emissions tests. Volkswagen estimated that fines, repairs, and legal costs would total more than $30 billion. And worse, the company ceded its command of America’s diesel car market—producing more than one-third of the models... View Details

Keywords: by Danielle Kost; Manufacturing; Consumer Products; Auto; Medical Devices & Supplies

Article

Do We Spend Too Much on Health Care?

By: Katherine Baicker and Amitabh Chandra

Health system reforms—such as changes in insurance design, patient cost sharing, payment reform, or price regulation—should be judged by whether they move us toward higher-value use of resources, rather than by whether they reduce spending. View Details

Keywords: Health Care and Treatment; Cost; Governing Rules, Regulations, and Reforms; Value Creation

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November–December 2014
Article

Using Time-Driven Activity-Based Costing to Identify Value-Improvement Opportunities in Healthcare

By: Robert S. Kaplan, Mary L. Witkowski, Megan Abbott, Alexis Guzman, Laurence Higgins, John Meara, Erin Padden, Apurva Shah, Peter Waters, Marco Weidemeier, Samuel Wertheimer and Thomas W. Feeley

As healthcare providers cope with pricing pressures and increased accountability for performance, they should be rededicating themselves to improving the value they deliver to their patients: better outcomes and lower costs. Time-driven activity-based costing offers... View Details

Keywords: Value Creation; Activity Based Costing and Management; Health Care and Treatment; Health Industry; United States; Europe

07 Mar 2018
Research & Ideas

Electronic Health Records Were Supposed to Cut Medical Costs. They Haven't.

$215 depending on the type of visit. That’s despite the fact that Duke has an established electronic health record (EHR) system and an efficient, centralized billing department, Kaplan says. Administrative View Details

Keywords: by Roberta Holland; Health

January 2024
Article

A Cost Model for a Low Threshold Clinic Treating Opioid Use Disorder

By: Sarah E. Wakeman, Elizabeth Powell, Syed Shehab, Grace Herman, Laura Kehoe and Robert S. Kaplan

The US fee-for-service payment system under-reimburses clinics offering access to comprehensive treatments for opioid use disorder (OUD). The funding shortfall limits a clinic’s ability to expand and improve access, especially for socially marginalized patients with... View Details

Keywords: Health Care and Treatment; Cost; Equality and Inequality; Health Industry

30 May 2007
Research & Ideas

Health Care Under a Research Microscope

game is supposed to be quality up and cost down. And this is one where that has not happened. And it's been very slow with the quality movement." Professor Regina Herzlinger, who has studied the health... View Details

Keywords: by Sean Silverthorne; Health; Health

09 Dec 2009
Working Paper Summaries

Mental Health in the Aftermath of Conflict

Keywords: by Quy-Toan Do & Lakshmi Iyer

13 Dec 2006
Research & Ideas

Improving Public Health for the Poor

The intervention itself is very low-cost; the huge cost of implementing public health programs for the poor is in the delivery system. Q: Is healthcare for the poor commercially viable? A: For many people... View Details

Keywords: by Martha Lagace; Health

13 Jul 2009
Research & Ideas

Diagnosing the Public Health Care Alternative

design with features that many people may not consider to be good value for the money. To return to the car analogy, it might demand a heated seat in every vehicle. As for public insurance, it ignores real costs in its pricing and may... View Details

Keywords: by Staff; Health

11 Feb 2008 - 12 Feb 2008
Keynote Speech

Forces Affecting the Competitive Landscape in Health Care

Conference composed of 300 mid-level, senior health care executives focused on strategies to improve care, increase care margins, and grow clinical volumes in orthopedic service delivery. Presentation focused on major forces affecting care delivery: 1) quality and cost... View Details

Keywords: Competition; Health Care and Treatment; Health Industry

October 2005 (Revised June 2007)
Case

Apollo Hospitals--First-World Health Care at Emerging-Market Prices

By: Felix Oberholzer-Gee, Tarun Khanna and Carin-Isabel Knoop

The Apollo Hospitals Group, one of Asia's premier health care organizations, had come to rival the best health care organizations on the globe. Apollo offered advanced medical procedures, such as cardiac surgery using the beating heart technique, at very high levels of... View Details

Keywords: Vertical Integration; Decision Choices and Conditions; Health Care and Treatment; Global Strategy; Developing Countries and Economies; Health Industry; Thailand; United States; India

Educators

Article

Health as a Way of Doing Business

By: Howard Koh, Sara J. Singer and Amy C. Edmondson

For too long, the worlds of business and health have been mired in a checkered, sometimes contentious, history. Millions of deaths worldwide can be attributed to risk factors including tobacco use, alcohol and drug misuse, and suboptimal dietary intake linked to... View Details

Keywords: Health; Corporate Social Responsibility and Impact; Public Opinion

October 26, 2015
Article

Measuring and Communicating Health Care Value with Charts

By: Robert S. Kaplan, Robin P. Blackstone, Derek A. Haas and Nikhil G. Thaker

The goal of a health care system should be to deliver the most value to patients: the outcomes achieved for treating a medical condition relative to the costs incurred over a complete care cycle. We have found that a radar (spider web) chart is an effective means to... View Details

Keywords: Service Delivery; Value; Health Care and Treatment; Health Industry

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18 Jan 2016
Research & Ideas

Hazard Warning: The Unacceptable Cost of Toxic Workers

Toxic workers aren’t just a pain in the rear; they’re also a pain in the bottom line, according to a new Harvard Business School working paper. Dylan Minor, visiting assistant professor of business administration in the HBS Strategy unit, says a company stands to lose... View Details

Keywords: by Roberta Holland

08 Apr 2009
Research & Ideas

Clayton Christensen on Disrupting Health Care

interrelated. People who have studied this industry for a long time have come up with a number of feasible ideas to get at the cost problem, including high-deductible insurance and health savings accounts.... View Details

Keywords: by Deborah Blagg; Health

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

Educators

April 2023 (Revised January 2024)
Background Note

Note on Healthcare in Ghana

By: Regina E. Herzlinger and Ben Creo

This note provides an overview of the healthcare system in Ghana. It discusses the public and private sector as well as traditional medical practice. It also discusses the country’s pharmaceutical industry. It is recommended as a companion to Professor Regina... View Details

Keywords: Africa; Pharmaceutical Companies; Pharmacy Benefit Manager; Health Care; Health Care Costs; Health Care Delivery; Health Care Entrepreneurship; Telehealth; Health Equity; Governing Rules, Regulations, and Reforms; Health Care and Treatment; Business and Government Relations; Health Industry; Health Industry; Ghana

Educators