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      • Faculty Publications  (219)

      Health EconomicsRemove Health Economics →

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      • February 2016 (Revised March 2022)
      • Case

      Express Scripts: Promoting Prescription Drug Home Delivery (B)

      By: John Beshears, Patrick Rooney and Jenny Sanford
      The pharmacy benefit manager (PBM) sector processes prescription drug claims on behalf of companies that offer a prescription drug benefit to their employees. This case follows Bob Nease, Chief Scientist at Express Scripts, as he considers methods to promote home... View Details
      Keywords: Pharmaceuticals; Prescription Drugs; Pharmacy Benefit Manager; PBM; Healthcare; Behavioral Economics; Choice Architecture; Active Choice; Health Care and Treatment; Service Delivery; Decision Choices and Conditions; Order Taking and Fulfillment; Compensation and Benefits
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      Beshears, John, Patrick Rooney, and Jenny Sanford. "Express Scripts: Promoting Prescription Drug Home Delivery (B)." Harvard Business School Case 916-040, February 2016. (Revised March 2022.)
      • February 2016 (Revised September 2017)
      • Case

      Mohamed Azab and Seha Capital

      By: Richard G. Hamermesh and Sarah McAra
      In January 2011, Mohamed Azab, founder and CEO of health care investment firm Seha Capital, made his first health care investment in Hassab Labs, a diagnostic lab in Alexandria, Egypt. Weeks later, a revolution erupted across the country as the Arab Spring swept... View Details
      Keywords: Health Care; Health; Pan-Africa; Health Care Investment; Financing; Developing World; Entrepreneurship; Health Care and Treatment; Investment; Financing and Loans; Developing Countries and Economies; Egypt; Africa
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      Hamermesh, Richard G., and Sarah McAra. "Mohamed Azab and Seha Capital." Harvard Business School Case 816-066, February 2016. (Revised September 2017.)
      • 2015
      • Report

      The Challenge of Shared Prosperity: Findings of Harvard Business School's 2015 Survey on U.S. Competitiveness

      By: Jan Rivkin, Karen G. Mills and Michael E. Porter
      In the 2015 survey on U.S. competitiveness, HBS alumni weigh in on the current state and future trajectory of U.S. competitiveness as well as the structural strengths and weaknesses of the U.S. business environment. In addition, alumni delve deeper into two aspects of... View Details
      Keywords: Competitiveness; U.S. Competitiveness; Shared Prosperity; Wealth; Competition; United States
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      Rivkin, Jan, Karen G. Mills, and Michael E. Porter. "The Challenge of Shared Prosperity: Findings of Harvard Business School's 2015 Survey on U.S. Competitiveness." Report, Harvard Business School, Boston, MA, September 2015 (With contributions from Michael I. Norton and Mitchell B. Weiss.)
      • July 2015
      • Background Note

      The State of U.S. Public Health: Challenges and Trends

      By: Rosabeth M. Kanter, Howard Koh and Pamela Yatsko
      The World Health Organization defines health as "a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity." For many Americans, the World Health Organization's definition of true health seems unattainable, given... View Details
      Keywords: Public Health; Public Sector; Health Care and Treatment; Health Industry; United States
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      Kanter, Rosabeth M., Howard Koh, and Pamela Yatsko. "The State of U.S. Public Health: Challenges and Trends." Harvard Business School Background Note 316-001, July 2015.
      • February 2015 (Revised September 2016)
      • Teaching Note

      Making stickK Stick: The Business of Behavioral Economics

      By: Leslie K. John and Michael Norton
      Email mking@hbs.edu for a courtesy copy.

      This Teaching Note explains the theory of the case and teaching plan for the case: Making sticK Stick: The Business of Behavioral Economics (514019). The case focuses on a... View Details
      Keywords: Behavioral Economics; Behavior Change; B2B Vs. B2C; Human Resource Management; Marketing Of Innovations; Health & Wellness; Weight Loss; Charitable Giving; Marketing; Consumer Behavior; Entrepreneurship; Internet and the Web; Health; Business Model; Sales; Human Resources; Health Industry; United States
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      John, Leslie K., and Michael Norton. "Making stickK Stick: The Business of Behavioral Economics." Harvard Business School Teaching Note 515-088, February 2015. (Revised September 2016.) (Email mking@hbs.edu for a courtesy copy.)
      • February 2015
      • Article

      The Great Recession, Insurance Mandates, and the Use of In Vitro Fertilization Services in the United States

      By: Sorapop Kiatpongsan, Robert S. Huckman and Mark D. Hornstein
      Objective: To investigate the relationship between economic activities, insurance mandates, and the use of in vitro fertilization (IVF) in the United States.

      Design: We examined the correlation between the coincident index (a proxy for overall economic... View Details
      Keywords: Macroeconomics; Recessions; Medical Care; In Vitro Fertilization; Health Industry; United States
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      Kiatpongsan, Sorapop, Robert S. Huckman, and Mark D. Hornstein. "The Great Recession, Insurance Mandates, and the Use of In Vitro Fertilization Services in the United States." Fertility and Sterility 103, no. 2 (February 2015): 448–454.
      • January 2015 (Revised July 2019)
      • Case

      CVS Health: Promoting Drug Adherence

      By: Leslie John, John Quelch and Robert Huckman
      Email mking@hbs.edu for a courtesy copy.

      The case describes a program that CVS Health recently implemented to improve medication adherence, an important problem from a societal, public policy, and firm... View Details
      Keywords: Medication Adherence; Affordable Care Act (ACA); Marketing Strategy; Communication Strategy; Customer Value and Value Chain; Decisions; Health Care and Treatment; Goals and Objectives; Resource Allocation; Marketing Communications; Consumer Behavior; Measurement and Metrics; Service Delivery; Behavior; Motivation and Incentives; Social Issues; Information Technology; Value Creation; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; United States
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      John, Leslie, John Quelch, and Robert Huckman. "CVS Health: Promoting Drug Adherence." Harvard Business School Case 515-010, January 2015. (Revised July 2019.) (Email mking@hbs.edu for a courtesy copy.)
      • January–February 2015
      • Article

      Heroic Villains: Are Foreign Investors Problems or Solutions in the Ebola Crisis?

      By: Debora L. Spar
      For months, the news out of West Africa has been unrelentingly grim. As of early December, the devastating Ebola epidemic had infected a reported 17,942 people and killed 6,388, according to the World Health Organization (WHO); the actual toll, which would also account... View Details
      Keywords: Ebola; Multinational Corporation; Epidemics; Foreign Investment; Extractive Industries; Multinational Firms and Management; Health Pandemics; Developing Countries and Economies; Government and Politics; Africa
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      Spar, Debora L. "Heroic Villains: Are Foreign Investors Problems or Solutions in the Ebola Crisis?" Foreign Policy 210 (January–February 2015).
      • December 2014 (Revised July 2021)
      • Case

      Discovery Limited

      By: Michael E. Porter, Mark R. Kramer and Aldo Sesia
      Discovery Ltd. is a South Africa-based insurance company. Started in the early 1990s, Discovery used behavioral economics and data collection to innovate in the health care insurance industry. Its founder Adrian Gore believed that the company's products needed to not... View Details
      Keywords: Shared Value; Health Care; Financial Services; Strategy; Value Creation; Health Care and Treatment; Insurance; Growth and Development Strategy; Health Industry; Health Industry; Health Industry; South Africa
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      Porter, Michael E., Mark R. Kramer, and Aldo Sesia. "Discovery Limited." Harvard Business School Case 715-423, December 2014. (Revised July 2021.)
      • October 2014 (Revised September 2017)
      • Case

      The National Football League and Brain Injuries

      By: Richard G. Hamermesh and Matthew G. Preble
      The National Football League (NFL) was both the most popular spectator sport in the U.S. and a major economic entity, taking in roughly $10 billion a year in revenue. However through the early twenty-first century, an increased understanding of the long-term effects of... View Details
      Keywords: Employee Safety; Safety; Employees; Sports; Health; Ethics; Sports Industry; United States
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      Hamermesh, Richard G., and Matthew G. Preble. "The National Football League and Brain Injuries." Harvard Business School Case 815-071, October 2014. (Revised September 2017.)
      • September 2014 (Revised February 2015)
      • Case

      Pfizer and AstraZeneca: Marketing an Acquisition (A)

      By: John A. Quelch and James Weber
      In 2014, Pfizer proposed a friendly acquisition of AstraZeneca, but the AstraZeneca board resisted over price and strategy concerns. Was this good for pharmaceutical consumers? Pfizer, like pharmaceutical companies in general, faced difficulties in growing sales due to... View Details
      Keywords: Health Care Policy; Mergers And Acquisitions; Marketing; Government Relations; Crisis Management; Decision Making; Growth and Development; Management; Markets; Strategy; Pharmaceutical Industry; United Kingdom; United States
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      Quelch, John A., and James Weber. "Pfizer and AstraZeneca: Marketing an Acquisition (A)." Harvard Business School Case 515-007, September 2014. (Revised February 2015.)
      • September 2014 (Revised November 2014)
      • Case

      Marketing Marijuana in Colorado

      By: John A. Quelch and David Lane
      Colorado's 2014 legalization of marijuana for adult recreational (not just medical) use created a new market that entrepreneurs rushed to enter, channeled by regulations that aimed to minimize marijuana's access to minors while not stifling the emergent new industry.... View Details
      Keywords: Public Health; Regulation; Marijuana; Plant-Based Agribusiness; Public Sector; Entrepreneurship; Health Care and Treatment; Health Industry; Health Industry; Colorado
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      Quelch, John A., and David Lane. "Marketing Marijuana in Colorado." Harvard Business School Case 515-009, September 2014. (Revised November 2014.)
      • 2014
      • Working Paper

      Non-Adherence in Health Care: A Positive and Normative Analysis

      By: Mark Egan and Tomas J. Philipson
      Non-adherence in health care results when a patient does not initiate or continue care that a provider has recommended. Previous research identifies non-adherence as a major source of waste in US health care, totaling approximately 2.3% of GDP, and have proposed a... View Details
      Keywords: Health Care and Treatment; Behavior; Economics; Analysis; Mathematical Methods
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      Egan, Mark, and Tomas J. Philipson. "Non-Adherence in Health Care: A Positive and Normative Analysis." NBER Working Paper Series, No. 20330, July 2014. (Previously titled, "Health Care Adherence and Personalized Medicine.")
      • 2014
      • Article

      Unequality: Who Gets What and Why It Matters

      By: Michael I. Norton
      Who should get what, and what are the consequences? Economic inequality in the United States has been rising for decades, yet only recently have behavioral scientists explored two central questions surrounding the optimal level of inequality. First, what are the... View Details
      Keywords: Inequality; Ethics; Productivity; Gambling; Equality and Inequality; Fairness; Income; Performance Productivity; United States
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      Norton, Michael I. "Unequality: Who Gets What and Why It Matters." Policy Insights from the Behavioral and Brain Sciences 1, no. 1 (2014): 151–155.
      • May 2014 (Revised March 2017)
      • Case

      Unilever's Lifebuoy in India: Implementing the Sustainability Plan

      By: Christopher A. Bartlett

      Unilever's new Global Brand VP must not only revitalize Lifebuoy soap's sagging market performance, but simultaneously impact the health of one billion people worldwide. The latter challenge comes from Unilever's new CEO who has introduced the Unilever Sustainable... View Details

      Keywords: Multinational Management; Corporate Social Responsibility; Strategy Implementation; Marketing Strategy; Mission And Purpose; Change Management; International Business; Global; Fast-moving Consumer Goods; Soap; Corporate Social Responsibility and Impact; Health Care and Treatment; Environmental Sustainability; Global Strategy; Developing Countries and Economies; Health Industry; Health Industry; India
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      Bartlett, Christopher A. "Unilever's Lifebuoy in India: Implementing the Sustainability Plan." Harvard Business School Case 914-417, May 2014. (Revised March 2017.)
      • April 2014 (Revised June 2015)
      • Case

      Making stickK Stick: The Business of Behavioral Economics

      By: Leslie John, Michael Norton and Michael Norris
      Email mking@hbs.edu for a courtesy copy.

      stickK.com, a website that uses behavioral economics to help users achieve their goals, must choose between a direct-to-consumer or business-to-business model. The case... View Details
      Keywords: Behavioral Economics; Behavior Change; B2B Vs. B2C; Human Resource Management; Marketing Of Innovations; Health & Wellness; Weight Loss; Charitable Giving; Marketing; Consumer Behavior; Entrepreneurship; Internet and the Web; Health; Business Model; Sales; Human Resources; Health Industry; United States
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      John, Leslie, Michael Norton, and Michael Norris. "Making stickK Stick: The Business of Behavioral Economics." Harvard Business School Case 514-019, April 2014. (Revised June 2015.) (request a courtesy copy.)
      • March 2014 (Revised September 2017)
      • Case

      salaUno: Eliminating Needless Blindness in Mexico

      By: Richard Hamermesh, Regina Garcia Cueller and Valeria Moy
      In May 2013 the co-founders and co-CEOs of salaUno, Javier Okhuysen and Carlos Orellana, were encouraged by the results of their fledgling start-up. salaUno was founded as a for-profit enterprise in order to have the capital needed for rapid growth and to fulfill its... View Details
      Keywords: Medical Services; Developing Countries; Developing Markets; Health Care Industry; Health Services; Healthcare Ventures; Healthcare Startups; Health Care and Treatment; Health; Business Startups; Developing Countries and Economies; Growth and Development Strategy; Health Industry; Mexico; Mexico City
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      Hamermesh, Richard, Regina Garcia Cueller, and Valeria Moy. "salaUno: Eliminating Needless Blindness in Mexico." Harvard Business School Case 814-041, March 2014. (Revised September 2017.)
      • March 2014 (Revised December 2014)
      • Case

      Vision 2020: Takeda and the Vaccine Business

      By: John A. Quelch and Margaret L. Rodriguez
      In 2014, Yasuchika Hasegawa was orchestrating the transformation of Takeda from a Japanese pharmaceutical company with a global footprint into a global company with a Japanese heritage. A 33-year veteran of Takeda, Hasegawa-san was appointed president of Takeda in 2003... View Details
      Keywords: Health Care; Global; NGO; Public Health; Japan; GSK; Vaccine; Supply Chain; Market Entry; Health; Health Care and Treatment; Trade; Market Entry and Exit; Global Strategy; Health Industry; Health Industry
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      Quelch, John A., and Margaret L. Rodriguez. "Vision 2020: Takeda and the Vaccine Business." Harvard Business School Case 514-084, March 2014. (Revised December 2014.)
      • Article

      Financial Incentives for Exercise Adherence in Adults: Systematic Review and Meta-analysis

      By: Marc S. Mitchell, Jack M. Goodman, David A. Alter, Leslie K. John, Paul I. Oh, Maureen T. Pakosh and Guy E. Faulkner
      Context Less than 5% of U.S. adults accumulate the required dose of exercise to maintain health. Behavioral economics has stimulated renewed interest in economic-based, population-level health interventions to address this issue. Despite widespread implementation of... View Details
      Keywords: Exercise; Health; Behavior; Motivation and Incentives
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      Mitchell, Marc S., Jack M. Goodman, David A. Alter, Leslie K. John, Paul I. Oh, Maureen T. Pakosh, and Guy E. Faulkner. "Financial Incentives for Exercise Adherence in Adults: Systematic Review and Meta-analysis." American Journal of Preventive Medicine 45, no. 5 (November 2013): 658–667.
      • 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)
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      Quelch, John A., Margaret L. Rodriguez, Carin-Isabel Knoop, and Christine Snively. "Demarketing Soda in New York City." Harvard Business School Case 514-003, October 2013. (Revised June 2014.)
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