Publications

March 1999 (Revised October 1999)
Case

Tufts Health Plan

By: Richard M.J. Bohmer and Nancy D. Beaulieu

Describes the introduction of capitation by a managed care company and the challenges of managing financial risk in the Medicare population. Focuses on the relationship between the health plan and physicians. View Details

Keywords: Health; Behavior; Motivation and Incentives; Risk and Uncertainty; Insurance; Health Industry; Health Industry

September 2011 (Revised January 2012)
Case

Telemonitoring at Visiting Nurse Health System

By: F. Warren McFarlan, Mark Keil and Mala Kaul

The Telemonitoring at Visiting Nurse Health System case presents one home healthcare organization's efforts to use telemonitoring to improve the quality of care provided to at-risk patients who were discharged from hospitals and needed home care. After two years of... View Details

Keywords: Capital Budgeting; Cost vs Benefits; Risk Management; Technology Adoption; Technological Innovation; Organizational Change and Adaptation; Competitive Strategy; Health Industry; Health Industry

20 Sep 2009
News

Why We Need Universal, Consumer-Driven Health Care

February 2018
Case

Aetna and the Transformation of Health Care

By: Rebecca M. Henderson, Russell Eisenstat and Matthew Preble

Mark Bertolini, chairman and CEO of the health insurer Aetna, faces a number of questions as he seeks to transform Aetna from a classic insurance company into a business that will engage much more deeply with its members around their personal health goals. His strategy... View Details

Keywords: Health Care and Treatment; Insurance; Transformation; Behavior; Leading Change; Strategy; Insurance Industry; Insurance Industry; United States; Connecticut

30 Jul 2019
News

Private Sector Pitfalls in US Health Care

22 Aug 2022
Research & Ideas

Can Amazon Remake Health Care?

First, the supply chain in health care is a mess. There are so many intermediaries selling to other people, and Amazon has done extremely well by streamlining the supply chain. So they must be thinking that the current View Details

Keywords: by Christina Pazzanese, Harvard Gazette; Health

"Behavioral Hazard in Health Insurance"

A fundamental implication of standard moral hazard models is overuse of low-value medical care because copays are lower than costs. In these models, the demand curve alone can be used to make welfare statements, a fact relied on by much empirical work. There is... View Details

05 Aug 2002
Research & Ideas

Are Consumers the Cure for Broken Health Insurance?

The health insurance system in the United States is broken, and business is paying the price. Employers' insurance premiums reached an estimated $450 billion in 2000, and then... View Details

Keywords: by Regina E. Herzlinger

31 Oct 2022
Video

Health Minute: Amitabh Chandra

September 2015 (Revised February 2023)
Case

Emdeon's Acquisition of Change Healthcare: Innovating Transparency Solutions for Health Care Consumers

By: Regina E. Herzlinger, Jeet Guram and Aanchal Raj

Case describes acquisition of Change Healthcare, which provides health care cost and quality information, by Emdeon, a health information exchange, and discusses health care transparency. Emdeon is a billion-dollar company that has grown through acquisitions; at its... View Details

Keywords: Healthcare; Healthcare Industry; Healthcare Innovation; Health Care and Treatment; Acquisition; Integration; Analytics and Data Science; Mergers and Acquisitions; Competitive Strategy; Health Industry; United States

March 2011 (Revised March 2011)
Case

Horizon Blue Cross Blue Shield of New Jersey - Managing in the Shadow of Health Care Reform

By: Felix Oberholzer-Gee, Raffaella Sadun and Richard G. Hamermesh

Per the Patient Protection and Affordable Care Act (PPACA), which President Obama signed in 2010, states would be required to create state-wide health insurance marketplaces - the Health Benefit Exchanges (HBEs) - in which individuals and small employers could choose... View Details

Keywords: Insurance; Health Care and Treatment; Governing Rules, Regulations, and Reforms; Emerging Markets; Risk and Uncertainty; Health Industry; Health Industry; New Jersey

August 2014
Case

Blue Cross Blue Shield of Florida, Inc.

By: Regina E. Herzlinger and Meng Li

Keywords: Health; Health Care Industry; Health Insurance; United States; Health Care and Treatment; Health Industry; United States; Florida

01 Jul 2022
News

Fisher & Herzlinger: New Transparency Rule Helps Rein in Health Care Costs

March 2021
Supplement

Humana (C) — Reorganization

By: Regina E. Herzlinger and Ashley Ifeadike

A summary of Humana's restructuring of its business around its pillars. View Details

Keywords: Health Care; Health Care Industry; Health Insurance; Health Care Operations; Health; Health Care and Treatment; Insurance; Operations; Restructuring; Health Industry

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