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    • All HBS Web  (1,102)
      • Faculty Publications  (217)

      Health Insurance ExchangeRemove Health Insurance Exchange →

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      • Article

      Consumers' Misunderstanding of Health Insurance

      By: George Loewenstein, Joelle Y. Friedman, Barbara McGill, Sarah Ahmad, Suzanne Linck, Stacey Sinkula, John Beshears, James J. Choi, Jonathan Kolstad, David Laibson, Brigitte C. Madrian, John A. List and Kevin G. Volpp
      We report results from two surveys of representative samples of Americans with private health insurance. The first examines how well Americans understand, and believe they understand, traditional health insurance coverage. The second examines whether those insured... View Details
      Keywords: Behavioral Economics; Simplification; Insurance; Consumer Behavior; Health Care and Treatment; Cognition and Thinking; Insurance Industry; Insurance Industry; United States
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      Loewenstein, George, Joelle Y. Friedman, Barbara McGill, Sarah Ahmad, Suzanne Linck, Stacey Sinkula, John Beshears, James J. Choi, Jonathan Kolstad, David Laibson, Brigitte C. Madrian, John A. List, and Kevin G. Volpp. "Consumers' Misunderstanding of Health Insurance." Journal of Health Economics 32, no. 5 (September 2013): 850–862.
      • August 2013 (Revised August 2014)
      • Technical Note

      Health Information Exchanges

      By: Regina E. Herzlinger and Kyle Bertke
      Companion background note to AxSys. View Details
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      Herzlinger, Regina E., and Kyle Bertke. "Health Information Exchanges." Harvard Business School Technical Note 314-040, August 2013. (Revised August 2014.)
      • August 2013 (Revised November 2015)
      • Case

      Prudential Financial - General Motors Pension Risk Transfer: Back to the Future?

      By: Luis M. Viceira and Emily A. Chien

      In November 2012, Prudential Financial and General Motors closed on a $25.1B pension risk transfer (PRT) transaction, the largest of its kind to date by an order of magnitude both in the U.S. market and globally. In exchange for an in-kind transfer of $25.1B in... View Details

      Keywords: Risk Management; Asset Management; Insurance; Retirement; Insurance Industry; Insurance Industry
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      Viceira, Luis M., and Emily A. Chien. "Prudential Financial - General Motors Pension Risk Transfer: Back to the Future?" Harvard Business School Case 213-126, August 2013. (Revised November 2015.)
      • August 2013 (Revised August 2014)
      • Case

      Aon Hewitt's Private Health Insurance Exchange

      By: Regina E. Herzlinger, Aiden Y. Feng and Meghan D. Oliver
      Aon Hewitt, a leading health insurance broker and consultant, is one of the first movers in forming exchanges to sell health insurance. What kinds of products should it offer on this exchange? View Details
      Keywords: Health Care and Treatment; Insurance
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      Herzlinger, Regina E., Aiden Y. Feng, and Meghan D. Oliver. "Aon Hewitt's Private Health Insurance Exchange." Harvard Business School Case 314-037, August 2013. (Revised August 2014.)
      • 5 Feb 2013
      • Conference Presentation

      Financing Entrepreneurial Growth

      By: Tom Alberg, Andrew A. Bogan, Harold Bradley, Robert D. Cooter, Monika Gruter Cheney, Oliver R. Goodenough, William R. Hambrecht, Frank Hatheway, Thomas F. Hellmann, Marianne Hudson, Jared Konczal, Josh Lerner, Robert E. Litan, Diane Mulcahy, Ramana Nanda, Frank Partnoy, Joe Ratterman, Nava Ravikant, Jay R. Ritter, Alicia Robb, David T. Robinson, Allison Schrager, Barry Silbert, E. R. Sirri, Daniel Stangler and Sharon Vosmek

      Despite recent innovations in entrepreneurial finance, particularly at the early stage of business creation, many new and young companies continue to face hurdles to acquire capital.

      The Kauffman Foundation addressed current challenges and opportunities in... View Details

      Keywords: Finance; Entrepreneurial Finance; Venture Capital; Entrepreneurship; United States
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      Alberg, Tom, Andrew A. Bogan, Harold Bradley, Robert D. Cooter, Monika Gruter Cheney, Oliver R. Goodenough, William R. Hambrecht, Frank Hatheway, Thomas F. Hellmann, Marianne Hudson, Jared Konczal, Josh Lerner, Robert E. Litan, Diane Mulcahy, Ramana Nanda, Frank Partnoy, Joe Ratterman, Nava Ravikant, Jay R. Ritter, Alicia Robb, David T. Robinson, Allison Schrager, Barry Silbert, E. R. Sirri, Daniel Stangler, and Sharon Vosmek. "Financing Entrepreneurial Growth." Paper presented at the State of Entrepreneurship Address, Ewing Marion Kauffman Foundation, Washington, DC, USA, February 5, 2013.
      • February 2013
      • Article

      Let them Have Choice: Gains from Shifting Away from Employer-Sponsored Health Insurance and Toward an Individual Exchange

      By: Leemore S. Dafny, Katherine Ho and Mauricio Varela
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      Dafny, Leemore S., Katherine Ho, and Mauricio Varela. "Let them Have Choice: Gains from Shifting Away from Employer-Sponsored Health Insurance and Toward an Individual Exchange." American Economic Journal: Economic Policy 5, no. 1 (February 2013): 32–58.
      • August 2012 (Revised December 2023)
      • Background Note

      Note on Health Insurance Coverage, Coding, and Payment

      By: Regina E. Herzlinger and Jo Ellen Slurzberg
      This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details
      Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Health Industry
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      Herzlinger, Regina E., and Jo Ellen Slurzberg. "Note on Health Insurance Coverage, Coding, and Payment." Harvard Business School Background Note 313-042, August 2012. (Revised December 2023.)
      • August 2012 (Revised January 2013)
      • Case

      Public Health Insurance Exchanges: The Massachusetts Experience

      By: Regina Herzlinger and Jordan Bazinsky
      The CEO of Tufts Health Plan, James Roosevelt, is wondering whether to offer insurance products on the Massachusetts Connector, the first U.S. exchange. He wonders if he should enter these uncharted waters at all. And, if yes, with a broad network or a narrow network... View Details
      Keywords: Health Insurance Exchange; Healthcare Reform; Public Health Insurance Exchange; Decision Making; Market Entry and Exit; Emerging Markets; Health Care and Treatment; Insurance Industry; Insurance Industry; Massachusetts
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      Herzlinger, Regina, and Jordan Bazinsky. "Public Health Insurance Exchanges: The Massachusetts Experience." Harvard Business School Case 313-043, August 2012. (Revised January 2013.)
      • 2012
      • Working Paper

      The Need for (long) Chains in Kidney Exchange

      By: Itai Ashlagi, David Gamarnik, Michael A. Rees and Alvin E. Roth
      It has been previously shown that for sufficiently large pools of patient-donor pairs, (almost) efficient kidney exchange can be achieved by using at most 3-way cycles, i.e., by using cycles among no more than 3 patient-donor pairs. However, as kidney exchange has... View Details
      Keywords: Networks; Complexity; Performance Efficiency; Medical Specialties; Health Care and Treatment; Philanthropy and Charitable Giving
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      Ashlagi, Itai, David Gamarnik, Michael A. Rees, and Alvin E. Roth. "The Need for (long) Chains in Kidney Exchange." NBER Working Paper Series, No. 18202, July 2012.
      • Blog Post

      Why Economic Conservatives Should Support the Individual Mandate in Health Care

      By: Regina E. Herzlinger

      Although many conservatives are gnashing their teeth about the Supreme Court's upholding the individual mandate, had it not been upheld, their worst nightmares would have occurred: government would have required hundreds of billions in additional taxes to pay for... View Details

      Keywords: Health Care; Health Care Industry; Health Insurance; Health; Health Care and Treatment; Health Industry
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      Herzlinger, Regina E. "Why Economic Conservatives Should Support the Individual Mandate in Health Care." Huffington Post, The Blog (June 29, 2012). http://www.huffingtonpost.com/regina-e-herzlinger/health-insurance-market-mandate_b_1637762.html.
      • April 2012
      • Article

      Paying a Premium on Your Premium? Consolidation in the U.S. Health Insurance Industry

      By: Leemore S. Dafny, Mark Duggan and Subramaniam Ramanarayanan
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      Dafny, Leemore S., Mark Duggan, and Subramaniam Ramanarayanan. "Paying a Premium on Your Premium? Consolidation in the U.S. Health Insurance Industry." American Economic Review 102, no. 2 (April 2012): 1161–1185.
      • October 2012
      • Article

      The Impact of Tort Reform on Employer-Sponsored Health Insurance Premiums

      By: Ronen Avraham, Leemore S. Dafny and Max Schanzenbach
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      Avraham, Ronen, Leemore S. Dafny, and Max Schanzenbach. "The Impact of Tort Reform on Employer-Sponsored Health Insurance Premiums." Journal of Law, Economics & Organization 28, no. 4 (October 2012): 657–686.
      • February 2012 (Revised June 2013)
      • Case

      Moving to Universal Coverage: Health Care Reform in Massachusetts

      By: Michael E. Porter and Jennifer F Baron
      State health care reform in Massachusetts has involved a phased process, focusing first on coverage expansion and then turning to delivery system innovation and cost containment. In 2006, the state adopted an individual mandate to obtain health care coverage which,... View Details
      Keywords: Health Care and Treatment; Business and Government Relations; Insurance; Massachusetts
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      Porter, Michael E., and Jennifer F Baron. "Moving to Universal Coverage: Health Care Reform in Massachusetts." Harvard Business School Case 712-466, February 2012. (Revised June 2013.)
      • 2012
      • Other Book

      Redefining German Health Care: Moving to a Value-Based System

      By: Michael E. Porter and Clemens Guth
      The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends. Why has Germany failed to solve... View Details
      Keywords: Health
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      Porter, Michael E., and Clemens Guth. Redefining German Health Care: Moving to a Value-Based System. Heidelberg: Springer, 2012.
      • December 2011
      • Article

      Data Impediments to Empirical Work on Health Insurance Markets

      By: Leemore S. Dafny, David Dranove, Frank Limbrock and Fiona Scott Morton
      We compare four datasets that researchers might use to study competition in the health insurance industry. We show that the two datasets most commonly used to estimate market concentration differ considerably from each other (both in levels and in changes over time),... View Details
      Keywords: Competition; Analytics and Data Science; Market Participation; Insurance Industry
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      Dafny, Leemore S., David Dranove, Frank Limbrock, and Fiona Scott Morton. "Data Impediments to Empirical Work on Health Insurance Markets." B.E. Journal of Economic Analysis & Policy 11, no. 2 (December 2011).
      • September 2011
      • Supplement

      Narayana Hrudayalaya Heart Hospital

      By: Tarun Khanna and Tanya Bijlani
      Narayana Hrudayalaya (NH) is one of the world's busiest heart hospitals, where surgeons perform 30-35 complex cardiac surgeries daily. With an average cost of $1,800 per surgery, the hospital treats patients at affordable prices, and does not turn away even the poorest... View Details
      Keywords: Buildings and Facilities; Experience and Expertise; Cost Management; Insurance; Health Care and Treatment; Resource Allocation; Time Management; Emerging Markets; Infrastructure; Cooperative Ownership; Quality; Social Enterprise; Health Industry; Karnataka
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      Khanna, Tarun, and Tanya Bijlani. "Narayana Hrudayalaya Heart Hospital." Harvard Business School Multimedia/Video Supplement 712-802, September 2011.
      • 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
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      McFarlan, F. Warren, Mark Keil, and Mala Kaul. "Telemonitoring at Visiting Nurse Health System." Harvard Business School Case 112-030, September 2011. (Revised January 2012.)
      • August 2011 (Revised July 2014)
      • Case

      Amil and the Health Care System in Brazil

      By: Regina E. Herzlinger and Ricardo Reisen de Pinho
      Dr. Edson Bueno created Amil, Brazil's largest health insurer. Unlike many others, it is vertically integrated. Dr. Bueno has two opportunities for growth. Which, if any, should he pursue? View Details
      Keywords: Health Care and Treatment; Innovation and Invention; Opportunities; Insurance; Vertical Integration; Insurance Industry; Brazil
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      Herzlinger, Regina E., and Ricardo Reisen de Pinho. "Amil and the Health Care System in Brazil." Harvard Business School Case 312-029, August 2011. (Revised July 2014.)
      • May 2011
      • Article

      Nonsimultaneous Chains and Dominos in Kidney Paired Donation—Revisited

      By: Itai Ashlagi, Duncan S. Gilchrist, Alvin E. Roth and Michael A. Rees
      Since 2008 kidney exchange in America has grown in part from the incorporation of non-directed donors in transplant chains rather than simple exchanges. It is controversial whether these chains should be performed simultaneously ("domino paired donation," DPD) or... View Details
      Keywords: ABO Incompatibility; Allosensitization; Paired Kidney Exchange; Regional Sharing; Simulation Models; Transplantation Policy; Health Care and Treatment; Supply Chain; Risk and Uncertainty; Logistics; United States
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      Ashlagi, Itai, Duncan S. Gilchrist, Alvin E. Roth, and Michael A. Rees. "Nonsimultaneous Chains and Dominos in Kidney Paired Donation—Revisited." American Journal of Transplantation 11, no. 5 (May 2011): 984–994.
      • 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
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      Oberholzer-Gee, Felix, Raffaella Sadun, and Richard G. Hamermesh. "Horizon Blue Cross Blue Shield of New Jersey - Managing in the Shadow of Health Care Reform." Harvard Business School Case 711-403, March 2011. (Revised March 2011.)
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