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  • 18 Aug 2014
  • Research & Ideas

Have a Better Idea To Improve Health Care?

share $150,000 and the opportunity to present their ideas at the Forum's invitation-only conference in April 2015, which attracts senior executives from big pharma, for-profit and non-profit hospitals, major insurance companies, and... View Details
Keywords: by Carmen Nobel; Health
  • 25 May 2016
  • Research & Ideas

How Consumers and Businesses are Reshaping Public Health

health insurance. Every year, they have to review alternative health insurance plans, make risk-return tradeoffs, and choose the ones they prefer for themselves and their... View Details
Keywords: by John A. Quelch; Health
  • 02 Jan 2020
  • Op-Ed

Medicare for All or Public Option: Can Either Heal Health Care?

insurance As for Republicans, it is difficult to see how their initiatives would solve any health care problems, other than somewhat lowering costs by increasing the number of uninsured. Eliminating the... View Details
Keywords: by Regina E. Herzlinger and James Wallace; Health; Health
  • February 2024
  • Article

Investing in Long-Term Health

By: Katherine Baicker and Amitabh Chandra
Keywords: Insurance; Outcome or Result; Health Care and Treatment
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Baicker, Katherine, and Amitabh Chandra. "Investing in Long-Term Health." e240193. JAMA Health Forum 5, no. 2 (February 2024).
  • 27 Feb 2020
  • Sharpening Your Skills

How Following Best Business Practices Can Improve Health Care

care, but there is another cost to be accounted for. Germany May Have the Answer for Reducing Drug PricesIn Germany, drugmakers must prove that a new medication’s benefits merit a higher price than existing drugs. Making Health View Details
Keywords: by Sean Silverthorne; Health; Health
  • June 1992
  • Teaching Note

U.S. Health Care Systems, Prospectus and Maxicare Health Plans, Inc., Teaching Note

By: Regina E. Herzlinger
Keywords: Health Care and Treatment; Insurance Industry; Insurance Industry
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Herzlinger, Regina E. "U.S. Health Care Systems, Prospectus and Maxicare Health Plans, Inc., Teaching Note." Harvard Business School Teaching Note 192-127, June 1992.
  • March 2003
  • Teaching Note

Tufts Health Plan (TN)

By: Richard M.J. Bohmer
Teaching Note for (9-699-160). View Details
Keywords: Health Industry; Health Industry
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Bohmer, Richard M.J. "Tufts Health Plan (TN)." Harvard Business School Teaching Note 603-105, March 2003.
  • October 24, 2018
  • Article

End the Corporate Health Care Tax

By: Mark R. Kramer and John Pontillo
Imagine if a single piece of legislation could effectively eliminate all U.S. corporate taxes, subsidize hundreds of millions of dollars in new corporate investment, increase the take-home pay of most U.S. employees, ease state and local budgets, and reduce the U.S.... View Details
Keywords: Corporate Taxation; Health Care and Treatment; Insurance; Taxation; Governing Rules, Regulations, and Reforms; United States
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Kramer, Mark R., and John Pontillo. "End the Corporate Health Care Tax." Harvard Business Review Digital Articles (October 24, 2018).
  • March 2008 (Revised January 2010)
  • Background Note

Note on Accountability in the U.S. Health Care System

By: Regina E. Herzlinger and Michael Millenson
This note explains how health care providers, health insurers, and consumers are held accountable for their performance and the entrepreneurial opportunities thus created. View Details
Keywords: Entrepreneurship; Ethics; Insurance; Corporate Accountability; Health Care and Treatment; Demand and Consumers; Health Industry; United States
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Herzlinger, Regina E., and Michael Millenson. "Note on Accountability in the U.S. Health Care System." Harvard Business School Background Note 308-111, March 2008. (Revised January 2010.)
  • 22 May 2020
  • In Practice

Post-COVID Health Care: More Screens, Less Red Tape?

employer-based insurance will return Amitabh Chandra: More demand for insurance exchanges Recessions and pandemics create job losses that highlight the problems of tying View Details
Keywords: by Danielle Kost
  • 26 Jan 2015
  • Research & Ideas

National Health Costs Could Decrease if Managers Reduce Work Stress

negative health outcomes. They determined, among other findings, that workplace stress contributes to at least 120,000 deaths each year. The biggest factor in this calculation is lack of health View Details
Keywords: by Michael Blanding; Health
  • 2023
  • Article

Dynamic HTA for Digital Health Solutions: Opportunities and Challenges for Patient-Centered Evaluation

By: Jan B. Brönneke, Annika Herr, Simon Reif and Ariel D. Stern
Germany’s 2019 Digital Healthcare Act (Digitale-Versorgung-Gesetz, or DVG) created a number of opportunities for the digital transformation of the health care delivery system. Key among these was the creation of a reimbursement pathway for patient-centered digital... View Details
Keywords: Digital Transformation; Applications and Software; Product Development; Insurance; Policy; Health Industry; Germany
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Brönneke, Jan B., Annika Herr, Simon Reif, and Ariel D. Stern. "Dynamic HTA for Digital Health Solutions: Opportunities and Challenges for Patient-Centered Evaluation." International Journal of Technology Assessment in Health Care 39, no. 1 (2023).
  • May 2018 (Revised October 2020)
  • Supplement

La Ribera Health Department (B): Epilogue

By: Regina E. Herzlinger, Emer Moloney and Daniela Beyersdorfer
The La Ribera case studies depict an innovative low cost/high quality privately financed hospital model struggling to achieve alignment with the Six Factors. It is reimbursed by the public sector in a Spanish environment whose Consumers, Structure, and Public Policy... View Details
Keywords: Trends And Opportunities; Government; Government Programs; Acquisition; Business Model; Business Plan; Trends; Opportunities; Government and Politics; Programs; Health Care and Treatment; Situation or Environment; Health Industry; Health Industry; Health Industry; Spain
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Herzlinger, Regina E., Emer Moloney, and Daniela Beyersdorfer. "La Ribera Health Department (B): Epilogue." Harvard Business School Supplement 318-134, May 2018. (Revised October 2020.)
  • May 25, 2016
  • Comment

How Consumers and Businesses are Reshaping Public Health

By: John A. Quelch
Healthcare and education are two issues in which citizens around the world, rich and poor, are passionately interested. It has long been appreciated that the way that a society treats its youngest and oldest members says much about its moral maturity. Economic... View Details
Keywords: Healthcare; Consumer Power; Innovation In Healthcare Delivery; Mobile Healthcare; Transition; Transformation; Trends; Customer Satisfaction; Customer Value and Value Chain; Health Care and Treatment; Information; Collaborative Innovation and Invention; Independent Innovation and Invention; Innovation and Management; Innovation Leadership; Management; Marketing; Markets; Planning; Problems and Challenges; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; South America; North and Central America; Middle East; Europe; Asia
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Quelch, John A. "How Consumers and Businesses are Reshaping Public Health." Harvard Business School Working Knowledge (May 25, 2016).
  • Article

Administrative Costs Associated with Physician Billing and Insurance-Related Activities at an Academic Health Care System

By: Phillip Tseng, Robert S. Kaplan, Barak D. Richman, Mahek A. Shah and Kevin A. Schulman
The federal government mandated adoption of certified electronic health record systems (EHR), at least in part, to reduce administrative costs for physicians. This study used time-driven activity-based costing to determine the administrative costs associated with... View Details
Keywords: Health Care and Treatment; Cost Management; Insurance; Problems and Challenges
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Tseng, Phillip, Robert S. Kaplan, Barak D. Richman, Mahek A. Shah, and Kevin A. Schulman. "Administrative Costs Associated with Physician Billing and Insurance-Related Activities at an Academic Health Care System." JAMA, the Journal of the American Medical Association 319, no. 7 (February 20, 2018): 691–697.
  • December 2007 (Revised January 2008)
  • Case

Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap

By: Lynda M. Applegate, Ajay Vinze, T.S. Raghu and Minu Ipe
Addresses the issues of leadership and change management in the process of transforming an industry through an innovative public-private partnership approach to policy making. In 2005, the Governor of Arizona issued an Executive Order to create a roadmap for the state... View Details
Keywords: Change Management; Transformation; Private Sector; Public Sector; Health Care and Treatment; Service Delivery; Partners and Partnerships; Information Technology; Health Industry; Health Industry
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Applegate, Lynda M., Ajay Vinze, T.S. Raghu, and Minu Ipe. "Transforming Arizona's Health Care System: Developing and Implementing the Health-e Connection Roadmap." Harvard Business School Case 808-072, December 2007. (Revised January 2008.)
  • 12 Nov 2015
  • Research & Ideas

Can Consumers be Trusted with Their Own Health Care?

“worried well,” he said, who are involved in their own health care, are staying healthy, and are taking preventative action. The Invincibles: These are the folks the Affordable Care Act had trouble pulling into the View Details
Keywords: by Dina Gerdeman; Health
  • 26 Jun 2000
  • Research & Ideas

What’s an Internet Business Model? Ask a Health Care Professional

by health insurance, such as laser eye surgery and infertility counseling. "For the exchange to work, there has to be a value proposition for both sides," Slavitt explained. "Providers today live in a world... View Details
Keywords: by Martha Lagace; Health
  • 08 Mar 2017
  • Op-Ed

Op-Ed: Can the Proposed American Health Care Act Improve on 'Obamacare'?

freedom of individual choice should always trump government intervention but, perhaps more so than in other developed countries, this sentiment enjoys widespread support in America. The government should not be able to mandate that I buy View Details
Keywords: by John Quelch, Dr. Gordon Moore, and Emily Boudreau
  • December 2024
  • Case

Blue Cross Blue Shield of Michigan (BCBSM): The AI Journey

By: Shikhar Ghosh
In early 2024, Bill Fandrich, Executive VP and CIO of Blue Cross Blue Shield of Michigan (BCBSM), faced a critical decision about AI adoption within the organization. Fandrich had championed AI implementation at BCBSM. After successfully developing three AI... View Details
Keywords: Blue Cross; Automation; Generative Ai; Health Insurance; Insurance Companies; Innovation; IT Strategy; Organizational Transformations; Technology; Non-profit; AI and Machine Learning; Health; Digital Strategy; Digital Transformation; Leadership; Technology Adoption; Job Cuts and Outsourcing; Innovation Strategy; Health Industry; Health Industry; Michigan
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Ghosh, Shikhar. "Blue Cross Blue Shield of Michigan (BCBSM): The AI Journey." Harvard Business School Case 825-082, December 2024.
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