Publications

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September 2013
Supplement

John G. Meara, Boston Children's Hospital, Measuring Costs, TDABC

By: Robert S. Kaplan

Keywords: Health Care; Time-Driven Activity-Based Costing; Costing; Hospitals; Activity Based Costing and Management

March 2017
Article

Variation in the Cost of Care for Primary Total Knee Arthroplasties

By: Derek A. Haas and Robert S. Kaplan

The study examined the cost variation across 29 high-volume U.S. hospitals for delivering a primary total knee arthroplasty without major complicating conditions. Hospital and physician personnel costs were calculated using time-driven activity-based costing.... View Details

Keywords: Cost Management; Performance Productivity; Health Care and Treatment; Health Industry

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Article

The IT Transformation Health Care Needs

By: Nikhil R. Sahni, Robert S. Huckman, Anuraag Chigurupati and David M. Cutler

In recent years, health care organizations have made sizable investments in information technology. They’ve used their IT systems to replace paper records with electronic ones and to improve billing processes, thereby boosting revenue. But so far, IT has been of little... View Details

Keywords: Health Care and Treatment; Information Technology; Performance Improvement; Business Model

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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

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

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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October 2010 (Revised November 2010)
Background Note

Plavix: Drugs in the Age of Personalized Medicine

By: Richard G. Hamermesh, Mara G. Aspinall and Rachel Gordon

PIavix, one of the world's best selling drugs in 2010, appears to have a limited future. Its patent was due to expire soon, and recently new data had been discovered that indicated that a small subset of the population would be at risk for stroke, heart attack, or even... View Details

Keywords: Health Care and Treatment; Product Positioning; Business and Government Relations; Genetics; Competitive Strategy; Pharmaceutical Industry

Educators

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; Health Industry; Health Industry; United States; Connecticut

Educators

August 2010 (Revised September 2011)
Background Note

Retiree Pension and Health Benefits

By: David F. Hawkins

Note on accounting for retiree pension and health benefits under IFRS and U.S. GAAP. View Details

Keywords: Financial Reporting; International Accounting; Health Care and Treatment; Compensation and Benefits; Standards; Retirement; United States

Educators

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

13 Mar 2023
Research & Ideas

The Power of Personal Connections: How Shared Experiences Boost Performance

residency, including on metrics such as patients’ likelihood of recommending their specialist, write Maximilian J. Pany, a doctoral candidate at Harvard Business School and MD candidate at Harvard Medical School, and J. Michael McWilliams, Warren Alpert Foundation... View Details

Keywords: by Rachel Layne; Health

27 Dec 2014
Working Paper Summaries

How Should We Pay for Health Care?

Keywords: by Michael E. Porter & Robert S. Kaplan; 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

Article

The Counterfeit Self: The Deceptive Costs of Faking It

By: Francesca Gino, Michael I. Norton and Dan Ariely

Although people buy counterfeit products to signal positive traits, we show that wearing counterfeit products makes individuals feel less authentic and increases their likelihood of both behaving dishonestly and judging others as unethical. In four experiments,... View Details

Keywords: Judgments; Ethics; Brands and Branding; Product; Behavior; Personal Characteristics

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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

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

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