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      • 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.")
      • Article

      Better Accounting Transforms Health Care Delivery

      By: Robert S. Kaplan and Mary L. Witkowski
      The paper describes the theory and preliminary results for an action research program that explores the implications from better measurements of health care outcomes and costs. After summarizing Porter's outcome taxonomy (Porter 2010), we illustrate how to use process... View Details
      Keywords: Activity Based Costing and Management; Research; Health Care and Treatment; Health Industry
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      Kaplan, Robert S., and Mary L. Witkowski. "Better Accounting Transforms Health Care Delivery." Accounting Horizons 28, no. 2 (June 2014): 365–383.
      • December 2013 (Revised May 2021)
      • Case

      Paul Levy: Confronting a 'Corporate Campaign' (A)

      By: James K. Sebenius
      Hospital CEO Paul Levy confronts an SEIU unionization drive via a "corporate campaign" aimed at undercutting the hospital's relationships with key internal and external constituencies. Having shepherded one of Boston's top teaching hospitals much of the way through a... View Details
      Keywords: Dispute Resolution; Corporate Campaign; Negotiating Campaign; Bargaining; Health Care; Hospitals; Unions; Health Care and Treatment; Negotiation; Strategy; Negotiation Process; Labor Unions; Health Industry; Boston
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      Sebenius, James K. "Paul Levy: Confronting a 'Corporate Campaign' (A)." Harvard Business School Case 914-020, December 2013. (Revised May 2021.)
      • November 2013 (Revised January 2015)
      • Case

      Obamacare

      By: Matthew Weinzierl and Katrina Flanagan
      One vote in June, 2012, decided the fate of President Barack Obama's crowning first-term achievement: universal health insurance. Chief Justice John Roberts of the U.S. Supreme Court cast the deciding vote to uphold the keystone of the reform: the mandate to purchase... View Details
      Keywords: Universal Health Insurance; Adverse Selection; Leviathan; Courts and Trials; Judgments; Insurance; Health Care and Treatment; Government and Politics; Insurance Industry; Public Administration Industry; Health Industry; United States
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      Weinzierl, Matthew, and Katrina Flanagan. "Obamacare." Harvard Business School Case 714-029, November 2013. (Revised January 2015.)
      • 2013
      • Article

      The Impact of Electronic Health Record Use on Physician Productivity

      By: Julia Adler-Milstein and Robert S. Huckman
      To examine the impact of the degree of electronic health record (EHR) use and delegation of EHR tasks on clinician productivity in ambulatory settings.
      Study Design: We examined EHR use in primary care practices that implemented a web-based EHR from athenahealth... View Details
      Keywords: Electronic Health Records; Health Care; Productivity; Healthcare IT; Information Technology; Performance Productivity; Health Care and Treatment; Health Industry
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      Adler-Milstein, Julia, and Robert S. Huckman. "The Impact of Electronic Health Record Use on Physician Productivity." Special Issue on Health Information Technology. American Journal of Managed Care 19, no. SP10 (2013): SP345–SP352.
      • September–October 2013
      • Article

      Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services

      By: Jonathan R. Clark, Robert S. Huckman and Bradley R. Staats
      The ongoing fragmentation of work has resulted in a narrowing of tasks into smaller pieces that can be sent outside the organization and, in many instances, around the world. This trend is shifting the boundaries of organizations and leading to increased outsourcing.... View Details
      Keywords: Job Cuts and Outsourcing; Medical Specialties; Health Care and Treatment; Customer Focus and Relationships; Learning; Customer Satisfaction; Health Industry
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      Clark, Jonathan R., Robert S. Huckman, and Bradley R. Staats. "Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services." Organization Science 24, no. 5 (September–October 2013): 1539–1557.
      • 2013
      • Working Paper

      International Health Economics

      By: Mark Egan and Tomas J. Philipson
      Perhaps because health care is a local service sector, health economists have paid little attention to international linkages between domestic health care economies. However, the growth in domestic health care sectors is often attributed to medical innovations whose... View Details
      Keywords: Health Care and Treatment; Innovation and Invention; Global Range; Economics
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      Egan, Mark, and Tomas J. Philipson. "International Health Economics." NBER Working Paper Series, No. 19280, August 2013.
      • Article

      Effects of Description of Options on Parental Perinatal Decision-Making

      By: Marlyse F. Haward, Leslie K. John, John M. Lorenz and Baruch Fischhoff
      Objective: To examine whether parents' delivery room management decisions for extremely preterm infants are influenced by (a) the degree of detail with which options-comfort care (CC) or intensive care (IC)-are presented or (b) their order of presentation. Methods: 309... View Details
      Keywords: Decision Making; Values and Beliefs; Personal Characteristics; Attitudes; Motivation and Incentives; Family and Family Relationships; Health Care and Treatment
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      Haward, Marlyse F., Leslie K. John, John M. Lorenz, and Baruch Fischhoff. "Effects of Description of Options on Parental Perinatal Decision-Making." Pediatrics 129, no. 5 (May 2012): 891–902.
      • November 2012
      • Article

      Empirical Observations on Longer-term Use of Incentives for Weight Loss

      By: Leslie K. John, George Loewenstein and Kevin Volpp
      Behavioral economic-based interventions are emerging as powerful tools to help individuals accomplish their own goals, including weight loss. Deposit contract incentive systems give participants the opportunity to put their money down toward losing weight, which they... View Details
      Keywords: Weight Loss; Obesity; Behavioral Economics; Intervention; Behavior; Motivation and Incentives
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      John, Leslie K., George Loewenstein, and Kevin Volpp. "Empirical Observations on Longer-term Use of Incentives for Weight Loss." Preventive Medicine 55, Supplement 1 (November 2012): S68–S74.
      • November 2012
      • Article

      The Variance of Non-Parametric Treatment Effect Estimators in the Presence of Clustering

      By: Samuel G. Hanson and Adi Sunderam
      Non-parametric estimators of treatment effects are often applied in settings where clustering may be important. We provide a general methodology for consistently estimating the variance of a large class of non-parametric estimators, including the simple matching... View Details
      Keywords: Treatment Effects; Matching Estimators; Clustering; Applications and Software; Mathematical Methods
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      Hanson, Samuel G., and Adi Sunderam. "The Variance of Non-Parametric Treatment Effect Estimators in the Presence of Clustering." Review of Economics and Statistics 94, no. 4 (November 2012). (Stata and Matlab Code Here.)
      • March 2012
      • Article

      Reviving Entrepreneurship

      By: Josh Lerner and William Sahlman
      New enterprises don't exist in a vacuum: They rise or fall depending on myriad contextual factors, all of them interrelated, and all of them affected by government policy. U.S. lawmakers must carefully consider the effects of interventions in at least 12 areas, ranging... View Details
      Keywords: Entrepreneurship; Government and Politics; Policy; Economy; Public Administration Industry; United States
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      Lerner, Josh, and William Sahlman. "Reviving Entrepreneurship." Harvard Business Review 90, no. 3 (March 2012): 116–119.
      • 2014
      • Working Paper

      Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups

      By: Melissa A. Valentine and Amy C. Edmondson
      This paper shows how meso-level structures support effective coordination in temporary groups. Prior research on coordination in temporary groups describes how roles encode individual responsibilities so that coordination between relative strangers is possible. We... View Details
      Keywords: Fluid Personnel; Team Scaffolds; Team Effectiveness; Role-based Coordination; Multi-method; Health Care and Treatment; Analytics and Data Science; Knowledge Use and Leverage; Organizational Structure; Outcome or Result; Performance Effectiveness; Groups and Teams; Networks; Behavior; Balance and Stability; Health Industry
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      Valentine, Melissa A., and Amy C. Edmondson. "Team Scaffolds: How Meso-Level Structures Support Role-based Coordination in Temporary Groups." Harvard Business School Working Paper, No. 12-062, January 2012. (Revised June 2014.)
      • Article

      Marketing Complex Financial Products in Emerging Markets: Evidence from Rainfall Insurance in India

      By: Sarthak Gaurav, Shawn A. Cole and Jeremy Tobacman
      Recent financial liberalization in emerging economies has led to the rapid introduction of new financial products. Lack of experience with financial products, low levels of education, and low financial literacy may slow adoption of these products. This article reports... View Details
      Keywords: Literacy; Insurance; Marketing; Decisions; Demand and Consumers; Financial Instruments; Emerging Markets; Education; Personal Finance; Agribusiness; Developing Countries and Economies; Innovation and Invention; Gujarat
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      Gaurav, Sarthak, Shawn A. Cole, and Jeremy Tobacman. "Marketing Complex Financial Products in Emerging Markets: Evidence from Rainfall Insurance in India." Journal of Marketing Research (JMR) 48, no. SPL (November 2011): S150–S162.
      • June 28, 2011
      • Article

      Using Implementation Intentions Prompts to Enhance Influenza Vaccination Rates

      By: Katherine L Milkman, John Beshears, James J. Choi, David Laibson and Brigitte C. Madrian
      We evaluate the results of a field experiment designed to measure the effect of prompts to form implementation intentions on realized behavioral outcomes. The outcome of interest is influenza vaccination receipt at free on-site clinics offered by a large firm to its... View Details
      Keywords: Behavioral Economics; Nudge; Libertarian Paternalism; Public Health; Flu Shot; Behavior; Consumer Behavior; Health Care and Treatment; Cognition and Thinking
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      Milkman, Katherine L., John Beshears, James J. Choi, David Laibson, and Brigitte C. Madrian. "Using Implementation Intentions Prompts to Enhance Influenza Vaccination Rates." Proceedings of the National Academy of Sciences 108, no. 26 (June 28, 2011): 10415–10420.
      • February 2011
      • Article

      Dividend Taxes and International Portfolio Choice

      By: Mihir Desai and Dhammika Dharmapala
      This paper investigates how dividend taxes influence portfolio choices, using the response to the distinctive treatment of a subset of foreign dividends in the Jobs and Growth Tax Relief Reconciliation Act (JGTRRA) of 2003. An open-economy after-tax capital asset... View Details
      Keywords: Dividends; Portfolio Choice; Taxes; Tax Treaties; Foreign Portfolio Investment; Taxation; Lawfulness; Economy; Price; Equity; Stocks; Investment Portfolio; Opportunities; Behavior; United States
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      Desai, Mihir, and Dhammika Dharmapala. "Dividend Taxes and International Portfolio Choice." Review of Economics and Statistics 93, no. 1 (February 2011): 266–284.
      • 2012
      • Working Paper

      Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services

      By: Jonathan R. Clark, Robert S. Huckman and Bradley R. Staats
      The ongoing fragmentation of work has resulted in a narrowing of tasks into smaller pieces that can be sent outside the organization and, in many instances, around the world. This trend is shifting the boundaries of organizations and leading to increased outsourcing.... View Details
      Keywords: Experience and Expertise; Learning; Health Care and Treatment; Job Cuts and Outsourcing; Knowledge Acquisition; Volume; Performance Productivity; Health Industry
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      Clark, Jonathan R., Robert S. Huckman, and Bradley R. Staats. "Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services." Harvard Business School Working Paper, No. 11-057, December 2010. (Revised September 2011, January 2013. NBER Working Paper Series, No. w18723, January 2013)
      • April 2010
      • Teaching Note

      Dartmouth-Hitchcock Medical Center: Spine Care (TN)

      By: Robert S. Huckman and Michael E. Porter
      Teaching Note for [609016]. View Details
      Keywords: Health Care and Treatment; Health Disorders; Research; Performance Effectiveness; Outcome or Result; Education Industry; United States
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      Huckman, Robert S., and Michael E. Porter. "Dartmouth-Hitchcock Medical Center: Spine Care (TN)." Harvard Business School Teaching Note 610-068, April 2010.
      • December 2009 (Revised May 2012)
      • Case

      Koo Foundation Sun Yat-Sen Cancer Center: Breast Cancer Care in Taiwan

      By: Michael E. Porter, Jennifer F Baron and C. Jason Wang
      Taiwan's Koo Foundation Sun Yat-Sen Cancer Center has developed an integrated, team-based care delivery model for breast cancer care that is being expanded to other cancer types in 2009. A decade earlier, President and CEO Dr. Andrew Huang and the Center had worked... View Details
      Keywords: Health Care and Treatment; Medical Specialties; Service Delivery; Outcome or Result; Performance Effectiveness; Quality; Integration; Health Industry; Insurance Industry; Taiwan
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      Porter, Michael E., Jennifer F Baron, and C. Jason Wang. "Koo Foundation Sun Yat-Sen Cancer Center: Breast Cancer Care in Taiwan." Harvard Business School Case 710-425, December 2009. (Revised May 2012.)
      • November 2009 (Revised August 2010)
      • Case

      NovoCure Ltd.

      By: William A. Sahlman and Sarah Flaherty
      Venture capitalist William Doyle must raise $35 million for a portfolio company with a promising, novel cancer therapy, just as global capital markets are imploding in the fall of 2008. NovoCure, Ltd., has developed an electrical-field-based therapy, called Tumor... View Details
      Keywords: Financial Crisis; Entrepreneurship; Venture Capital; Investment; Health Care and Treatment; Health Testing and Trials; Technological Innovation; Financial Services Industry
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      Sahlman, William A., and Sarah Flaherty. "NovoCure Ltd." Harvard Business School Case 810-045, November 2009. (Revised August 2010.)
      • April 2009 (Revised November 2012)
      • Case

      Sermo, Inc.

      By: Thomas R. Eisenmann and Lars Peter Christian Nielsen
      Sermo operates the leading online professional network for physicians in the United States. Doctors use Sermo free of charge to post surveys regarding diagnostic and treatment concerns and to discuss these concerns, as well as challenges with managing their practices.... View Details
      Keywords: Entrepreneurship; Health Care and Treatment; Knowledge Sharing; Two-Sided Platforms; Conflict and Resolution; Social and Collaborative Networks; United States
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      Eisenmann, Thomas R., and Lars Peter Christian Nielsen. "Sermo, Inc." Harvard Business School Case 809-142, April 2009. (Revised November 2012.)
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