Publications

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

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

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

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

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

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

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

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February 2015
Supplement

The Affordable Care Act (J): Healthcare.gov

By: Joseph L. Bower and Michael Norris

In the fall of 2013, Healthcare.gov launches as an insurance exchange for consumers to buy health insurance. The launch is filled with glitches, and some worry if it will imperil the fate of the entire ACA. View Details

Keywords: Health Care; Health Care Policy; Government And Politics; Health; Policy; 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

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

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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20 Jul 2020
Op-Ed

It's Time for a Bipartisan Health Plan for Employers and Employees

propose a way to alter our health insurance benefits universe for insured employees and the self-insured by combining the best of Republican and... View Details

Keywords: by Regina E. Herzlinger and Richard J. Boxer; Health; Health

May 2021
Article

Making Doctors Effective Managers and Leaders: A Matter of Health and Well-Being

By: Lisa Rotenstein, Robert S. Huckman and Christine K. Cassel

The COVID-19 crisis has forced physicians to make daily decisions that require knowledge and skills they did not acquire as part of their biomedical training. Physicians are being called upon to be both managers—able to set processes and structures—and leaders—capable... View Details

Keywords: Health Care and Treatment; Management; Leadership; Health Pandemics; Health Industry

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2006
Case

Empowering Nurses at University College London Hospitals

By: Julie Battilana, A.-M., Cagna, T., D'Aunno and M.J., Gilmartin

Keywords: Health Care and Treatment; Employee Relationship Management; London

26 Jun 2000
Research & Ideas

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

panelists went on to describe could not claim that ideal framework, the projects they described did identify niches and illuminate business issues that are already reshaping the health care field. Daniel D. Moriarty, Assistant Provost and... 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 2014 (Revised July 2021)
Case

Discovery Limited

By: Michael E. Porter, Mark R. Kramer and Aldo Sesia

Discovery Ltd. is a South Africa-based insurance company. Started in the early 1990s, Discovery used behavioral economics and data collection to innovate in the health care insurance industry. Its founder Adrian Gore believed that the company's products needed to not... View Details

Keywords: Shared Value; Health Care; Financial Services; Strategy; Value Creation; Health Care and Treatment; Insurance; Growth and Development Strategy; Health Industry; Health Industry; Health Industry; South Africa

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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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