Publications

21 May 2020
News

Primary Care Is Hurting: Why Aren’t Private Insurers Pitching In?

April 1995 (Revised August 1995)
Case

Empire Blue Cross and Blue Shield (A)

By: Regina E. Herzlinger and Ramona Hilgenkamp

Mounting financial losses and increasing public scrutiny present many challenges to the board of directors of a large nonprofit health insurer. This case series presents chronologically the increasing problems of the company. View Details

Keywords: Governing and Advisory Boards; Corporate Governance; Financial Condition; Organizational Culture; Problems and Challenges; Nonprofit Organizations; Insurance Industry

07 Dec 2016
News

A Sense of Wonder with John Beshears

June 2017
Case

Obesity Management at Kaiser Permanente: A New Mindset for Healthcare Delivery?

By: Kevin Schulman, Gregory Leya and Christina Beveridge

Kaiser Permanente (KP) is the largest managed care organization in the United States with over 10 million members. KP evolved from a prepayment or capitation model that focuses the organization around the efficiency of care and the health of the population it serves.... View Details

Keywords: Operations; Health Care and Treatment; Business Model; Strategy; Health Industry; United States

Forthcoming
Article

Achieving Epilepsy Care for All: Ecosystem-Based Transformation

By: Susanna Gallani, Bernice Martin Lee and Lidia M. V. R. Moura

Epilepsy exemplifies many of the systemic challenges of modern health care— fragmented care delivery, inequitable access, financial strain, and so on. The current “system of systems” (SoS) structure of U.S. health care fosters siloed operations among its member systems... View Details

Keywords: Healthcare Delivery; Epilepsy; Seizures; Health Care and Treatment; Health Disorders; Equality and Inequality; Framework; Service Delivery

Ray Kluender is an associate professor in the Entrepreneurial Management Unit and the Berol Corporation Fellow at Harvard Business School, a faculty research fellow at the National Bureau of Economic Research (NBER), an invited researcher at the Abdul Latif Jameel... View Details

23 Jun 2023
HBS Case

This Company Lets Employees Take Charge—Even with Life and Death Decisions

care teams after experiencing firsthand as a nurse, and then a decade as a senior leader of two large health care organizations, how the health care system managed quality and productivity in ways that... View Details

Keywords: by Annelena Lobb; Health

28 Aug 2023
Research & Ideas

How Workplace Wellness Programs Can Give Employees the Energy Boost They Need

well-being offerings, only 23 percent of employees use them. The same pattern also applies to physical and financial well-being programs. Worse, many companies are wasting precious financial resources on... View Details

Keywords: by Hise Gibson

May 1998 (Revised September 1999)
Background Note

Note on Managed Care

By: Richard M.J. Bohmer

Presents an overview of managed care. Describes the relationship between provider and insurance companies, examines the implications for consumers, and discusses financial arrangements and operational characteristics commonly observed in the industry. Also provides a... View Details

Keywords: Customers; Insurance; Health Care and Treatment; Service Operations; Relationships; Insurance Industry

August 2017
Article

Should Governments Invest More in Nudging?

By: Shlomo Benartzi, John Beshears, Katherine L. Milkman, Cass R. Sunstein, Richard H. Thaler, Maya Shankar, Will Tucker-Ray, William J. Congdon and Steven Galing

Governments are increasingly adopting behavioral science techniques for changing individual behavior in pursuit of policy objectives. The types of “nudge” interventions that governments are now adopting alter people’s decisions without coercion or significant changes... View Details

Find at Harvard

Read Now

November 2005 (Revised December 2016)
Case

Bally Total Fitness (A): The Rise, 1962–2004

By: John R. Wells, Elizabeth A. Raabe and Gabriel Ellsworth

From a single, modest club in 1962, Bally Total Fitness had grown to become—in management’s words—the “largest and only nationwide commercial operator of fitness centers” in the United States in 2004. Bally had faced its share of challenges, but the last couple of... View Details

Keywords: Bally Total Fitness; Fitness; Gyms; Health Clubs; Chain; Securities And Exchange Commission; Paul Toback; Weight Loss; Exercise; Contracts; Personal Training; Retention; Accounting; Accounting Audits; Accrual Accounting; Finance; Advertising; Business Growth and Maturation; Business Model; For-Profit Firms; Customers; Customer Satisfaction; Public Equity; Financing and Loans; Revenue; Revenue Recognition; Geographic Scope; Multinational Firms and Management; Health; Nutrition; Business History; Lawsuits and Litigation; Management; Business or Company Management; Goals and Objectives; Growth and Development Strategy; Marketing; Operations; Service Delivery; Service Operations; Public Ownership; Problems and Challenges; Business and Shareholder Relations; Business Strategy; Competition; Corporate Strategy; Expansion; Segmentation; Trends; Cost Management; Profit; Growth and Development; Leadership Style; Five Forces Framework; Private Ownership; Opportunities; Motivation and Incentives; Competitive Strategy; Health Industry; United States; Illinois; Chicago

30 Mar 2020
News

How to Get America Working Again

March 1999 (Revised February 2000)
Case

Patient Care Delivery Model at the Massachusetts General Hospital, The

By: Amy C. Edmondson, Richard M.J. Bohmer and Emily Heaphy

Examines the implementation of a new patient care delivery model at Massachusetts General Hospital. Uses clinical and financial data to examine different choices for staffing non-physician health care professionals and to understand the challenges of managing change... View Details

Keywords: Change Management; Service Delivery; Health Care and Treatment; Health Industry; Massachusetts

The Covid-19 epidemic response has shown that the U.S. is blessed with heroic physicians and other health care providers, researchers, and facilities. But it has also revealed a health care system that was woefully unprepared for the surge of pandemic patients. In the... View Details

Research Summary

Overview

By: Regina E. Herzlinger

Winner of the Harvard Business School outstanding teacher award and research awards from U.S. and international health care and accounting organizations: 2016 “60 of the Most Powerful People in Healthcare in 2016,” Becker’s Hospital Review, January 3, 2017 ; 2014 ... View Details

Keywords: Innovation and Management; Insurance; Service Delivery; Service Operations; Information Technology

14 Jul 2006
News

The Case for Consumer-Driven Medicaid

June 1994 (Revised March 1995)
Case

Lotus Development Corp.: Spousal Equivalents (A)

A group of Lotus employees propose extending all health care and other benefits to the spousal equivalents of lesbian and gay employees. The vice president of human resources considers the proposal during a reorganization and period of financial uncertainty. View Details

Keywords: Leadership; Diversity Characteristics; Compensation and Benefits