Publications

June 2006 (Revised June 2007)
Background Note

The Challenge Facing the U.S. Healthcare Delivery System

By: Richard M.J. Bohmer and Carin-Isabel Knoop

Discusses the challenges currently facing the U.S. health care delivery system. These challenges frame the problems managers of delivery organizations are currently facing. They include a burgeoning gap between demand and supply. Demand for health care services is... View Details

Keywords: Health Care and Treatment; Health Industry; United States

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

21 May 2020
News

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

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

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

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

30 Mar 2020
News

How to Get America Working Again

Preparing Hospitals for the Next Pandemic

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

14 Jul 2006
News

The Case for Consumer-Driven Medicaid

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

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

V.G. Narayanan

Professor Narayanan is the Thomas D. Casserly, Jr. Professor of Business Administration, and Senior Associate Dean of Executive Education and HBS Online. His research focuses on management accounting with an interest in performance evaluation and incentives... View Details

Keywords: health care; health care; health care; health care; health care

12 PM – 1 PM EDT, 02 Nov 2017
Webinars: Trending@HBS

Tools for Life's Major Transitions

To take charge of a major life transition, we must look beyond the numbers in a financial plan, we must look at our relationships and how they will change, assess our physical health and lifestyle and develop an understanding of how work and play will keep us mentally... View Details

May 2020 (Revised July 2020)
Case

COVID-19: The Global Shutdown

By: Laura Alfaro and Sarah Jeong

In the first months of 2020, a pandemic overwhelmed the world. COVID-19, commonly known as the coronavirus, spread from China and created a severe public health emergency across countries. While an immediate fear of the disease’s impact on human life permeated society,... View Details

Keywords: Trade; Microeconomics; Macroeconomics; Financial Crisis; Economy; Economic Systems; Economic Slowdown and Stagnation; Economic Sectors; Health Pandemics

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

October 2003 (Revised February 2010)
Case

The Duke Heart Failure Program

By: Richard M.J. Bohmer and Laura Feldman

Duke University Health System has for the past five years operated a specialized clinic for the management of congestive heart failure, a very common and costly condition in the surrounding community. Nurse practitioners, whose work is guided by highly specified... View Details

Keywords: Health Care and Treatment; Health Disorders; Medical Specialties; Time Management; Service Delivery; Service Operations; Outcome or Result; Health Industry

September 8, 2020
Article

Allocation of COVID-19 Relief Funding to Disproportionately Black Counties

By: Pragya Kakani, Amitabh Chandra and Sendhil Mullainathan

This study describes correlations between the dollar amount of relief funding authorized by the US Congress to fund prevention, diagnosis, and treatment of coronavirus disease 2019 (COVID-19) and to reimburse health care entities for lost revenues, and county-level... View Details

Keywords: COVID-19; Health Pandemics; Resource Allocation; Demographics; Race