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  • July 2016
  • Article

Economic Implications of the Society for Assisted Reproductive Technology Embryo Transfer Guidelines: Healthcare Dollars Saved by Reducing Iatrogenic Triplets

By: Malinda S. Lee, Brady T. Evans, Ariel Dora Stern and Mark D. Hornstein
Objective: To estimate the national cost savings resulting from reductions in higher-order multiple (HOM) live births (defined as three or more fetuses), following the initial publication of the Society for Assisted Reproductive Technology (SART) guidelines on ET in... View Details
Keywords: Information Technology; Cost Management; Health Care and Treatment; Health Industry
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Lee, Malinda S., Brady T. Evans, Ariel Dora Stern, and Mark D. Hornstein. "Economic Implications of the Society for Assisted Reproductive Technology Embryo Transfer Guidelines: Healthcare Dollars Saved by Reducing Iatrogenic Triplets." Fertility and Sterility 106, no. 1 (July 2016): 189–195.e3.
  • March 2016
  • Article

Using Quality Improvement Methods and Time-Driven Activity-Based Costing to Improve Value-Based Cancer Care Delivery at a Cancer Genetics Clinic

By: R.Y. Tan, M. Met-Domestici, K. Zhou, A.B. Guzman, S.T. Lim, K.C. Soo, T.W. Feeley and J. Ngeow
Purpose:
To meet increasing demand for cancer genetic testing and improve value-based cancer care delivery, National Cancer Centre Singapore restructured the Cancer Genetics Service in 2014. Care delivery processes were redesigned. We sought to improve access by... View Details
Keywords: Cancer Treatment; Value Based Health Care; Time-Driven Activity-Based Costing; Health Care and Treatment; Quality; Performance Improvement; Activity Based Costing and Management
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Tan, R.Y., M. Met-Domestici, K. Zhou, A.B. Guzman, S.T. Lim, K.C. Soo, T.W. Feeley, and J. Ngeow. "Using Quality Improvement Methods and Time-Driven Activity-Based Costing to Improve Value-Based Cancer Care Delivery at a Cancer Genetics Clinic." Journal of Oncology Practice 12, no. 3 (March 2016): 320–331. (e-Pub 1/2016. PMID: 26759493.)
  • March 1979 (Revised November 1980)
  • Case

Beth Israel Hospital, Boston

The hospital is reviewing its obstetrical services and trying to decide on future strategy relative to communications, pricing and service characteristics. Important environmental trends include increasing government health regulation, a declining birth rate, more... View Details
Keywords: Organizational Change and Adaptation; Marketing Strategy; Competitive Strategy; Medical Specialties; Health Industry; Boston
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Lovelock, Christopher H. "Beth Israel Hospital, Boston." Harvard Business School Case 579-180, March 1979. (Revised November 1980.)
  • Article

Managing Healthcare Costs and Value

By: Robert S. Kaplan, Michael E. Porter and Mark L. Frigo
Rising health care costs are a major global challenge. A number of factors contribute to this trend, including aging populations and medical technology. But an underlying and misunderstood source of health care’s escalating costs has been the inability of health care... View Details
Keywords: Health Care and Treatment; Cost; Cost Management; Cost Accounting; Health Industry
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Kaplan, Robert S., Michael E. Porter, and Mark L. Frigo. "Managing Healthcare Costs and Value." Strategic Finance 98, no. 7 (January 2017): 24–33.
  • January 2024
  • Article

Helping Children Catch Up: Early Life Shocks and the PROGRESA Experiment

By: Achyuta Adhvaryu, Theresa Molina, Anant Nyshadham and Jorge Tamayo
Can investing in children who faced adverse events in early childhood help them catch up? We answer this question using two orthogonal sources of variation – resource availability at birth (local rainfall) and cash incentives for school enrollment – to identify the... View Details
Keywords: Children; Outcome or Result; Welfare; Early Childhood Education; Weather
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Adhvaryu, Achyuta, Theresa Molina, Anant Nyshadham, and Jorge Tamayo. "Helping Children Catch Up: Early Life Shocks and the PROGRESA Experiment." Economic Journal 134, no. 657 (January 2024): 1–22.
  • June 2010
  • Article

Quality Management and Job Quality: How the ISO 9001 Standard for Quality Management Systems Affects Employees and Employers

By: David I. Levine and Michael W. Toffel
Several studies have examined how the ISO 9001 Quality Management System standard predicts changes in organizational outcomes such as profits. This is the first large-scale study to explore how employee outcomes such as employment, earnings, and health and safety... View Details
Keywords: Quality; Management; Standards; Employees; Wages; Organizations; Profit; Safety; Health; Policy
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Levine, David I., and Michael W. Toffel. "Quality Management and Job Quality: How the ISO 9001 Standard for Quality Management Systems Affects Employees and Employers." Management Science 56, no. 6 (June 2010): 978–996. (Appendix. Profiled by industry practitioners in Quality Digest, Quality Progress, ANSI-ASQ National Accreditation Board (ANAB).)
  • 2016
  • Working Paper

Immigrant Entrepreneurs and the Social Safety Net

By: Gareth Olds
This paper explores the role of public health insurance in small business ownership among immigrants, a group with high rates of entrepreneurship. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 created a five-year “waiting period” for legal... View Details
Keywords: Insurance; Entrepreneurship; Welfare or Wellbeing; Immigration
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Olds, Gareth. "Immigrant Entrepreneurs and the Social Safety Net." Harvard Business School Working Paper, No. 16-142, June 2016.
  • 2022
  • Working Paper

Responding Strategically to Competitors' Failures: Evidence from Medical Device Recalls & New Product Submissions

By: George P. Ball, Jeffrey T. Macher and Ariel Dora Stern
Medical device firms operate at the frontiers of innovation. When functioning properly, innovative medical devices can prolong and improve lives; when malfunctioning, the same devices may harm patients and lead to product recalls. Product recalls create significant... View Details
Keywords: New Product Development; Recalls; Product Failures; Medical Devices; FDA; Health Care; Product Development; Product; Failure; Competition; Opportunities; Medical Devices and Supplies Industry
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Ball, George P., Jeffrey T. Macher, and Ariel Dora Stern. "Responding Strategically to Competitors' Failures: Evidence from Medical Device Recalls & New Product Submissions." Harvard Business School Working Paper, No. 19-028, September 2018. (Revised March 2022.)
  • 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
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Bohmer, Richard M.J., and Laura Feldman. "The Duke Heart Failure Program." Harvard Business School Case 604-033, October 2003. (Revised February 2010.)
  • October 2009 (Revised January 2010)
  • Case

The Joslin Diabetes Center

By: Michael E. Porter, Elizabeth Olmsted Teisberg and Scott Wallace
The Joslin Diabetes Center in Boston, Massachusetts is a leading center for diabetes care, clinician training, and research. The incidence of diabetes is rising precipitously worldwide, challenging quality of life with its complications and rapidly accelerating health... View Details
Keywords: Integration; Service Delivery; Medical Specialties; Health Care and Treatment; Outcome or Result; Corporate Finance; Health Industry; Boston
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Porter, Michael E., Elizabeth Olmsted Teisberg, and Scott Wallace. "The Joslin Diabetes Center." Harvard Business School Case 710-424, October 2009. (Revised January 2010.)
  • November 2014 (Revised May 2017)
  • Teaching Note

Fresno's Social Impact Bond for Asthma

By: John A. Quelch
The case desccribes a social impact bond (SIB) to fund home-based remediation programs designed to reduce asthma attacks among Fresno residents (especially children) and thereby save on health care costs (ambulance callouts, emergency room visits etc.). The case... View Details
Keywords: Programs; Social Issues; Investment Return; Health Care and Treatment; Health Industry; California
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Quelch, John A. "Fresno's Social Impact Bond for Asthma." Harvard Business School Teaching Note 515-031, November 2014. (Revised May 2017.)
  • Research Summary

Overview

The Information Age has introduced well-received opportunities to track performance. Fitbits and Fuelbands allow individuals to track their own performance; companies like Uber and leading hospitals help you choose a driver or a doctor based on how others rated... View Details

Keywords: Management Accounting; Disclosure; Performance Measurement; Incentives; Control; Education; Health Industry; Health Industry; Health Industry; Health Industry; Health Industry; United States; Japan; India
  • Research Summary

Overview

By: Robert S. Kaplan
Kaplan introduced time-driven activity-based costing (TDABC) to provide the cost component in Michael Porter's Value Based Health Care framework of delivering superior patient outcomes at lower societal cost. TDABC is becoming the global standard for health care... View Details
Keywords: Activity-based Costing And Management; Time-Driven ABC; Balanced Scorecard; Carbon Accounting; Carbon Credits; Inclusive Growth; Risk Management; Health Industry
  • 2005
  • Working Paper

Direct versus Indirect Colonial Rule in India: Long-term Consequences

By: Lakshmi Iyer
This paper compares economic outcomes across areas in India which were under direct British colonial rule with areas which were under indirect colonial rule. Controlling for selective annexation using a specific policy rule, I find that areas which experienced direct... View Details
Keywords: Governance; Development Economics; Outcome or Result; Great Britain; India
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Iyer, Lakshmi. "Direct versus Indirect Colonial Rule in India: Long-term Consequences." Harvard Business School Working Paper, No. 05-041, January 2005. (Revised November 2008.)
  • August 1986 (Revised February 1991)
  • Supplement

Population Services International: The Social Marketing Project in Bangladesh, Video

By: V. Kasturi Rangan
Population Services International, a not-for-profit agency founded to promote family planning information and to market birth control products, had an agreement with the government of Bangladesh to conduct a social marketing program using modern marketing techniques to... View Details
Keywords: Social Marketing; Health; Advertising; Marketing; Nonprofit Organizations; Government and Politics; Agreements and Arrangements; Health Industry; Bangladesh
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Rangan, V. Kasturi. "Population Services International: The Social Marketing Project in Bangladesh, Video." Harvard Business School Video Supplement 887-506, August 1986. (Revised February 1991.)
  • September 1985 (Revised July 2007)
  • Case

Population Services International: The Social Marketing Project in Bangladesh

By: V. Kasturi Rangan
Population Services International (PSI) was a not-for-profit agency founded to disseminate family planning information and to market birth control products, primarily in less developed countries seeking to curb their population explosions. In 1976, PSI concluded an... View Details
Keywords: Developing Countries and Economies; Health; Marketing Strategy; Social Marketing; Business and Government Relations; Nonprofit Organizations; Bangladesh
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Rangan, V. Kasturi. "Population Services International: The Social Marketing Project in Bangladesh." Harvard Business School Case 586-013, September 1985. (Revised July 2007.)
  • September 2012
  • Article

The Relationship Between Economic Preferences and Psychological Personality Measures

By: Anke Becker, Thomas Deckers, Thomas Dohmen, Armin Falk and Fabian Kosse
Although both economists and psychologists seek to identify determinants of heterogeneity in behavior, they use different concepts to capture them. In this review, we first analyze the extent to which economic preferences and psychological concepts of personality, such... View Details
Keywords: Risk Preference; Time Preference; Social Preferences; Locus Of Control; Big Five; Economics; Behavior; Personal Characteristics
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Becker, Anke, Thomas Deckers, Thomas Dohmen, Armin Falk, and Fabian Kosse. "The Relationship Between Economic Preferences and Psychological Personality Measures." Annual Review of Economics 4 (September 2012): 453–478.
  • Article

Big Names or Big Ideas: Do Peer-Review Panels Select the Best Science Proposals?

By: Danielle Li and Leila Agha
This paper examines the success of peer-review panels in predicting the future quality of proposed research. We construct new data to track publication, citation, and patenting outcomes associated with more than 130,000 research project (R01) grants funded by the U.S.... View Details
Keywords: Patents; Research; Entrepreneurship; Forecasting and Prediction; Innovation and Invention; Business and Government Relations; United States
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Li, Danielle, and Leila Agha. "Big Names or Big Ideas: Do Peer-Review Panels Select the Best Science Proposals?" Science 348, no. 6233 (April 24, 2015): 434–438.
  • March 30, 2020
  • Article

Why Is the U.S. Behind on Coronavirus Testing?

By: Stefan Thomke
Coronavirus testing is needed to address the uncertainty in making decisions about patient treatment, resource allocation, policy, and so much more. Answers to questions such as “When should we relax social distancing measures—and for whom?” or “How many ventilators... View Details
Keywords: Testing; Coronavirus; Culture; Trump; Data; Experiments; Health Pandemics; Health Testing and Trials; Government and Politics; United States
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Thomke, Stefan. "Why Is the U.S. Behind on Coronavirus Testing?" Harvard Business Review Digital Articles (March 30, 2020).
  • November–December 2010
  • Article

A Method for Defining Value in Healthcare Using Cancer Care as a Model

By: Thomas W. Feeley, Heidi Albright, Ronald Walters and Thomas W. Burke
Value-based healthcare delivery is being discussed in a variety of healthcare forums. This concept is of great importance in the reform of the US healthcare delivery system. Defining and applying the principles of value-based competition in healthcare delivery models... View Details
Keywords: Value Creation; Cancer Care In The U.S.; Healthcare; Health; Management; Measurement and Metrics; Health Industry; North and Central America
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Feeley, Thomas W., Heidi Albright, Ronald Walters, and Thomas W. Burke. "A Method for Defining Value in Healthcare Using Cancer Care as a Model." Journal of Healthcare Management 55, no. 6 (November–December 2010): 399–412. (This article won the Edgar C. Hayhow Award from the American College of Healthcare Executive in 2012 as the article of the year in the Journal of Healthcare Management.)
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