Publications

19 Jul 2019
News

Weekend Edition

August 2021
Case

Livongo: Scaling a Purpose-Driven Organization in Healthcare

By: Ranjay Gulati, Aseem Shukla and Reva Nohria

When seasoned entrepreneur Glen Tullman founded the chronic health care startup Livongo in 2014, it was personal. His son lived with diabetes, and Tullman knew firsthand how taxing it could be to manage such an unrelenting disease. Livongo set out to empower people... View Details

Keywords: Healthcare Industry; Scaling; Telehealth; Health Care and Treatment; Small Business; Internet and the Web; Customer Focus and Relationships; Growth and Development Strategy; Opportunities; Mergers and Acquisitions; Health Industry

Forthcoming
Article

The Anatomy of a Hospital System Merger: The Patient Did Not Respond Well to Treatment

By: Raffaella Sadun, Martin Gaynor, Adam Sacarny, Chad Syverson and Shruthi Venkatesh

Despite the continuing US hospital merger wave, it remains unclear how mergers change, or fail to change, hospital behavior and performance. We open the “black box” of hospital practices through a mega-merger between two for-profit chains. Benchmarking the merger's... View Details

Keywords: Performance Improvement; Mergers and Acquisitions; Health Industry

12 Apr 2021
News

Healthier by Design

07 Dec 2017
News

Innovation is key to solving America's health-care problems

November 2005 (Revised December 2005)
Case

County Department of Public Health: Organizing for Emergency Preparedness and Response

By: Lynda M. Applegate, Ajay Vinze and Minu Ipe

The anthrax attacks of 2001 exposed serious inadequacies in the response of the U.S. public health system to meet such grave threats. The public health infrastructure required rebuilding to respond to any type of large-scale health emergency. The Public Health... View Details

Keywords: Information Technology; Change Management; Crisis Management; Health Care and Treatment; Infrastructure; Health Industry; Health Industry; United States

February 1999
Case

Lifeline Systems, Inc. (B)

By: H. Kent Bowen and Marilyn Matis

In 1997, Lifeline Systems continues to grow its service business to $32 million, 56% of the company's total revenues. More local hospital Lifeline programs turn over their monitoring service to Lifeline Central, expanding the company's subscriber base by 30%. The... View Details

Keywords: Health Care and Treatment; Information Technology; Expansion; Cost Management; Growth and Development Strategy; Partners and Partnerships; Change; Customer Relationship Management; Service Operations; Age; Investment; Health Industry; Health Industry; Cambridge; Boston

2024
Chapter

The Regulation of Medical AI: Policy Approaches, Data, and Innovation Incentives

By: Ariel Dora Stern

For those who follow health and technology news, it is difficult to go more than a few days without reading about a compelling new application of Artificial Intelligence (AI) to health care. AI has myriad applications in medicine and its adjacent industries, with... View Details

14 Jul 2006
Op-Ed

The Case for Consumer-Driven Medicaid

The Medicaid program provides a much needed health insurance safety net for 52 million of our nation's poor and medically needy, but its price tag threatens the financial stability of the states, growing 9.5 percent in 2004 alone—far in... View Details

Keywords: by Regina E. Herzlinger

26 May 2015
First Look

First Look: May 26

http://hrleadsbusiness.org/rise-of-hr-e-book May 2015 JAMA, the Journal of the American Medical Association Medicine's Continuous Improvement Imperative By: Huckman, Robert S., and Ananth Raman Abstract— Maintaining quality and spurring innovation have long been... View Details

Keywords: Sean Silverthorne

20 Jul 2010
First Look

First Look: July 20

case:http://cb.hbsp.harvard.edu/cb/product/710054-PDF-ENG Jiamei Dental: Private Health Care in China William C. Kirby and G.A. DonovanHarvard Business School Case 910-404 With the recent announcement from... View Details

Keywords: Martha Lagace

December 2015
Article

Task Shifting in Surgery: Lessons from an Indian Heart Hospital

By: Budhaditya Gupta, Robert S. Huckman and Tarun Khanna

We present a case study that illustrates task shifting, the transfer of activities from senior to junior colleagues, in the context of cardiac surgery at the Narayana Health City Cardiac Hospital (NH) in India. The case discusses the factors driving the adoption of... View Details

Keywords: Service Delivery; Rank and Position; Health Care and Treatment; Health Industry; India

Find at Harvard

February 2015 (Revised June 2017)
Case

Intrapreneurship at DaVita HealthCare Partners

By: Joseph B. Fuller, David J. Collis and Matthew G. Preble

Josh Golomb, president and general manager of DaVita Rx (Rx), was about to meet with Kent Thiry, CEO of Rx's corporate parent, DaVita Healthcare Partners Inc. (DaVita), in August 2013. The two would discuss whether Golomb should lead a new DaVita venture, Paladina... View Details

Keywords: Intrapreneurship; Entrepreneurial Organizations; Startup Management; Startup; Strategic Positioning; Corporate Entrepreneurship; Corporate Strategy; Business Startups; Strategic Planning; Competitive Strategy; Health Industry; United States

April 2021
Article

Utilizing Time-driven Activity-based Costing to Determine Open Radical Cystectomy and Ileal Conduit Surgical Episode Cost Drivers

By: Janet Baack Kukreja, Mohamed A. Seif, Marissa W. Merry, James R. Incalcaterra, Ashish M. Kamat, Colin P. Dinney, Jay B. Shah, Thomas W. Feeley and Neema Navai

Objectives
Patients undergoing radical cystectomy represent a particularly resource-intensive patient population. Time-driven activity based costing (TDABC) assigns time to events and then costs are based on the people involved in providing care for specific... View Details

Keywords: Time-Driven Activity-Based Costing; Value-based Healthcare; Health Care and Treatment; Cost; Cost vs Benefits; Analysis

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November 2023
Case

The Commons Project in Rwanda—Building Digital Infrastructure for the Global Public Good

By: Álvaro Rodríguez Arregui and Tom Quinn

In September 2022, The Commons Project Foundation (TCP) CEO Zhenya Lindgardt and her team met on a Zoom call to discuss building tools to help Rwandans manage their health data. They believed that helping Africa build digital infrastructure would improve much-needed... View Details

Keywords: Developing Countries and Economies; Capital; Cross-Cultural and Cross-Border Issues; Health Care and Treatment; Information Management; Adaptation; Information Infrastructure; Information Technology Industry; Rwanda; United States

10 Sep 2019
News

New Survey Shows U.S. Businesses Taking Steps to Foster Culture Of Health, But Room to Grow

September 2010
Case

Angie's List

Angie's List is a paid subscription-based service that gives consumers online access to member-submitted reviews of plumbers, electricians, and other home service providers. Customer and revenue growth are strong, but customer acquisition costs are high and the company... View Details

Keywords: Internet and the Web; Price; Competitive Advantage; Product Launch; Service Industry; United States

January 2018 (Revised April 2021)
Case

Capital Allocation at HCA

By: W. Carl Kester and Emily R. McComb

In early 2017, HCA Holdings, an investor-owned hospital management company, faced a strategically important capital allocation decision. After the exit of its private equity sponsors in 2016, HCA had to determine how best to allocate its substantial annual free cash... View Details

Keywords: Capital Allocation; Cash Distribution Policy; Dividends; Share Repurchases; Growth Strategy And Execution; Growth Investing; Capital Expenditures; Debt Management; Debt Reduction; Debt Policy; Hospital Management; Investor-owned Hospital Chains; Capital Budgeting; Capital Structure; Cash Flow; Corporate Finance; Decision Choices and Conditions; Health Industry; United States