Publications

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October 2013 (Revised October 2016)
Case

Steward Health Care System

By: Robert F. Higgins and Noah Fisher

Steward Health has raised private equity and has converted from not-for-profit to for-profit. The case describes its Accountable Care Organization (ACO) and asks whether it should continue this experiment. View Details

Keywords: Accountable Care Organization; ACO; Medicare; Medicaid; Medical Services; Cerberus; Caritas; Health Care Policy; Health Care Industry; Provider Organizations; Health Care and Treatment; Health Industry; United States

November 10, 2020
Article

Value-Based Health Care in Four Different Health Care Systems

By: Mjåset Christer, Umar Ikram, Navraj S. Nagra and Thomas W. Feeley

Health care systems across the world have increasingly embraced a value-based health care (VBHC) agenda. They do so for different reasons, using different foundations, and variations on the tools and tactics to effect their strategic goals. The role of governments,... View Details

Keywords: Value-based Health Care; Comparative Analysis; Health Care and Treatment; Value; Global Range; Performance Improvement

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July 1996 (Revised August 2024)
Case

Innovative Opportunities to Manage Health Care Delivery

By: Regina E. Herzlinger and D. Scott Lurding

The purpose of this case is: To familiarize the students with the changing landscape of health care delivery, through chains of retail medical centers and those offering value-based care (VBC).

To discuss fundamental managerial decisions about their... View Details

Keywords: Managed Care; Capitation; Strategy

February 2017 (Revised February 2021)
Case

Hebrew SeniorLife: Next Steps

By: Regina E. Herzlinger, Carin-Isabel Knoop and Olivia Hull

The CEO of Hebrew SeniorLife is contemplating how to scale his highly successful but asset-intensive continuing care retirement community for elders. Among the strategies he is considering is an expansion to China; virtual web-based care; providing continuing care in... View Details

Keywords: Continuing Care; Nursing Home; Rehabilitation; Assisted Living; Elder Care; Entrepreneurial Management; Health Care and Treatment; Entrepreneurship; Growth and Development Strategy; Health Industry; United States

April 2014 (Revised March 2018)
Case

Texas Children's Hospital: Congenital Heart Disease Care

By: Michael E. Porter, Justin M. Bachmann and Zachary C. Landman

In 2014, Dr. Charles D. Fraser Jr., Surgeon-in-Chief of Texas Children's Hospital in Houston, was contemplating the future direction of the congenital heart disease program. The nation's largest pediatric hospital, Texas Children's was ranked by U.S. News & World... View Details

Keywords: Health Care; Congenital Heart Disease; Integrated Practice Units; Health Care and Treatment; Outcome or Result; Measurement and Metrics; Performance Improvement; Health Industry; United States; Texas

January 2022
Case

Somatus: Value-Based Kidney Care (A)

By: Ariel D. Stern, Robert S. Huckman and Sarah Mehta

When Dr. Ikenna Okezie founded Somatus, a value-based kidney care provider, his goal had been nothing short of transforming kidney care delivery in the United States. Rather than relying on dialysis, a costly and intensive treatment for late-stage kidney disease, the... View Details

Keywords: Business Startups; Disruption; Entrepreneurship; Health; Health Care and Treatment; Health Disorders; Medical Specialties; Innovation and Invention; Disruptive Innovation; Management; Strategy; Business Strategy; Value; Value Creation; Health Industry; United States; Virginia

December 2016
Article

Health Care Needs Real Competition

By: Leemore S. Dafny and Thomas H. Lee

The U.S. health care system is inefficient, unreliable, and crushingly expensive. There is no shortage of proposed solutions, but central to the best of them is the idea that health care needs more competition. In other sectors, competition improves quality and... View Details

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

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15 Nov 2004
Research & Ideas

Solving the Health Care Conundrum

seek the best health care value regardless of location. (Some consumers will continue to choose local care because of greater convenience even if the quality is not as good.)... View Details

Keywords: by Michael E. Porter; Health

04 Jul 2011
Research & Ideas

Making the Case for Consumer-Driven Health Care

While some consider it President Obama's greatest accomplishment, the Patient Protection and Affordable Care Act also has been the target of constant scrutiny and scorn since it was signed into law last year. Just last week, several news... View Details

Keywords: by Carmen Nobel; Health

April 15, 2020
Other Article

Designating Certain Post-Acute Care Facilities As COVID-19 Skilled Care Centers Can Increase Hospital Capacity And Keep Nursing Home Patients Safer

By: Leemore S. Dafny and Steven S. Lee

As the number of COVID-19 cases nationwide continues to grow, many hospitals will need to convert acute care beds into intensive care beds and discharge stable patients to post-acute care settings such as nursing homes. In addition, nursing homes unable to care for... View Details

Keywords: COVID-19; Nursing Homes; Health Pandemics; Health Care and Treatment; Safety; Quality

Article

Lessons from Mayo Clinic's Redesign of Stroke Care

By: Robert S. Kaplan, W. David Freeman, Kevin M. Barrett, Lisa Nordan, Aaron C. Spaulding and Meredith Karney

Facing escalating costs of medications and technology, health care patients and providers in the United States continue to search for opportunities to reduce overall costs while maintaining and improving health care outcomes. The Mayo Clinic Comprehensive Stroke Center... View Details

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15 Jul 2013
Research & Ideas

Five Imperatives for Improving Health Care

into existing organizations." Efforts Continue Improving health care delivery is also the main agenda of the HBS Healthcare Initiative, a multidisciplinary research effort. It is one of several big... View Details

Keywords: by Carmen Nobel; Health

2021
Article

Masked and Distanced: A Qualitative Study of How Personal Protective Equipment and Distancing Affect Teamwork in Emergency Care

By: Tuna Cem Hayirli, Nicholas Stark, Aditi Bhanja, James Hardy, Christopher Peabody and Michaela J. Kerrissey

Background: Newly intensified use of personal protective equipment (PPE) in emergency departments presents teamwork challenges affecting the quality and safety of care at the frontlines.
Objective: We conducted a qualitative study to categorize and... View Details

Keywords: COVID-19; Teamwork; Emergency Service; Hospital; Quality Of Health Care; Health Pandemics; Health Care and Treatment; Quality; Groups and Teams; Communication

23 Nov 2009
Research & Ideas

Management’s Role in Reforming Health Care

between the above two operating systems. Because each of the four components of a system for delivering health care continues to change, ongoing redesign—that both reacts to, and creates, new knowledge and... View Details

Keywords: by Martha Lagace; Health

October 2010 (Revised July 2011)
Case

PrimedicProviding Primary Care in Mexico

By: Richard G. Hamermesh, Regina Garcia-Cuellar and Lauren Sarah Margulies

Primedic is a Mexican start-up that aims to deliver affordable primary and preventative healthcare to those at the base of the economic pyramid. The company is about to exhaust its first round of venture capital funding and the business model has yet to gain traction.... View Details

Keywords: Business Model; Business Startups; Developing Countries and Economies; Social Entrepreneurship; Venture Capital; Health Care and Treatment; Social Enterprise; Health Industry; Mexico

01 Aug 2023
What Do You Think?

As Leaders, Why Do We Continue to Reward A, While Hoping for B?

titled “On the Folly of Rewarding A, While Hoping for B.” The paper cites examples in many walks of life in which we reward behaviors that we hope to discourage. “The complaint about lack of interest in good teaching continues among... View Details

Keywords: by James Heskett

04 Jun 2007
Research & Ideas

Is Health Care Making You Better—or Dead?

Regina Herzlinger is not afraid to call them as she sees them. And what she sees looking at the American health care industry is a bunch of killers. Not only are hospitals, insurers, employers, Congress, and academics killing health care,... View Details

Keywords: by Sean Silverthorne; Health

03 Jul 2012
Research & Ideas

HBS Faculty on Supreme Court Health Care Ruling

trillion mandate and no assurance of reversing the inexorable rise in health care costs. Paradoxically, although America has the most technologically advanced and expensive health care system in the world,... View Details

Keywords: Re: Multiple Faculty; Health

Article

Health Care Providers Need a Value Management Office

By: Robert S. Kaplan, Catherine H. MacLean, Alexander Dresner, Derek A. Haas and Thomas W. Feeley

Many health care organizations are striving to implement a value agenda that delivers better patient outcomes at lower cost, medical condition by medical condition. To accelerate the dissemination and adoption of the value agenda, across many more medical conditions,... View Details

Keywords: Service Delivery; Value; Health Care and Treatment; Health Industry