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- September 2024
- Case
The Health Equity Accelerator at Boston Medical Center
By: Susanna Gallani, Mary Witkowski and Katie Sonnefeldt
This case describes how Boston Medical Center, a hospital and safety net organization, changed its strategic approach to health equity after realizing that previous efforts were not sufficient to address the health disparities among their patients. In 2021, the Health... View Details
Keywords: Health Care and Treatment; Health Disorders; Innovation and Management; Innovation Leadership; Innovation Strategy; Adaptation; Business Strategy; Mission and Purpose; Decisions; Organizational Change and Adaptation; Organizational Structure; Diversity; Race; Ethnicity; Urban Scope; Local Range; Health Industry; Boston
- September 2024
- Article
Gender Gaps: Back and Here to Stay? Evidence from Skilled Ugandan Workers During COVID-19
By: Livia Alfonsi, Mary Namubiru and Sara Spaziani
We investigate gender disparities in the effect of COVID-19 on the labor market outcomes of skilled Ugandan workers. Leveraging a high-frequency panel dataset, we find that the lockdowns imposed in Uganda reduced employment by 69% for women and by 45% for men,... View Details
- 2024
- Working Paper
The New Digital Divide
By: Mayana Pereira, Shane Greenstein, Raffaella Sadun, Prasanna Tambe, Lucia Ronchi Darre, Tammy Glazer, Allen Kim, Rahul Dodhia and Juan Lavista Ferres
We build and analyze new metrics of digital usage that leverage telemetry data collected by Microsoft during operating system updates across forty million Windows devices in U.S. households. These measures of US household digital usage are much more comprehensive than... View Details
- July 2024
- Article
Mass General Brigham’s Patient-Reported Outcomes Measurement System: A Decade of Learnings
By: Jason B. Liu, Robert S. Kaplan, David W. Bates, Mario O. Edelen, Rachel C. Sisodia and Andrea L. Pusic
This article describes the strategies that leaders at the Mass General Brigham (MGB) health system have used in launching a standardized patient-reported outcome measure (PROM) collection program in 2012, a major step in the value-based transformation of health care.... View Details
- February 2024
- Article
Representation and Extrapolation: Evidence from Clinical Trials
By: Marcella Alsan, Maya Durvasula, Harsh Gupta, Joshua Schwartzstein and Heidi L. Williams
This article examines the consequences and causes of low enrollment of Black patients in clinical
trials. We develop a simple model of similarity-based extrapolation that predicts that evidence is
more relevant for decision-making by physicians and patients when it... View Details
- 2024
- Conference Paper
Fair Machine Unlearning: Data Removal while Mitigating Disparities
By: Himabindu Lakkaraju, Flavio Calmon, Jiaqi Ma and Alex Oesterling
- 2023
- Article
Benchmarking Large Language Models on CMExam—A Comprehensive Chinese Medical Exam Dataset
By: Junling Liu, Peilin Zhou, Yining Hua, Dading Chong, Zhongyu Tian, Andrew Liu, Helin Wang, Chenyu You, Zhenhua Guo, Lei Zhu and Michael Lingzhi Li
Recent advancements in large language models (LLMs) have transformed the field of question answering (QA). However, evaluating LLMs in the medical field is challenging due to the lack of standardized and comprehensive datasets. To address this gap, we introduce CMExam,... View Details
- June 2023
- Teaching Note
Agricultural Revolution without a Land Revolution: The Megafarms of CP Group
By: William C. Kirby and Noah B. Truwit
Teaching Note for HBS Case No. 316-150. The case introduces students to an innovative new agricultural venture on the outskirts of Beijing. It can be used as a platform to discuss broader issues of agricultural policy reform and regional disparities in social and... View Details
- 2023
- Working Paper
Insufficiently Justified Disparate Impact: A New Criterion for Subgroup Fairness
By: Neil Menghani, Edward McFowland III and Daniel B. Neill
In this paper, we develop a new criterion, "insufficiently justified disparate impact" (IJDI), for assessing whether recommendations (binarized predictions) made by an algorithmic decision support tool are fair. Our novel, utility-based IJDI criterion evaluates false... View Details
- 2023
- Working Paper
Applications or Approvals: What Drives Racial Disparities in the Paycheck Protection Program?
By: Sergey Chernenko, Nathan Kaplan, Asani Sarkar and David S. Scharfstein
We use the 2020 Small Business Credit Survey to study the sources of racial disparities in use of the Paycheck Protection Program (PPP). Black-owned firms are 8.9 percentage points less likely than observably similar white-owned firms to receive PPP loans. About 55% of... View Details
- 2023
- Working Paper
Feature Importance Disparities for Data Bias Investigations
By: Peter W. Chang, Leor Fishman and Seth Neel
It is widely held that one cause of downstream bias in classifiers is bias present in the training data. Rectifying such biases may involve context-dependent interventions such as training separate models on subgroups, removing features with bias in the collection... View Details
- April 2023
- Article
Racial Inequality in Work Environments
By: Letian Zhang
This article explores racial stratification in work environments. Inequality scholars have long identified racial disparities in wage and occupational attainment, but workers’ careers and well-being are also shaped by elements of their work environment, including firm... View Details
- 2023
- Working Paper
The Limits of Algorithmic Measures of Race in Studies of Outcome Disparities
By: David S. Scharfstein and Sergey Chernenko
We show that the use of algorithms to predict race has significant limitations in measuring and understanding the sources of racial disparities in finance, economics, and other contexts. First, we derive theoretically the direction and magnitude of measurement bias in... View Details
- February 2023
- Case
Success Academy Charter Schools
By: Robin Greenwood, Joshua D. Coval, Denise Han, Ruth Page and Dave Habeeb
This stand-alone multimedia case follows the story of Eva Moskowitz and Success Academy, a network of high-performing charter schools in New York City. As a New York City councilor between 1999 and 2006, Moskowitz became frustrated over the inertia and dysfunction in... View Details
- 2022
- Working Paper
Credit and the Family: The Economic Consequences of Closing the Credit Gap of U.S. Couples
By: Olivia S. Kim
Closing disparities in credit access between spouses can help reduce consumption inequality in the household. The 2013 reversal of the Truth-in-Lending Act increased the borrowing capacity of secondary earners in equitable-distribution states but not in... View Details
- December 2022 (Revised February 2023)
- Case
Akooda: Charging Toward Operational Intelligence
By: Christopher T. Stanton and Mel Martin
The Akooda case describes the challenges confronting founder and CEO Yuval Gonczarowski (MBA ‘17) in 2022 as he attempts to boost sales. Launched in November 2020, Akooda was an AI company that mined 20 different sources of digital data, from tools like Slack, Google... View Details
- October 2022
- Case
Afrigen Biologics: Vaccines for the Global South
By: Debora L. Spar and Julia Comeau
The majority of vaccines used on the continent of Africa (99%) are produced offshore. This makes African nations reliant on the West for major health care needs, a problem which was exacerbated by the COVID-19 pandemic. Afrigen Biologics (in partnership with the WHO)... View Details
- August 29, 2022
- Other Article
Income Inequality Is Rising. Are We Even Measuring It Correctly?
By: Jon M. Jachimowicz, K. Blesch and Oliver P. Hauser
Income inequality is on the rise in many countries around the world, according to the United Nations. What’s more, disparities in global income were exacerbated by the COVID-19 pandemic, with some countries facing greater economic losses than others.
Policymakers... View Details
- 2022
- Article
Fairness via Explanation Quality: Evaluating Disparities in the Quality of Post hoc Explanations
By: Jessica Dai, Sohini Upadhyay, Ulrich Aivodji, Stephen Bach and Himabindu Lakkaraju
As post hoc explanation methods are increasingly being leveraged to explain complex models in high-stakes settings, it becomes critical to ensure that the quality of the resulting explanations is consistently high across all subgroups of a population. For instance, it... View Details
- July 2022 (Revised September 2024)
- Case
Call of Fiduciary Duty: Microsoft Acquires Activision Blizzard
By: Jonas Heese, Joseph Pacelli and James Barnett
In January 2022, Microsoft announces its acquisition of the video game company Activision Blizzard, in a deal valued at $68.7 billion, which would make Microsoft the world’s third largest video game company. The deal came as Activision Blizzard faced gender pay... View Details
Keywords: Accounting; Goodwill Accounting; Analysis; Decision Making; Talent and Talent Management; Games, Gaming, and Gambling; Ethics; Leadership; Risk and Uncertainty; Mergers and Acquisitions; Lawsuits and Litigation; Entertainment and Recreation Industry; Video Game Industry; North America; California