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December 1998 (Revised May 1999)
Case

Specialty Medical Chemicals

By: Richard G. Hamermesh and Lucinda Doran

A new general manager is supposed to rekindle growth. Seven months later, he questions the abilities of his direct reports. An organizational psychologist is brought in to assess his people. The general manager now has to decide who to keep and how to structure his... View Details

Keywords: Decisions; Employees; Leadership Development; Management Teams; Organizational Structure; Cognition and Thinking

July 2006
Article

The Effects of Cardiac Specialty Hospitals on the Cost and Quality of Medical Care

By: Jason R. Barro, Robert S. Huckman and Daniel P. Kessler

Keywords: Health; Cost; Quality; Health Industry

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October 1997 (Revised March 2000)
Case

Oxford Health Plans: Specialty Management (A)

By: James L. Heskett, Jody H. Gittell and James Slayton

Describes an innovative approach to organizing health care proposed by Oxford CEO Steve Wiggins. Wiggins contends that the primary care physician "gatekeeper" model typically used by health maintenance organizations to control access to and coordinate specialist care... View Details

Keywords: Business Model; Groups and Teams; Innovation and Management; Medical Specialties; Health Care and Treatment; Cooperation; Management Teams; Health Industry; United States

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17 Dec 2007
Research & Ideas

The Rise of Medical Tourism

medical training and specialties but also family circumstances, since it is always a family decision to relocate. In the past, Indian doctors left India so they could multiply their incomes. But now we're... View Details

Keywords: by Martha Lagace; Medical Devices & Supplies; Medical Devices & Supplies

March 2009 (Revised September 2010)
Case

Dartmouth-Hitchcock Medical Center: Spine Care

By: Robert S. Huckman, Michael E. Porter, Rachel Gordon and Natalie Kindred

Describes the Spine Center at Dartmouth-Hitchcock Medical Center, a multidisciplinary unit that offers patients suffering from spinal problems "one-stop" access to a range of providers including orthopedic surgeons, neurosurgeons, neurologists, medical specialists in... View Details

Keywords: Health Care and Treatment; Medical Specialties; Service Delivery; Service Operations; Integration; Value Creation; Health Industry; United States

August 2016
Case

VMD Medical Imaging Center

By: Susanna Gallani and Eva Labro

VMD Medical Imaging Center, a local independent provider of medical imaging services, is facing some important challenges. Despite efficiency improvements and cost cutting initiatives carried out over the past few years, their profitability is shrinking; their prices... View Details

Keywords: Costing; Death Spiral; Transfer Pricing; Activity Based Costing and Management; Competitive Strategy; Medical Specialties; Health Industry

March 2000
Teaching Note

Oxford Health Plans (A): Specialty Management [and] Oxford Health Plans (B): Crisis Strikes TN

By: James L. Heskett, Richard M.J. Bohmer and Jody H. Gittell

Teaching Note for (9-898-042) and (9-800-366). View Details

Keywords: Business or Company Management; Crisis Management; Medical Specialties; Health Care and Treatment; Health Industry; United States

2016
Article

Integrated Care from the Patient's Perspective and its Relationship to Medical Group Attributes.

By: Michaela Kerrissey, Jonathan Clark, Ashley-Kay Fryer, Wei Jiang, Maryaline Catillon, Patricia Ramsay, Stephen Shortell, Lawrence Casalino, Mark Friedberg and Sara J. Singer

Integrating care for patients with multiple chronic conditions is essential to improving quality. Yet little is known about care integration from the patient’s perspective and how it relates to medical group characteristics. We created a nationally representative... View Details

Keywords: Care Coordination; Integrated Care; Health; Health Care and Treatment; Quality; Perspective; Health Industry

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28 Nov 2016
Research & Ideas

Challenging the Belief that Liability Laws Kill Medical Device Innovation

Doctors are afraid of getting sued. According to some accounts, 75 percent of them perform more tests and procedures than necessary to avoid potential lawsuits over medical malpractice. The phenomenon of “defensive medicine” has been... View Details

Keywords: by Michael Blanding; Medical Devices & Supplies

Article

Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective

By: Michaela J. Kerrissey, Jonathan Clark, Mark Friedberg, Wei Jiang, Ashley Kay Fryer, Molly Frean, Stephen Shortell, Patricia Ramsay, Lawrence Casalino and Sara J. Singer

Structural integration is increasing among medical groups, but whether these changes yield care that is more integrated remains unclear. We explored the relationships between structural integration characteristics of 144 medical groups and perceptions of integrated... View Details

Keywords: Integration; Health Care Delivery; Organization Structure; Organizational Structure; Health Care and Treatment; Perception; Perspective; Health Industry; United States

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28 Aug 2019
Working Paper Summaries

Who Drives Digital Innovation? Evidence from the US Medical Device Industry

Keywords: by Cirrus Foroughi and Ariel Dora Stern; Medical Devices & Supplies; Medical Devices & Supplies

November 2004
Case

ClozeX Medical (A): The New Standard of Wound Closure

By: William A. Sahlman and Ryland Matthew Willis

Describes a set of decisions confronting the founder of a company with a revolutionary new wound-closure product. He must decide how to finance and exploit his venture. View Details

Keywords: Business or Company Management; Corporate Entrepreneurship; Product Launch; Medical Specialties; Corporate Finance; Medical Devices and Supplies Industry

June 2016
Article

When Doctors Go to Business School: Career Choices of Physician-MBAs

By: Damir Ljuboja, Brian W. Powers, Benjamin Robbins, Robert S. Huckman, Krishna Yeshwant and Sachin Jain

There has been substantial growth in the number of physicians pursuing Master of Business Administration (MBA) degrees over the past decade, but there is continuing debate over the utility of these programs and the career outcomes of their graduates. The authors... View Details

Keywords: Medical Education; MD; MBA; Physicians; Executive Education; Training; Personal Development and Career; Health Care and Treatment; Health Industry; United States

August 2023
Article

Impact of Social Needs Case Management on Use of Medical and Behavioral Health Services: Secondary Analysis of a Randomized Controlled Trial

By: Mark D. Fleming, Crystal Guo, Margae Knox, Daniel M. Brown, Elizabeth A. Hernandez and Amanda L. Brewster

Social needs case management is an increasingly common strategy used by health care organizations to address integrated health and social needs. These programs connect patients to resources such as food assistance, housing, transportation, or income benefits, in... View Details

Keywords: Health Care and Treatment; Medical Specialties; Programs; Human Needs; Welfare; Health Industry; California

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August 2003 (Revised August 2006)
Case

I've Got Rhythm: Selling Cardiac Rhythm Management Devices

By: Regina E. Herzlinger, William Lagor, Christopher Perry and Scott St. Germain

The head of sales and marketing in a large medical devices firm must decide how to assign his sales force. He compares selling in the pharma, specialty pharma, and device industries and analyzes the reasons for the differences. View Details

Keywords: Health Care and Treatment; Marketing Strategy; Industry Structures; Sales; Salesforce Management; Medical Devices and Supplies Industry

March 2015
Case

Novartis Pharmaceuticals Corp: Redefining Success in the U.S. (A)

By: Gautam Mukunda, Thomas DeLong and Aldo Sesia

Over the course of a tumultuous weekend in April 2010, André Wyss was put in charge of Novartis Pharmaceuticals Corporation (NPC), the U.S. sales and marketing subsidiary of Novartis Pharma AG. He was brought in at a critical point in the organization's evolution with... View Details

Keywords: LEAD; Talent Management; Leadership And Change Management; Change Management; Organizational Change and Adaptation; Restructuring; Pharmaceutical Industry; United States

April 2012
Case

Bella Healthcare India

By: Dorothy Leonard and Sunru Yong

Bella Healthcare India was originally established in Bangalore as a low-cost manufacturing facility for a U.S.-based cardiology equipment developer. Under country manager Joseph Cherian it evolved considerably, developing its own research and development capabilities.... View Details

October 19, 2015
Article

Getting Bundled Payments Right in Health Care

By: Robert S. Kaplan, Derek A. Haas, Dereesa Reid, Jonathan Warsh and Michael E. West

Bundled payments—single payments that cover all the care for a patient’s medical condition or treatment over a specified timeframe—are increasingly being deployed to motivate the delivery of better patient outcomes at lower costs. Hoag Orthopedic Institute (HOI), a... View Details

Keywords: Health Care and Treatment; Product Marketing; Health Industry

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December 2011 (Revised December 2011)
Case

Cancer Treatment Centers of America: Scaling the Mother Standard of Care

By: Rosabeth Moss Kanter and Matthew Bird

The CEO of a private and growing national network of specialty care hospitals focusing on advanced-stage and complex cancer treatments reflected on the firm's past phase of growth before meeting with the company's Chairman and founder to discuss how to further scale... View Details

Keywords: Health Care and Treatment; Business Growth and Maturation; Medical Specialties; Service Delivery; Innovation and Invention; Health Industry

September 2020
Case

Enabling Teamwork at the Cleveland Clinic

By: Amy C. Edmondson and Michaela J. Kerrissey

This case examines efforts to foster teamwork within and across work units in the Cleveland Clinic, a large, distributed healthcare delivery organization. With a long history of valuing teamwork since its founding in 1921, the Clinic had taken dramatic steps to further... View Details

Keywords: Teamwork; Teaming; Health Care; Health Care and Treatment; Groups and Teams; Health Industry; United States

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