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  • All HBS Web  (31)
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    • All HBS Web  (31)
      • Faculty Publications  (10)

      Narayana HealthRemove Narayana Health →

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      • Article

      Are Cost Advantages from a Modern Indian Hospital Transferable to the United States?

      By: R. S. Kaplan, F. Erhun, V.G. Narayanan, B. Mistry and K. Brayton, et al
      We use time-driven activity-based costing to estimate the cost of personnel and space for an elective coronary artery bypass graft (CABG) surgery at two U.S. hospitals, Intermountain and Baylor Heart, and Narayana Health (NH), in India. All three hospitals use modern... View Details
      Keywords: Time-Driven Activity-Based Costing; Health Care and Treatment; Cost; Organizational Structure; Performance Efficiency; India; United States
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      Kaplan, R. S., F. Erhun, V.G. Narayanan, B. Mistry, and K. Brayton, et al. "Are Cost Advantages from a Modern Indian Hospital Transferable to the United States?" American Heart Journal 224 (June 2020): 148–155.
      • March–April 2019
      • Article

      A Recombination-Based Internationalization Model: Evidence from Narayana Health's Journey from India to the Cayman Islands

      By: Budhaditya Gupta and Tarun Khanna
      Internationalizing firms often find developing host-country resources challenging as they simultaneously attempt to replicate the resources that worked well in their home country and adapt them to fit the context of the host country. On the basis of a longitudinal... View Details
      Keywords: Recombination; Internationalization; Cross-Cultural and Cross-Border Issues; Multinational Firms and Management; Health Care and Treatment; India; Cayman Islands
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      Gupta, Budhaditya, and Tarun Khanna. "A Recombination-Based Internationalization Model: Evidence from Narayana Health's Journey from India to the Cayman Islands." Organization Science 30, no. 2 (March–April 2019): 405–425.
      • 2017
      • Chapter

      The Private Provision of Missing Public Goods: Evidence from Narayana Health in India

      By: Tarun Khanna and Budhaditya Gupta
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      Khanna, Tarun, and Budhaditya Gupta. "The Private Provision of Missing Public Goods: Evidence from Narayana Health in India." Chap. 3 in India as a Pioneer of Innovation, edited by Harbir Singh, Ananth Padmanabhan, and Ezekiel Emanuel. Oxford University Press, 2017.
      • 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
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      Gupta, Budhaditya, Robert S. Huckman, and Tarun Khanna. "Task Shifting in Surgery: Lessons from an Indian Heart Hospital." Healthcare: The Journal of Delivery Science and Innovation 3, no. 4 (December 2015): 245–250.
      • May 2014 (Revised March 2016)
      • Case

      Health City Cayman Islands

      By: Tarun Khanna and Budhaditya Gupta
      Narayana Health (NH) had been successfully delivering affordable high quality tertiary care to the masses in India through its chain of hospitals for over a decade. To encourage the adoption of the NH affordable care delivery model worldwide, Dr. Shetty, Chairman of... View Details
      Keywords: Healthcare; Emerging Economies; Innovation; India; Institutions; Pricing; Replication; Strategy; Narayana Health; Ascension; Health City Cayman Islands; Dr. Devi Shetty; International Business; Health Care and Treatment; Innovation Strategy; Innovation and Management; Disruptive Innovation; Cross-Cultural and Cross-Border Issues; Global Strategy; Knowledge Use and Leverage; Management Practices and Processes; Growth Management; Growth and Development Strategy; Market Entry and Exit; Adaptation; Adoption; India; Cayman Islands
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      Khanna, Tarun, and Budhaditya Gupta. "Health City Cayman Islands." Harvard Business School Case 714-510, May 2014. (Revised March 2016.)
      • September 2011
      • Supplement

      Expansion at Narayana Hrudayalaya

      By: Tarun Khanna and Tanya Bijlani
      Narayana Hrudayalaya has expanded into a multi-specialty health city in Bangalore, with a 25-acre campus that offers complex tertiary care procedures ranging from orthopedics to cancer care. In 2008, NH raised private equity from JP Morgan and Pinebridge Investments to... View Details
      Keywords: Investment; Price; Health Care and Treatment; Emerging Markets; Social Enterprise; Expansion; Health Industry; Bangalore; Cayman Islands; Miami
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      Khanna, Tarun, and Tanya Bijlani. "Expansion at Narayana Hrudayalaya." Harvard Business School Video Supplement 712-801, September 2011.
      • September 2011
      • Supplement

      Narayana Hrudayalaya Heart Hospital

      By: Tarun Khanna and Tanya Bijlani
      Narayana Hrudayalaya (NH) is one of the world's busiest heart hospitals, where surgeons perform 30-35 complex cardiac surgeries daily. With an average cost of $1,800 per surgery, the hospital treats patients at affordable prices, and does not turn away even the poorest... View Details
      Keywords: Buildings and Facilities; Experience and Expertise; Cost Management; Insurance; Health Care and Treatment; Resource Allocation; Time Management; Emerging Markets; Infrastructure; Cooperative Ownership; Quality; Social Enterprise; Health Industry; Karnataka
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      Khanna, Tarun, and Tanya Bijlani. "Narayana Hrudayalaya Heart Hospital." Harvard Business School Multimedia/Video Supplement 712-802, September 2011.
      • August 2011 (Revised May 2012)
      • Supplement

      Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (B)

      By: Tarun Khanna and Tanya Bijlani
      Narayana Hrudayalaya (NH) has expanded into a multi-specialty health city in Bangalore and has grown to twelve locations across India. The hospital plans to build 300-bed secondary-care hospitals in smaller cities across India, with a goal to operate 30,000 beds in... View Details
      Keywords: Emerging Markets; Growth and Development Strategy; Goals and Objectives; Social Enterprise; Health Care and Treatment; Poverty; Welfare; Health Industry; Bangalore; Cayman Islands; Africa
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      Khanna, Tarun, and Tanya Bijlani. "Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (B)." Harvard Business School Supplement 712-402, August 2011. (Revised May 2012.)
      • March 2010
      • Teaching Note

      Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (TN)

      By: Tarun Khanna and V. Kasturi Rangan
      Teaching Note for [505078]. View Details
      Keywords: Health Industry; Health Industry; Bangalore
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      Khanna, Tarun, and V. Kasturi Rangan. "Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (TN)." Harvard Business School Teaching Note 510-107, March 2010.
      • June 2005 (Revised August 2011)
      • Case

      Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (A)

      By: Tarun Khanna, V. Kasturi Rangan and Merlina Manocaran
      Describes the mission, vision, and strategy of a team of entrepreneurs headed by a charismatic heart surgeon who founded a heart hospital in Bangalore, India. The purpose of the hospital was to offer health care for the masses. This tertiary care hospital performed... View Details
      Keywords: Social Entrepreneurship; Health Care and Treatment; Goals and Objectives; Social Marketing; Mission and Purpose; Strategic Planning; Social Enterprise; Welfare; Health Industry; Health Industry; Bangalore
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      Khanna, Tarun, V. Kasturi Rangan, and Merlina Manocaran. "Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor (A)." Harvard Business School Case 505-078, June 2005. (Revised August 2011.)
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