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  • All HBS Web  (3,606)
    • People  (4)
    • News  (686)
    • Research  (2,282)
    • Events  (12)
    • Multimedia  (11)
  • Faculty Publications  (1,113)
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  • Article

A Blueprint for Pharmacy Benefits Managers to Increase Value

By: William Shrank, Michael E. Porter, Sachin H. Jain and Niteesh K. Choudhary
Pharmacy benefits managers (PBMs) have a unique opportunity to promote public health and generate value in the healthcare system. However, PBMs are largely evaluated on their ability to control costs rather than improve health. PBMs should be evaluated along three... View Details
Keywords: Opportunities; Health; System; Cost Management; Partners and Partnerships; Motivation and Incentives; Value; Innovation and Invention; Performance Effectiveness; Health Industry; Pharmaceutical Industry
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Shrank, William, Michael E. Porter, Sachin H. Jain, and Niteesh K. Choudhary. "A Blueprint for Pharmacy Benefits Managers to Increase Value." American Journal of Managed Care 15, no. 2 (February 2009).
  • February 2009
  • Other Article

A Blueprint for Pharmacy Benefit Managers to Increase Value

By: William H. Shrank, Michael E. Porter, Sachin Jain and Niteesh K. Choudhry
Keywords: Health
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Shrank, William H., Michael E. Porter, Sachin Jain, and Niteesh K. Choudhry. "A Blueprint for Pharmacy Benefit Managers to Increase Value." American Journal of Managed Care 15, no. 2 (February 2009): 87–93.
  • November 2022
  • Case

The Battle Among Channels for Marketing Pharmaceuticals: UpScript, Pharmacy Benefit Managers, and Direct-to-Consumer Sales

By: Regina E. Herzlinger and Tiffany Farrell
Can an online, direct-to-consumer pharmacy both improve the quality and speed of care for patients who need branded drugs and stabilize profits for pharmaceutical manufacturers? UpScript, after years spent achieving legal and regulatory compliance and simultaneous... View Details
Keywords: DTC; Internet and the Web; Marketing Channels; Customer Value and Value Chain; Governing Rules, Regulations, and Reforms; Competitive Strategy; Service Delivery; Growth and Development Strategy; Pharmaceutical Industry; Health Industry; Retail Industry
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Herzlinger, Regina E., and Tiffany Farrell. "The Battle Among Channels for Marketing Pharmaceuticals: UpScript, Pharmacy Benefit Managers, and Direct-to-Consumer Sales." Harvard Business School Case 323-031, November 2022.
  • October 2009 (Revised November 2016)
  • Case

Generation Health: A Pioneer in Genetics Benefit Management (A)

By: Robert F. Higgins, Jeffrey D. Marrazzo and Rachel Gordon
Generation Health, a pioneer in the new field of genetics benefit management and a newly formed company, faces many strategic issues. CEO Per Lofberg is in the midst of negotiating a partnership with a major pharmacy benefit management company. As part of these... View Details
Keywords: Business Startups; Entrepreneurship; Governing Rules, Regulations, and Reforms; Growth and Development Strategy; Partners and Partnerships; Genetics; Health Industry; Insurance Industry
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Higgins, Robert F., Jeffrey D. Marrazzo, and Rachel Gordon. "Generation Health: A Pioneer in Genetics Benefit Management (A)." Harvard Business School Case 810-007, October 2009. (Revised November 2016.)
  • February 2016 (Revised March 2022)
  • Case

Express Scripts: Promoting Prescription Drug Home Delivery (B)

By: John Beshears, Patrick Rooney and Jenny Sanford
The pharmacy benefit manager (PBM) sector processes prescription drug claims on behalf of companies that offer a prescription drug benefit to their employees. This case follows Bob Nease, Chief Scientist at Express Scripts, as he considers methods to promote home... View Details
Keywords: Pharmaceuticals; Prescription Drugs; Pharmacy Benefit Manager; PBM; Healthcare; Behavioral Economics; Choice Architecture; Active Choice; Health Care and Treatment; Service Delivery; Decision Choices and Conditions; Order Taking and Fulfillment; Compensation and Benefits
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Beshears, John, Patrick Rooney, and Jenny Sanford. "Express Scripts: Promoting Prescription Drug Home Delivery (B)." Harvard Business School Case 916-040, February 2016. (Revised March 2022.)
  • January 2004
  • Supplement

General Motors Corporation: Retiree Benefit Risk Management

By: David F. Hawkins
Keywords: Retirement; Risk Management; Compensation and Benefits; Auto Industry
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Hawkins, David F. "General Motors Corporation: Retiree Benefit Risk Management." Harvard Business School Spreadsheet Supplement 104-705, January 2004.
  • February 2019
  • Article

Who Benefits Most in Disease Management Programs: Improving Target Efficiency

By: Timothy Simcoe, Maryaline Catillon and Paul Gertler
Disease management programs aim to reduce cost by improving the quality of care for chronic diseases. Evidence of their effectiveness is mixed. Reducing health care spending sufficiently to cover program costs has proved particularly challenging. This study uses a... View Details
Keywords: Health Economics; Target Efficiency; Diabetes; Disease Management; Program Evaluation; Heterogeneity; Economics; Health; Quality; Health Care and Treatment; Cost Management; Health Industry
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Simcoe, Timothy, Maryaline Catillon, and Paul Gertler. "Who Benefits Most in Disease Management Programs: Improving Target Efficiency." Health Economics 28, no. 2 (February 2019): 189–203.
  • February 2016
  • Case

Express Scripts: Promoting Prescription Drug Home Delivery (A)

By: John Beshears, Patrick Rooney and Jenny Sanford
The pharmacy benefit manager (PBM) sector processes prescription drug claims on behalf of companies that offer a prescription drug benefit to their employees. This case follows Bob Nease, Chief Scientist at Express Scripts, as he considers methods to promote home... View Details
Keywords: Pharmaceuticals; Prescription Drugs; Pharmacy Benefit Manager; PBM; Healthcare; Behavioral Economics; Choice Architecture; Active Choice; Service Delivery; Decision Choices and Conditions; Health Care and Treatment; Order Taking and Fulfillment; Compensation and Benefits; Pharmaceutical Industry
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Beshears, John, Patrick Rooney, and Jenny Sanford. "Express Scripts: Promoting Prescription Drug Home Delivery (A)." Harvard Business School Case 916-026, February 2016.
  • April 2022
  • Teaching Note

CVS Health: Prescription for Transformation

By: Rosabeth Moss Kanter and Catarina Martinez
In 2021, new CEO Karen Lynch (named the most powerful woman in business) considered the next transformation phase for CVS Health (a Fortune 5 corporate giant). The 2018 acquisition of Aetna insurance brought her to the company as part of its long evolution from a... View Details
Keywords: Health; COVID-19 Pandemic; Primary Care; Leadership; Change Management; Women Executives; Retail; Pharmacy; Pharmacy Benefit Manager; Clinical Trials; Vaccination; Acquisition; Innovation and Invention; Transformation; Retail Industry; Pharmaceutical Industry; Health Industry; United States
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Kanter, Rosabeth Moss, and Catarina Martinez. "CVS Health: Prescription for Transformation." Harvard Business School Teaching Note 322-122, April 2022.
  • April 24, 2023
  • Article

In the COVID Era, Why Corporate Benefits Demand CEO/CFO Leadership

By: Regina E. Herzlinger
The expectation that employers provide their employees’ health benefits has been around since World War II. Unfortunately, although today’s employees expect employers to treat them as individuals, ease their experiences, prioritize their wellbeing, and control cost,... View Details
Keywords: COVID; COVID-19 Pandemic; CEO; Leadership; Health Insurance; Benefits; CFO; Compensation and Benefits
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Herzlinger, Regina E. "In the COVID Era, Why Corporate Benefits Demand CEO/CFO Leadership." CMR Insights (April 24, 2023).
  • March 2016 (Revised March 2022)
  • Teaching Note

Express Scripts: Promoting Prescription Drug Home Delivery (A) and (B)

By: John Beshears
The pharmacy benefit manager (PBM) sector processes prescription drug claims on behalf of companies that offer a prescription drug benefit to their employees. The case associated with this teaching note follows Bob Nease, chief scientist at Express Scripts, as he... View Details
Keywords: Pharmaceuticals; Prescription Drugs; Pharmacy Benefit Manager; PBM; Healthcare; Behavioral Economics; Choice Architecture; Active Choice; Service Delivery; Decision Choices and Conditions; Consumer Behavior; Distribution Channels; Health Care and Treatment; Service Industry; Pharmaceutical Industry
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Beshears, John. "Express Scripts: Promoting Prescription Drug Home Delivery (A) and (B)." Harvard Business School Teaching Note 916-047, March 2016. (Revised March 2022.)
  • January 2004 (Revised June 2005)
  • Case

General Motors Corporation: Retiree Benefit Risk Management (B)

By: David F. Hawkins and Jacob Cohen
Supplements the (A) case. View Details
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Hawkins, David F., and Jacob Cohen. "General Motors Corporation: Retiree Benefit Risk Management (B)." Harvard Business School Case 104-064, January 2004. (Revised June 2005.)
  • September 1991
  • Case

Rethinking the Corporate Workplace: Case Managers at Mutual Benefit Life

By: Robert G. Eccles Jr.
In early 1991, a spirit of innovation and organizational change was in the air at Mutual Benefit Life, with the success of the new "case manager" program its most concrete manifestation. Using powerful computer workstations, case managers could see insurance... View Details
Keywords: Organizational Change and Adaptation; Technological Innovation; Change Management; Information Technology; Insurance; Human Resources; Insurance Industry
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Eccles, Robert G., Jr. "Rethinking the Corporate Workplace: Case Managers at Mutual Benefit Life." Harvard Business School Case 492-015, September 1991.
  • Teaching Interest

Managing Human Capital

By: Ethan S. Bernstein

The Managing Human Capital course has been specifically designed to teach practical skills for the future general manager (not just the human resource practitioner) who seeks to manage both other people and her or his own career with optimal... View Details

Keywords: Human Capital; Hiring; Socialization; Performance Management; Compensation And Benefits; Talent Development And Retention; Structure; Career Management; Human Resources; Leadership; Personal Development and Career; Organizations; Organizational Culture; Organizational Design; Organizational Structure; Africa; Asia; Europe; Middle East; Latin America; North and Central America; South America
  • November 2003 (Revised March 2004)
  • Teaching Note

General Motors Corporation: Retiree Benefit Risk Management (TN)

By: David F. Hawkins and Jacob Cohen
Teaching Note to (104-041). View Details
Keywords: Retirement; Risk Management; Compensation and Benefits; Auto Industry
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Hawkins, David F., and Jacob Cohen. "General Motors Corporation: Retiree Benefit Risk Management (TN)." Harvard Business School Teaching Note 104-047, November 2003. (Revised March 2004.)
  • November 2003 (Revised March 2004)
  • Case

General Motors Corporation: Retiree Benefit Risk Management (A)

By: David F. Hawkins and Jacob Cohen
General Motors issues $17 billion and uses $10 billion to reduce an unfunded pension obligation. View Details
Keywords: Retirement; Accounting; Compensation and Benefits; Auto Industry; United States
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Hawkins, David F., and Jacob Cohen. "General Motors Corporation: Retiree Benefit Risk Management (A)." Harvard Business School Case 104-041, November 2003. (Revised March 2004.)
  • August 2010 (Revised August 2012)
  • Supplement

Generation Health: A Pioneer in Genetics Benefit Management (B)

By: Robert F. Higgins
Keywords: Health; Research and Development; Biotechnology Industry
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Higgins, Robert F. "Generation Health: A Pioneer in Genetics Benefit Management (B)." Harvard Business School Supplement 811-005, August 2010. (Revised August 2012.)
  • 03 Jun 2015
  • Working Paper Summaries

Business Models--Nature and Benefits

Keywords: by Ramon Casadesus-Masanell & John Heilbron
  • November 1998
  • Article

Measuring and Managing the Benefits of Customer Retention: An Empirical Investigation

By: N. Narayandas
Keywords: Measurement and Metrics; Management; Customer Focus and Relationships
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Narayandas, N. "Measuring and Managing the Benefits of Customer Retention: An Empirical Investigation." Journal of Service Research 1, no. 2 (November 1998).
  • May 2017 (Revised November 2017)
  • Case

Cotopaxi: Managing Growth for Good

By: Andy Wu and Laura Huang
Cotopaxi, an innovative outdoor gear business targeting millennials, focuses on profit and social impact. This registered benefit corporation was formed by Davis Smith who coalesced his experiences as a Wharton MBA student along with professional knowledge from an... View Details
Keywords: Entrepreneurship; Social Venture; Benefit Corporation; B-Corp; Retail; Consumer Products; Apparel; Social Impact; Social Entrepreneurship; Business Model; Product Positioning; Social Enterprise; Mission and Purpose; Consumer Products Industry; Retail Industry
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Wu, Andy, and Laura Huang. "Cotopaxi: Managing Growth for Good." Harvard Business School Case 717-488, May 2017. (Revised November 2017.)
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