Case | HBS Case Collection | August 2012 (Revised July 2014)

Hub and Spoke, HealthCare Global, and Additional Focused Factory Models for Cancer Care

by Regina E. Herzlinger, Amit Ghorawat, Meera Krishnan and Naiyya Saggi

Abstract

This case compares and contrasts four different models for delivering cancer care in India and the US. Students are asked to select the best model in its alignment with the Six Forces in those two countries and Africa, to which one of the models is considering expansion, and intrinsic business characteristics. The Indian models are all focused factories, but one is a hub and spoke model, with a radiology hub and ambulatory spokes, while the other offers only ambulatory services. The U.S. models are all focused factory hospitals, one academic and the other a private, for-profit firm located on the grounds of teaching hospitals.

Keywords: Cancer care services; Focused factories for cancer care; Hub and Spoke cancer care; Cancer care in the U.S.; Cancer care in Africa; Cancer care in India; Six Sigma; Business Model; Health Disorders; Health Care and Treatment; Health Industry; United States; India; Africa;

Citation:

Herzlinger, Regina E., Amit Ghorawat, Meera Krishnan, and Naiyya Saggi. "Hub and Spoke, HealthCare Global, and Additional Focused Factory Models for Cancer Care." Harvard Business School Case 313-030, August 2012. (Revised July 2014.)