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All HBS Web
(707)
- News (208)
- Research (412)
- Events (1)
- Multimedia (2)
- Faculty Publications (94)
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- August, 2022
- Article
Billing and Insurance-Related Administrative Costs: A Cross-National Analysis
By: Barak D. Richman, Robert S. Kaplan, Japees Kohli, Dennis Purcell, Mahek Shah, Igna Bonfrer, Brian Golden, Rosemary Hannam, Will Mitchell, Daniel Cehic, Garry Crispin and Kevin A. Schulman
Billing and insurance-related costs are a significant source of wasteful health care spending in Organization for Economic Cooperation and Development nations, but these administrative burdens vary across national systems. We executed a microlevel accounting of these...
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Richman, Barak D., Robert S. Kaplan, Japees Kohli, Dennis Purcell, Mahek Shah, Igna Bonfrer, Brian Golden, Rosemary Hannam, Will Mitchell, Daniel Cehic, Garry Crispin, and Kevin A. Schulman. "Billing and Insurance-Related Administrative Costs: A Cross-National Analysis." Health Affairs 41, no. 8 (August, 2022): 1098–1106.
- 20 Feb 2018
- News
Electronic health records don’t cut administrative costs
- 20 Feb 2018
- News
Electronic Health Records Don’t Reduce Administrative Costs
- 20 Feb 2018
- News
EHRs fall short in reducing administrative costs
- 21 Feb 2018
- News
Study: Use of EHRs Does Not Reduce Administrative Costs
- March 2012 (Revised December 2014)
- Case
Schön Klinik: Measuring Cost and Value
By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
The case illustrates how a leading German hospital group has invested deeply in the measurement of patient-level outcomes and costs, the foundations of a health care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC)...
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Keywords:
Health Care;
Costing;
Activity-Based Costing;
Hospitals;
Activity Based Costing and Management;
Value;
Health Care and Treatment;
Outcome or Result;
Health Industry;
Germany
Kaplan, Robert S., Mary L. Witkowski, and Jessica A. Hohman. "Schön Klinik: Measuring Cost and Value." Harvard Business School Case 112-085, March 2012. (Revised December 2014.)
- Article
Administrative Costs Associated with Physician Billing and Insurance-Related Activities at an Academic Health Care System
By: Phillip Tseng, Robert S. Kaplan, Barak D. Richman, Mahek A. Shah and Kevin A. Schulman
The federal government mandated adoption of certified electronic health record systems (EHR), at least in part, to reduce administrative costs for physicians. This study used time-driven activity-based costing to determine the administrative costs associated with...
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Tseng, Phillip, Robert S. Kaplan, Barak D. Richman, Mahek A. Shah, and Kevin A. Schulman. "Administrative Costs Associated with Physician Billing and Insurance-Related Activities at an Academic Health Care System." JAMA, the Journal of the American Medical Association 319, no. 7 (February 20, 2018): 691–697.
- January 2020
- Article
Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations and Review from the Society for Perioperative Assessment and Quality Improvement
By: O. Allin, R. D. Urman, A. F. Edwards, J. D. Blitz, K. J. Pfeifer, T. W. Feeley and A. M. Bader
A shift in health care payment models from volume toward value-based incentives will require deliberate input into systems development from both perioperative clinicians and administrators to ensure appropriate recognition of the value of all services...
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Keywords:
Value-based Health Care;
Outcomes;
Time-Driven Activity-Based Costing;
Health Care and Treatment;
Cost Management;
Value;
Activity Based Costing and Management
Allin, O., R. D. Urman, A. F. Edwards, J. D. Blitz, K. J. Pfeifer, T. W. Feeley, and A. M. Bader. "Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations and Review from the Society for Perioperative Assessment and Quality Improvement." Journal of Medical Systems 44, no. 1 (January 2020).
- 22 Dec 2016
- Op-Ed
The Small Business Administration is a Model for How to Drive Economic Growth
A recent Washington Post editorial suggested that the United States Small Business Administration (SBA) is, in many ways, a remnant of days gone by. The arguments implied that small businesses that make up our nation’s “Main Street”...
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Keywords:
by Karen Mills
- February 1996 (Revised November 2003)
- Case
Indianapolis: Activity-Based Costing of City Services (A)
By: Robert S. Kaplan
A new administration in the City of Indianapolis is initially determined to privatize many municipal services. Before taking this action, however, the city managers want to know the current cost of performing these services with the municipal workers. Existing...
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Keywords:
Cost Management;
Public Sector;
Activity Based Costing and Management;
Service Delivery;
Privatization;
City;
Indianapolis
Kaplan, Robert S. "Indianapolis: Activity-Based Costing of City Services (A)." Harvard Business School Case 196-115, February 1996. (Revised November 2003.)
- 25 Sep 2019
- Research & Ideas
The Economic Cost of Physician Burnout
Physician burnout costs the United States health care industry $4.6 billion a year, a number that brings a new spotlight to an age-old problem. In a paper published in the journal Annals of Internal Medicine this past June, a research...
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- 30 Nov 2018
- What Do You Think?
What’s the Best Administrative Approach to Climate Change?
Summing Up: Should a 'Montreal Protocol' for Administering Global Warming Be Pursued? Climate change and how to manage it is a daunting subject. Nevertheless, several readers of this month’s column were willing to venture a model or two for administering a system...
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- June 2021
- Article
Developing a Value Framework: Utilizing Administrative Data to Assess an Enhanced Care Initiative
By: Casey J. Allen, Jarrod S. Eska, Nikhil G. Thaker, Thomas W. Feeley, Robert S. Kaplan, Ryan W. Huey, Ching-Wei D. Tzeng, Jeffrey E. Lee, Steven J. Frank, Thomas A. Aloia, Vijaya Gottumukkala and Matthew H.G. Katz
We used national administrative data to assess multiple domains of value associated with enhanced recovery pathways for patients undergoing pancreatic surgery. Value metrics included in-hospital mortality, complication rates, length of stay (LOS), 30-day readmission...
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Keywords:
Value-based Health Care;
Health Care and Treatment;
Analytics and Data Science;
Outcome or Result;
Measurement and Metrics;
Performance Improvement
Allen, Casey J., Jarrod S. Eska, Nikhil G. Thaker, Thomas W. Feeley, Robert S. Kaplan, Ryan W. Huey, Ching-Wei D. Tzeng, Jeffrey E. Lee, Steven J. Frank, Thomas A. Aloia, Vijaya Gottumukkala, and Matthew H.G. Katz. "Developing a Value Framework: Utilizing Administrative Data to Assess an Enhanced Care Initiative." Journal of Surgical Research 262 (June 2021): 115–120.
- 2022
- Article
Alleviating Time Poverty Among the Working Poor: A Pre-Registered Longitudinal Field Experiment
By: A.V. Whillans and Colin West
Poverty entails more than a scarcity of material resources—it also involves a shortage of time. To examine the causal benefits of reducing time poverty, we conducted a longitudinal feld experiment over six consecutive weeks in an urban slum in Kenya with a sample of...
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Keywords:
Time;
Subjective Well Being;
Administrative Costs;
Friction;
Poverty;
Well-being;
Money;
Perception;
Kenya
Whillans, A.V., and Colin West. "Alleviating Time Poverty Among the Working Poor: A Pre-Registered Longitudinal Field Experiment." Art. 719. Scientific Reports 12 (2022).
- 08 Dec 2020
- News
Why Trump’s Visa Ban Cost Fortune 500 Firms $100 Billion
- August 2017
- Article
Voter Registration Costs and Disenfranchisement: Experimental Evidence from France
By: Céline Braconnier, Jean-Yves Dormagen and Vincent Pons
A large-scale randomized experiment conducted during the 2012 French presidential and parliamentary elections shows that voter registration requirements have significant effects on turnout, resulting in unequal participation. We assigned 20,500 apartments to one...
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Braconnier, Céline, Jean-Yves Dormagen, and Vincent Pons. "Voter Registration Costs and Disenfranchisement: Experimental Evidence from France." American Political Science Review 111, no. 3 (August 2017): 584–604. (Also Harvard Business School Working Paper, No. 16-098, March 2016.)
- 04 Aug 2014
- News
‘Cowboy Doctors’ May Contribute To High Health Care Costs
- 27 Feb 2019
- Research & Ideas
The Hidden Cost of a Product Recall
American emissions tests. Volkswagen estimated that fines, repairs, and legal costs would total more than $30 billion. And worse, the company ceded its command of America’s diesel car market—producing more than one-third of the models...
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- 05 Jan 2011
- Op-Ed
Funding Unpredictability Around Stem-Cell Research Inflicts Heavy Cost on Scientific Progress
a new research stream, and there is a low probability you will get funded in a new area. You may be fired. In short, your career is in danger of total meltdown. That is the real cost of our randomized model of research support in the...
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