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  • 2020
  • Working Paper

Bankruptcy and the COVID-19 Crisis
By: Jialan Wang, Jeyul Yang, Benjamin Iverson and Ray Kluender
We examine the impact of the COVID-19 economic crisis on business and consumer bankruptcies in the United States using real-time data on the universe of filings. Historically, bankruptcies have closely tracked the business cycle and contemporaneous unemployment rates....  View Details
Keywords: Bankruptcy; Financial Distress; Covid-19; Insolvency And Bankruptcy; Financial Crisis; Health Pandemics; United States
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  • Article

The Impact of COVID-19 on Small Business Outcomes and Expectations
By: Alexander Bartik, Marianne Bertrand, Zoë B. Cullen, Edward L. Glaeser, Michael Luca and Christopher Stanton
To explore the impact of COVID on small businesses, we conducted a survey of more than 5,800 small businesses between March 28 and April 4, 2020. Several themes emerged. First, mass layoffs and closures had already occurred—just a few weeks into the crisis. Second, the...  View Details
Keywords: Covid-19; Stimulus; Cares Act; Health Pandemics; Small Business; Surveys
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  • Article

Germany's Digital Health Reforms in the COVID-19 Era: Lessons and Opportunities for Other Countries
By: Sara Gerke, Ariel D. Stern and Timo Minssen
Reimbursement is a key challenge for many new digital health solutions, whose importance and value have been highlighted and expanded by the current COVID-19 pandemic. Germany’s new Digital Healthcare Act (Digitale–Versorgung–Gesetz or DVG) entitles all individuals...  View Details
Keywords: Covid-19; Reimbursement; Digital Health Reforms; Health Pandemics; Health care And Treatment; Online Technology; Governing Rules, Regulations, And Reforms; Germany
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  • July–September 2020
  • Article

Innovation Contest: Effect of Perceived Support for Learning on Participation
By: Olivia Jung, Andrea Blasco and Karim R. Lakhani
Background: Frontline staff are well positioned to conceive improvement opportunities based on first-hand knowledge of what works and does not work. The innovation contest may be a relevant and useful vehicle to elicit staff ideas. However, the success of the...  View Details
Keywords: Contest; Innovation; Employee Engagement; Organizational Learning; Health Care; Health Care Delivery; Innovation And Invention; Organizations; Learning; Employees; Perception; Health care And Treatment
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  • Article

Sustainability, Business, and Health
By: George Serafeim, Amanda M. Rischbieth and Howard K. Koh
The coronavirus disease 2019 (COVID-19) pandemic has demonstrated that response demands involvement from every sector of society. As a major example, some businesses have stepped up in ways previously unimaginable. Garment companies have repurposed production to face...  View Details
Keywords: Covid; Covid-19; Sustainability; Health And Wellness; Corporate Social Responsibility; Health Pandemics; Health; Corporate Social Responsibility And Impact; Corporate Accountability; Health care And Treatment
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  • 2020
  • Working Paper

Spreading the Health: Americans' Estimated and Ideal Distributions of Death and Health(care)
By: Sorapop Kiatpongsan and Michael I. Norton
The 2010 Patient Protection and Affordable Care Act intensified debates over the role of government in the distribution of healthcare. A nationally-representative sample of Americans reported their estimated and ideal distributions of healthcare (unmet need for...  View Details
Keywords: Healthcare; Mortality; Inequality; Justice; Equity; Health; Health care And Treatment; Equality And Inequality; Fairness; Public Opinion; United States
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  • 2020
  • Chapter

Health Care Markets a Decade After the ACA: Bigger, but Probably Not Better
By: Leemore S. Dafny
Love it or hate it, the Affordable Care Act (ACA) embraced and extended the role of private markets in financing and delivering health care in the United States. Ten years after the ACA’s passage, it is unclear whether health care markets are better (along a range of...  View Details
Keywords: Health care And Treatment; Markets; Laws And Statutes; Outcome Or Result; Health Industry; United States
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  • Article

Association of the Meaningful Use Electronic Health Record Incentive Program with Health Information Technology Venture Capital Funding
By: Samuel Lite, William J. Gordon and Ariel Dora Stern
IMPORTANCE
Although the Health Information Technology for Economic and Clinical Health (HITECH) Act has accelerated electronic health record (EHR) adoption since its passage, clinician satisfaction with EHRs remains low, and the association of HITECH with health...  View Details
Keywords: Health care And Treatment; Information Technology; Laws And Statutes; Innovation And Invention; Entrepreneurship; Venture Capital
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  • 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...  View Details
Keywords: Value-based Health Care; Outcomes; Time-driven Activity-based Costing; Health care And Treatment; Cost Management; Value; Activity Based Costing And Management
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  • 2020
  • Working Paper

Cutting the Gordian Knot of Employee Health Care Benefits and Costs: A Corporate Model Built on Employee Choice
By: Regina E. Herzlinger and Barak D. Richman
The U.S. employer-based health insurance tax exclusion created a system of employer-sponsored insurance (ESI) with limited insurance choices and transparency that may lock employed households into health plans that are costlier or different from those they prefer to...  View Details
Keywords: After-tax Income; Consumer-driven Health Care; Health Care Costs; Health Insurance; Income Inequality; Tax Policy
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  • November 19, 2019
  • Article

The Unexpected Benefits of Pursuing a Passion Outside of Work
By: Jon M. Jachimowicz, Joyce He and Julian Arango
We are often told to pursue work we’re passionate about. But, for many people, this simply isn’t feasible. Not every job affords the possibility of doing what you love. And people care deeply about many different things—not all of which will be how they want to earn a...  View Details
Keywords: Passion; Work; Health; Welfare; Satisfaction
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  • 2019
  • Article

Time-Driven Activity-Based Cost Analysis for Outpatient Anticoagulation Therapy: Direct Costs in a Primary Care Setting with Optimal Performance
By: Robert S. Kaplan, Rohit A. Bobade, Richard A. Helmers, Thomas M. Jaeger, Laura J. Odell and Derek A. Haas
Objectives: To determine how overall cost of anticoagulation therapy for warfarin compares with that of Novel Oral Anticoagulants (NOACs). Also, to demonstrate a scientific, comprehensive, and an analytical approach to estimate direct costs involved in monitoring and...  View Details
Keywords: Time-driven Activity-based Costing; Activity Based Costing And Management; Health care And Treatment; Analysis
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  • Article

What to Do When Industry Disruption Threatens Your Career
By: Boris Groysberg, Eric Lin and Whitney Johnson
This article discusses how to diagnose the risks that disruptive industry forces pose to individual careers and offers suggestions on how to mitigate such threats. Recommendations are based on analyses of individuals’ career histories in the professional services...  View Details
Keywords: Disruption; Personal Development And Career; Strategy
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  • January 2019 (Revised June 2019)
  • Technical Note

U.S. Commercial Health Insurance Industry
By: Susanna Gallani, Mary Witkowski and Harry B. Wolberg
This note describes the role of commercial payers in the U.S. healthcare industry. We begin with a review of the historical evolution of commercial payers and their role in the market, from the beginning to the Affordable Care Act and beyond. Every wave of reforms in...  View Details
Keywords: Health care And Treatment; Insurance; Governing Rules, Regulations, And Reforms; Organizational Change And Adaptation; Health Industry; Insurance Industry; United States
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  • July 1, 2018
  • Editorial

The IRS Can Save American Health Care: Letting Workers Spend Pretax Dollars on Insurance Would Do a Lot—Without Requiring Congress to Act
By: Regina E. Herzlinger and Joel Klein
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  • 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...  View Details
Keywords: Health care And Treatment; Cost Management; Insurance; Problems And Challenges
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  • February 2018
  • Case

Health Savings Accounts: Enabling Consumer Participation
By: Regina E. Herzlinger and James Wallace
Health savings accounts (HSAs), a creation of the 2003 Medicare Modernization Act, had become an integral part of the drive toward consumer-driven health care. Coupled with high-deductible health plans, HSAs allowed consumers to directly control a significant part of...  View Details
Keywords: Health Care; Healthcare Costs; Health Care And Treatment; Health Insurance; Health care And Treatment; Cost; Insurance; Innovation And Invention; Health Industry; United States
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  • February 2018
  • Article

Maintaining Beliefs in the Face of Negative News: The Moderating Role of Experience
By: Bradley R. Staats, Diwas S. KC and F. Gino
Many models in operations management involve dynamic decision making that assumes optimal updating in response to information revelation. However, behavioral theory suggests that rather than updating their beliefs, individuals may persevere in their prior beliefs. In...  View Details
Keywords: Information; Announcements; Service Operations; Decision Making; Medical Specialties; Experience And Expertise; Medical Devices And Supplies Industry
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  • Article

Activity-based Costing of Health-Care Delivery, Haiti
By: Robert S. Kaplan, Ryan K. McBain, Gregory Jerome, Fernet Leandre, Micaela Browning, Jonathan Warsh, Mahek Shah, Peterson Abnis-Faure, Claire Pierre, Anna P. Fang, Jean Claude Mugunga, Gary Gottlieb, Joseph Rhatigan and Bipin Mistry
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  • September 2017
  • Editorial

Helping Patients with Cancer Navigate Narrow Networks
By: Stephen M. Schleicher, Emeline M. Aviki and Thomas W. Feeley
The Affordable Care Act of 2010 (ACA) was designed primarily to improve patient access to affordable health care. The access-expanding provisions of the ACA included federal- and state-based health insurance exchanges with minimum coverage requirements and preexisting...  View Details
Keywords: Health care And Treatment; Insurance; Problems And Challenges; United States
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