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      • Faculty Publications  (30)

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      Online Health Care Economics Course | HBS Online
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      • February 2021 (Revised April 2021)
      • Case

      Marvin: A Personalized Telehealth Approach to Mental Health

      By: Regina E. Herzlinger, Thomas Arsenault, Julia Kelley, Carin-Isabel Knoop, Andrew Nguyen and Eshani Sharma
      More than one third of Americans were said to suffer some type of behavioral health ailment at some point in their lifetime, with many people requiring chronic therapy or intervention. Despite significant clinical needs, access to reliable treatment has been difficult...  View Details
      Keywords: Mental Health; Applications; Startup Management; Telehealth; Health Care Entrepreneurship; Health & Wellness; Health Care; Health care And Treatment; Customization And Personalization; online Technology; Entrepreneurship; Growth And Development Strategy
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      Herzlinger, Regina E., Thomas Arsenault, Julia Kelley, Carin-Isabel Knoop, Andrew Nguyen, and Eshani Sharma. "Marvin: A Personalized Telehealth Approach to Mental Health." Harvard Business School Case 321-127, February 2021. (Revised April 2021.)
      • February 2021
      • Article

      Assessment of Electronic Health Record Use Between U.S. and Non-U.S. Health Systems

      By: A Jay Holmgren, Lance Downing, David W. Bates, Tait D. Shanafelt, Arnold Milstein, Christopher Sharp, David Cutler, Robert S. Huckman and Kevin A. Schulman
      Importance: Understanding how the electronic health record (EHR) system changes clinician work, productivity, and well-being is critical. Little is known regarding global variation in patterns of use.
      Objective: To provide insights into which EHR...  View Details
      Keywords: Electronic Health Records; Health care And Treatment; online Technology; Health Industry; Information Technology Industry
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      Holmgren, A Jay, Lance Downing, David W. Bates, Tait D. Shanafelt, Arnold Milstein, Christopher Sharp, David Cutler, Robert S. Huckman, and Kevin A. Schulman. "Assessment of Electronic Health Record Use Between U.S. and Non-U.S. Health Systems." JAMA Internal Medicine 181, no. 2 (February 2021): 251–259.
      • Article

      Want to See the Future of Digital Health Tools? Look to Germany

      By: Ariel Dora Stern, Henrik Matthies, Julia Hagen, Jan B. Brönneke and Jörg F. Debatin
      A new law will make it easier to introduce and determine the benefits of new tools. Perhaps its most important provisions are its formalization of “prescribable applications,” which include standard software, SaaS, and mobile as well as browser-based apps, and the...  View Details
      Keywords: Health care And Treatment; Transformation; online Technology; Technological Innovation; Germany
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      Stern, Ariel Dora, Henrik Matthies, Julia Hagen, Jan B. Brönneke, and Jörg F. Debatin. "Want to See the Future of Digital Health Tools? Look to Germany." Harvard Business Review (website) (December 2, 2020).
      • November 24, 2020
      • Article

      4 Strategies to Make Telehealth Work for Elderly Patients

      By: Umar Ikram, Susanna Gallani, Jose F. Figueroa and Thomas W. Feeley
      As providers have ramped up their use of telehealth during the COVID-19 pandemic, one group—the elderly—has experienced particular challenges in adopting the technologies. This article describes the strategies four innovative provider organizations have used to engage...  View Details
      Keywords: Telehealth; Health Pandemics; Health care And Treatment; online Technology; Age; Technology Adoption; Strategy
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      Ikram, Umar, Susanna Gallani, Jose F. Figueroa, and Thomas W. Feeley. "4 Strategies to Make Telehealth Work for Elderly Patients." Harvard Business Review Digital Articles (November 24, 2020).
      • 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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      Gerke, Sara, Ariel D. Stern, and Timo Minssen. "Germany's Digital Health Reforms in the COVID-19 Era: Lessons and Opportunities for Other Countries." Art. 94. npj Digital Medicine 3 (2020).
      • August 2019
      • Case

      Preserving Trust at Care.com (A)

      By: Krishna G. Palepu and Julia Kelley
      Care.com was an online platform designed to match caregivers with individuals seeking care for themselves, others, and pets, through job postings, caregiver profiles, and directories of local day care centers. In March 2019, the Wall Street Journal had just published a...  View Details
      Keywords: Business Strategy; Corporate Governance; Market Platforms; Market Design; Emerging Markets; Trust; Technology Industry; United States
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      Palepu, Krishna G., and Julia Kelley. "Preserving Trust at Care.com (A)." Harvard Business School Case 120-011, August 2019.
      • Article

      Use of Crowd Innovation to Develop an Artificial Intelligence-Based Solution for Radiation Therapy Targeting

      By: Raymond H. Mak, Michael G. Endres, Jin Hyun Paik, Rinat A. Sergeev, Hugo Aerts, Christopher L. Williams, Karim R. Lakhani and Eva C. Guinan
      Importance: Radiation therapy (RT) is a critical cancer treatment, but the existing radiation oncologist work force does not meet growing global demand. One key physician task in RT planning involves tumor segmentation for targeting, which requires substantial...  View Details
      Keywords: Crowdsourcing; Ai Algorithms; Health care And Treatment; Collaborative Innovation And Invention
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      Mak, Raymond H., Michael G. Endres, Jin Hyun Paik, Rinat A. Sergeev, Hugo Aerts, Christopher L. Williams, Karim R. Lakhani, and Eva C. Guinan. "Use of Crowd Innovation to Develop an Artificial Intelligence-Based Solution for Radiation Therapy Targeting." doi:10.1001/jamaoncol.2019.0159. JAMA Oncology 5, no. 5 (May 2019): 654–661.
      • March 2019 (Revised September 2019)
      • Case

      The DivaCup: Navigating Distribution and Growth

      By: Ayelet Israeli
      When the mother-daughter founders of DivaCup set out with a mission to disrupt the menstrual care industry with an innovative product form, they initially struggled to gain legitimacy and convince retailers to carry their unique product. Fifteen years later, the...  View Details
      Keywords: Female; Female Ceo; Female Entrepreneur; Female Protagonist; Health & Wellness; Healthcare; Price Policies; Minimum Advertised Price; Differentiation; Positioning; Growth; Health; Health care And Treatment; Price; Disruption; Distribution; Distribution Channels; Competitive Strategy; Competition; Growth Management; Mission And Purpose; Product Development; Product Marketing; Product Launch; Product Positioning; Advertising; Business Startups; Internet; Entrepreneurship; Social Entrepreneurship; Social Issues; Social Enterprise; Retail Industry; Medical Devices And Supplies Industry; Manufacturing Industry; Health Industry; Green Technology Industry; Education Industry; Distribution Industry; Consumer Products Industry; Canada; United States; United Kingdom
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      Israeli, Ayelet. "The DivaCup: Navigating Distribution and Growth." Harvard Business School Case 519-055, March 2019. (Revised September 2019.)
      • 2019
      • Working Paper

      Mitigating the Negative Effects of Customer Anxiety Through Access to Human Contact

      By: Michelle A. Shell and Ryan W. Buell
      It is a well-established result in social psychology that when people feel anxious, they seek advice from others. However, increasingly companies that operate in high-anxiety settings (like financial services, health care, and education) are deploying self-service...  View Details
      Keywords: Anxiety; Customers; Emotions; Service Delivery; Interpersonal Communication; Customer Satisfaction; Trust
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      Shell, Michelle A., and Ryan W. Buell. "Mitigating the Negative Effects of Customer Anxiety Through Access to Human Contact." Harvard Business School Working Paper, No. 19-089, February 2019.
      • 2018
      • Working Paper

      Why Retailers Should Care about Net Neutrality: The Impact of Website Performance on Online Retail

      By: Santiago Gallino, Nil Karacaoglu and Antonio Moreno
      The share of e-commerce sales is rapidly increasing and so are the associated losses generated by website outages and slow websites. We leverage novel retail and website performance data to investigate the impact of website performance on online sales. This question is...  View Details
      Keywords: Online Retail; Web Sites; Performance; Service Operations
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      Gallino, Santiago, Nil Karacaoglu, and Antonio Moreno. "Why Retailers Should Care about Net Neutrality: The Impact of Website Performance on Online Retail." Working Paper, October 2018.
      • 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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      Herzlinger, Regina E., and Joel Klein. "The IRS Can Save American Health Care: Letting Workers Spend Pretax Dollars on Insurance Would Do a Lot—Without Requiring Congress to Act." Wall Street Journal (online) (July 1, 2018).
      • January 2018 (Revised January 2019)
      • Case

      ZappRx

      By: Jeffrey J. Bussgang and Olivia Hull
      In October 2015, ZappRx founder Zoe Barry is deciding between two business models for her health technology start-up. Her product, a software application that aims to expedite the prescription fulfillment process for patients with rare diseases, has attracted interest...  View Details
      Keywords: Speciality Drugs; Hub Services; Pivot; Speciality Prescriptions; Health care And Treatment; Customization And Personalization; online Technology; Business Model; Decision Choices And Conditions; Pharmaceutical Industry; Massachusetts
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      Bussgang, Jeffrey J., and Olivia Hull. "ZappRx." Harvard Business School Case 818-001, January 2018. (Revised January 2019.)
      • September 2017
      • Article

      It Doesn't Hurt to Ask: Question-asking Increases Liking

      By: K. Huang, M. Yeomans, A.W. Brooks, J. Minson and F. Gino
      Conversation is a fundamental human experience, one that is necessary to pursue intrapersonal and interpersonal goals across myriad contexts, relationships, and modes of communication. In the current research, we isolate the role of an understudied conversational...  View Details
      Keywords: Question-asking; Liking; Responsiveness; Conversation; Natural Language Processing; Interpersonal Communication; Behavior
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      Huang, K., M. Yeomans, A.W. Brooks, J. Minson, and F. Gino. "It Doesn't Hurt to Ask: Question-asking Increases Liking." Journal of Personality and Social Psychology 113, no. 3 (September 2017): 430–452.
      • August 2016
      • Article

      Value-Based Breast Cancer Care: A Multidisciplinary Approach for Defining Patient-Centered Outcomes

      By: Fayanju M. Oluwadamilola, Tinisha L. Mayo, Tracy E. Spinks, Seohyun Lee, Carlos H. Barcenas, Benjamin D. Smith, Sharon H. Giordano, Rosa F. Hwang, Richard A. Ehlers, Jesse C. Selber, Ronald Walters, Debu Tripathy, Kelly K. Hunt, Thomas A. Buchholz, Thomas W. Feeley and Henry M. Kuerer
      Purpose. Value in healthcare—i.e., patient-centered outcomes achieved per healthcare dollar spent—can define quality and unify performance improvement goals with health outcomes of importance to patients across the entire cycle of care. We describe the process...  View Details
      Keywords: Health Disorders; Value; Health care And Treatment; Performance Improvement; Health Industry
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      Oluwadamilola, Fayanju M., Tinisha L. Mayo, Tracy E. Spinks, Seohyun Lee, Carlos H. Barcenas, Benjamin D. Smith, Sharon H. Giordano, Rosa F. Hwang, Richard A. Ehlers, Jesse C. Selber, Ronald Walters, Debu Tripathy, Kelly K. Hunt, Thomas A. Buchholz, Thomas W. Feeley, and Henry M. Kuerer. "Value-Based Breast Cancer Care: A Multidisciplinary Approach for Defining Patient-Centered Outcomes." Annals of Surgical Oncology 23, no. 8 (August 2016). (Published online early, March 15, 2016.)
      • March 2015 (Revised December 2016)
      • Case

      American Well: The DTC Decision

      By: Elie Ofek and Natalie Kindred
      In late 2013, telehealth company American Well, which developed a digital platform that allowed patients to conduct online medical consultations with physicians, is considering pursuing a direct-to-consumer (DTC) strategy. Founded in 2006, American Well had, to date,...  View Details
      Keywords: Health Care; Telehealth; Telemedicine; American Well; Schoenberg; Boston; Israel; Technology; Online Care; Direct-to-consumer; Dtc; Health Insurance; Affordable Care Act; Health Care Reform; Accountable Care Organizations; Strategy; Technology Adoption; Technology Change; Innovation & Entrepreneurship; Marketing; Digital Marketing; Strategy; Competition; Technology; Marketing; Technological Innovation; Technology Adoption; Entrepreneurship; Marketing Strategy; Health Industry; Technology Industry; Boston; Massachusetts; United States; Israel
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      Ofek, Elie, and Natalie Kindred. "American Well: The DTC Decision." Harvard Business School Case 515-032, March 2015. (Revised December 2016.)
      • January 2014 (Revised January 2017)
      • Case

      Nivea (A)

      By: Karim R. Lakhani, Johann Fuller, Volker Bilgram and Greta Friar
      The case describes the efforts of Beiersdorf, a worldwide leader in the cosmetics and skin care industries, to generate and commercialize new R&D through open innovation using external crowds and "netnographic" analysis. Beiersdorf, best known for its consumer brand...  View Details
      Keywords: Innovation; Innovation Management; Crowdsourcing; Research And Development; Big Data; Innovation Strategy; Innovation And Management; Knowledge Management; Knowledge Sharing; Research And Development; Social And Collaborative Networks; Collaborative Innovation And Invention; Beauty And Cosmetics Industry; Consumer Products Industry
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      Lakhani, Karim R., Johann Fuller, Volker Bilgram, and Greta Friar. "Nivea (A)." Harvard Business School Case 614-042, January 2014. (Revised January 2017.)
      • October 14, 2013
      • Article

      Intelligent Redesign of Health Care

      By: Robert S. Kaplan, Thomas W. Feeley, Mary L. Witkowski and Heidi Albright
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      Kaplan, Robert S., Thomas W. Feeley, Mary L. Witkowski, and Heidi Albright. "Intelligent Redesign of Health Care." Leading Health Care Innovation (blog) (October 14, 2013). (New England Journal of Medicine & Harvard Business Review Online Forum.)
      • Article

      How to Design a Bundled Payment around Value

      By: Robert S. Kaplan, Mary L. Witkowski, Larry Higgins, Jon Warner and Michael Sherman
      Citation
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      Kaplan, Robert S., Mary L. Witkowski, Larry Higgins, Jon Warner, and Michael Sherman. "How to Design a Bundled Payment around Value." Leading Health Care Innovation (blog) (October 3, 2013). (New England Journal of Medicine & Harvard Business Review Online Forum.)
      • December 2012
      • Background Note

      Are Daily Deals Good for Merchants?

      By: Sunil Gupta, Timothy Keiningham, Ray Weaver and Luke Williams
      In the relatively short time since Groupon was founded, the response to "daily deals"—services that promote businesses by marketing deeply discounted, pre-paid vouchers to an online subscriber base—has by all accounts been spectacular. Our evaluation of daily deals is...  View Details
      Keywords: Marketing; Technology; Business Strategy; Digital; Marketing Strategy; Web Services Industry
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      Gupta, Sunil, Timothy Keiningham, Ray Weaver, and Luke Williams. "Are Daily Deals Good for Merchants?" Harvard Business School Background Note 513-059, December 2012.
      • September 2011
      • Module Note

      Orientation to Leadership Intelligence Days, 2011

      By: Joshua D. Margolis and Anthony J. Mayo
      Julie Bornstein, senior vice president of Sephora Direct, is seeking to double her budget for social media and other digital marketing initiatives for 2011. A number of digital efforts implemented in the past two years seem to be bearing fruit and there is a desire to...  View Details
      Keywords: Budgets And Budgeting; Borrowing And Debt; Investment Return; Resource Allocation; Marketing Communications; Marketing Strategy; Consumer Behavior; online Technology; Beauty And Cosmetics Industry
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      Margolis, Joshua D., and Anthony J. Mayo. "Orientation to Leadership Intelligence Days, 2011." Harvard Business School Module Note 412-057, September 2011.
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