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      • Faculty Publications  (1,131)

      Value-based Health Care Remove Value-based Health Care →

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      Value Based Health Care Delivery
      Value-based Health Care: Lessons for the Anesthesiologist
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      • February 2021
      • Case

      Marvin: A Personalized Telehealth Approach to Mental Health

      By: Regina E. Herzlinger
      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
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      Herzlinger, Regina E. "Marvin: A Personalized Telehealth Approach to Mental Health." Harvard Business School Case 321-127, February 2021.
      • February 2021
      • Case

      Brainlab: Imaging A MedTech Future

      By: Regina E. Herzlinger, Gregory P. Licholai and Federica Gabrieli
      Can Brainlab, a privately held firm, compete with giants like Medtronic and Amazon in delivering the Digital Operating Room of the future? The CEO is pondering solutions for secure exchange of medical information, pricing a new robotic imaging device, and reorganizing...  View Details
      Keywords: Acquisition; Surgery; Robotics; Business Growth And Maturation; Growth And Development Strategy; Business Strategy; Corporate Strategy; Corporate Entrepreneurship; health; Health Care; Health Care And Treatment; Innovation And Invention; Innovation And Management; Technological Innovation; Innovation And Strategy; Private Healthcare; Software; Hardware; Information Technology; Technology Platform; Europe; Germany; Acquisition; Business Growth And Maturation; Growth And Development; Business Strategy; Corporate Strategy; Corporate Entrepreneurship; health care And Treatment; health; Innovation And Invention; Innovation And Management; Innovation Strategy; Technological Innovation; Software; Hardware; Information Technology; health Industry; Europe; Germany; Munich
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      Herzlinger, Regina E., Gregory P. Licholai, and Federica Gabrieli. "Brainlab: Imaging A MedTech Future." Harvard Business School Case 321-087, February 2021.
      • February 2021
      • Case

      New England Baptist Hospital: Getting Paid for Value

      By: Robert S. Kaplan, Mary Witkowski, Toby E. Emanuel and Syed S. Shehab
      Keywords: Healthcare; Healthcare Spending; Healthcare Innovation; Healthcare Industry; Health Care Outcomes; Health Care Delivery; Health Care Reform; health care And Treatment; Strategy; health Industry; North America
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      Kaplan, Robert S., Mary Witkowski, Toby E. Emanuel, and Syed S. Shehab. "New England Baptist Hospital: Getting Paid for Value." Harvard Business School Case 121-036, February 2021.
      • 2021
      • Working Paper

      Do Policies to Increase Access to Treatment for Opioid Use Disorder Work?

      By: Leemore S. Dafny, Eric Barrette and Karen Shen
      As of 2016 there were an estimated 2.1 million Americans suffering from opioid use disorder (OUD). To date, most policy interventions have focused on curbing opioid prescriptions and extending insurance coverage to include substance use disorder. However, relatively...  View Details
      Keywords: Opioid Treatment; Medication-assisted Treatment; Substance Use Disorder; Private Insurance; health care And Treatment; health Disorders; United States
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      Dafny, Leemore S., Eric Barrette, and Karen Shen. "Do Policies to Increase Access to Treatment for Opioid Use Disorder Work?" Working Paper, February 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.
      • February 2021
      • Article

      Health Care Measurements That Improve Patient Outcomes

      By: Robert S. Kaplan, Lara Jehi, Clifford Y. Ko, Andrea Pusic and Mary Witkowski
      This article describes the challenges and solutions in determining whether a patient’s treatment has been successful. Such an assessment depends on multiple factors, including the patient’s pretreatment status; the qualifications of personnel performing the treatment;...  View Details
      Keywords: Outcomes Measurement; health care And Treatment; Outcome Or Result; Measurement And Metrics
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      Kaplan, Robert S., Lara Jehi, Clifford Y. Ko, Andrea Pusic, and Mary Witkowski. "Health Care Measurements That Improve Patient Outcomes." NEJM Catalyst Innovations in Care Delivery 2, no. 2 (February 2021).
      • 2021
      • Working Paper

      The Health Costs of Cost-Sharing

      By: Amitabh Chandra, Evan Flack and Ziad Obermeyer
      We use the design of Medicare’s prescription drug benefit program to demonstrate three facts about the health consequences of cost-sharing. First, we show that an as-if-random increase of 33.6% in out-of-pocket price (11.0 percentage points (p.p.) change in...  View Details
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      Chandra, Amitabh, Evan Flack, and Ziad Obermeyer. "The Health Costs of Cost-Sharing." NBER Working Paper Series, No. 28439, February 2021.
      • January 28, 2021
      • Other Article

      Lessons from the U.S.'s Rocky Vaccine Rollout

      By: Robert S. Huckman and Bradley R. Staats
      The rocky rollout of the COVID-19 vaccines is emblematic of many of the problems with the U.S. health care system. The United States is blessed with highly trained, excellent, and compassionate care providers and terrific research and development that has led to novel...  View Details
      Keywords: Health Care; Covid-19; Vaccines; Operations Improvement; health Pandemics; health care And Treatment; Service Delivery; Operations; Performance Improvement; health; health Industry; United States
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      Huckman, Robert S., and Bradley R. Staats. "Lessons from the U.S.'s Rocky Vaccine Rollout." Harvard Business Review Digital Articles (January 28, 2021).
      • January 2021
      • Case

      Value-Based Insurance Design at Onex

      By: Joshua Schwartzstein, Amitabh Chandra and Amram Migdal
      The operating executives of Health and Benefits for Onex Partners, Megan Jackson Frye and Sam Camens, faced a challenge: Healthcare costs for employees of Onex’s portfolio companies were continuing to rise above the consumer price index, reflecting broader trends...  View Details
      Keywords: Decision Making; Cost Vs Benefits; Decision Choices And Conditions; Decisions; Finance; Behavioral Finance; Insurance; health; health care And Treatment; Human Resources; Compensation And Benefits; Markets; Demand And Consumers; Consumer Behavior; Social Psychology; Behavior; Interests; Motivation And Incentives; Perception; health Industry; Insurance Industry; North America; United States
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      Schwartzstein, Joshua, Amitabh Chandra, and Amram Migdal. "Value-Based Insurance Design at Onex." Harvard Business School Case 921-023, January 2021.
      • January 2021
      • Case

      Hester Pharmaceuticals (A): A Pricing Dilemma

      By: Dante Roscini and John Masko
      In August 2019, the leadership of Hester Pharmaceuticals (Hester) had a problem. Italy promised to be a key market for their new breakthrough oncology drug Akrozumab, but for almost two years, its single-payer healthcare system had been unable to agree with Hester on a...  View Details
      Keywords: Macroeconomics; Trade; Price; Global Range; Global Strategy; Globalized Markets And Industries; health care And Treatment; Patents; Monopoly; Negotiation; Business And Government Relations; Risk And Uncertainty; Human Needs; Business Strategy; Commercialization; Pharmaceutical Industry; Italy
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      Roscini, Dante, and John Masko. "Hester Pharmaceuticals (A): A Pricing Dilemma." Harvard Business School Case 721-001, January 2021.
      • January 2021
      • Case

      Serum Institute of India (SII) : Racing to Save Lives During a Pandemic

      By: Rohit Deshpandé, Anjali Raina and Rachna Chawla
      The CEO of Serum Institute of India (SII), a $12.8 billion Indian Family business is faced with a risky choice between principles and profit. SII is the largest manufacturer of vaccines in the world and Adar Poonawalla, the CEO and son of the founder has to decide how...  View Details
      Keywords: Business Ethics; Healthcare; Covid-19; Vaccines; Family Business; Ethics; health care And Treatment; health Pandemics; Leadership; Corporate Accountability; Fairness; Growth And Development Strategy; health Industry; India; South Asia
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      Deshpandé, Rohit, Anjali Raina, and Rachna Chawla. "Serum Institute of India (SII) : Racing to Save Lives During a Pandemic." Harvard Business School Case 521-028, January 2021.
      • January–February 2021
      • Article

      Food and Drug Administration Guidance Documents and New Medical Devices: The Case of Breast Prostheses

      By: Rachel E. Weitzman, Ariel Dora Stern and Daniel B. Kramer
      As pressure mounts on the Food and Drug Administration (FDA) to speed its review process for novel devices, and budgetary pressures further strain its resources, the critical role of guidance documents in assuring consistent, rigorous, and scientifically grounded...  View Details
      Keywords: Medical Devices; Fda; health care And Treatment; Government Administration; Information; Standards
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      Weitzman, Rachel E., Ariel Dora Stern, and Daniel B. Kramer. "Food and Drug Administration Guidance Documents and New Medical Devices: The Case of Breast Prostheses." American Journal of Therapeutics 28, no. 1 (January–February 2021).
      • January 2021
      • Article

      COVID-19 Hasn't Been a Tipping Point for Value-Based Care, but It Should Be

      By: Thomas W. Feeley
      Four out of five health care provider organizations are suffering ongoing losses as a result of the COVID-19 pandemic, according to the recent NEJM Catalyst Insights Council survey on value-based payment and care. Yet Council members, who are still largely entrenched...  View Details
      Keywords: Value-based Health Care; health Pandemics; health care And Treatment; Cost
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      Feeley, Thomas W. "COVID-19 Hasn't Been a Tipping Point for Value-Based Care, but It Should Be." NEJM Catalyst Innovations in Care Delivery 2, no. 1 (January 2021).
      • Article

      Resilience vs. Vulnerability: Psychological Safety and Reporting of Near Misses with Varying Proximity to Harm in Radiation Oncology

      By: Olivia Jung, Palak Kundu, Amy C. Edmondson, John Hegde, Nzhde Agazaryan, Michael Steinberg and Ann Raldow
      Background
      Psychological safety, a shared belief that interpersonal risk taking is safe, is an important determinant of incident reporting. However, how psychological safety affects near-miss reporting is unclear, as near misses contain contrasting cues that...  View Details
      Keywords: Psychological Safety; Near-miss Reporting; health care And Treatment; Safety
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      Jung, Olivia, Palak Kundu, Amy C. Edmondson, John Hegde, Nzhde Agazaryan, Michael Steinberg, and Ann Raldow. "Resilience vs. Vulnerability: Psychological Safety and Reporting of Near Misses with Varying Proximity to Harm in Radiation Oncology." Joint Commission Journal on Quality and Patient Safety 47, no. 1 (January 2021): 15–22.
      • December 2020 (Revised February 2021)
      • Case

      IBM Watson at MD Anderson Cancer Center

      By: Shane Greenstein, Mel Martin and Sarkis Agaian
      After discovering that their cancer diagnostic tool, designed to leverage the cloud computing power of IBM Watson, needed greater integration into the clinical processes at the MD Anderson Cancer Center, the development team had difficult choices to make. The Oncology...  View Details
      Keywords: Decision Making; Innovation Strategy; Knowledge Management; Knowledge Use And Leverage; Operations; Failure; Technology; Information Technology; Software; health care And Treatment; Product Development; health Industry; Information Technology Industry; Technology Industry; United States; Houston; Texas
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      Greenstein, Shane, Mel Martin, and Sarkis Agaian. "IBM Watson at MD Anderson Cancer Center." Harvard Business School Case 621-022, December 2020. (Revised February 2021.)
      • 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).
      • December 2020 (Revised January 2021)
      • Case

      Arcos Dorados: A QSR Recovery Plan

      By: Forest Reinhardt, Jose B. Alvarez, Jenyfeer Martinez Buitrago and Mariana Cal
      Arcos Dorados—McDonald’s largest independent franchisee, covering Latin America and the Caribbean (LAC)—faced a pandemic that was disrupting the entire consumer foodservice business in 2020. With the exclusive right to own, operate, and sub-franchise McDonald’s...  View Details
      Keywords: Agribusiness; Animal-based Agribusiness; Plant-based Agribusiness; Customer value And value Chain; Income; Macroeconomics; Environmental Management; Environmental Sustainability; Cross-cultural And Cross-border Issues; Food; health Pandemics; Crisis Management; Logistics; Corporate Social Responsibility And Impact; Strategic Planning; Food And Beverage Industry; Agriculture And Agribusiness Industry; Retail Industry; Latin America; Aruba; Guadeloupe; Martinique; Mexico; Panama; Costa Rica; Argentina; Brazil; Chile; Colombia; Ecuador; French Guiana; Peru; Uruguay; Venezuela; Puerto Rico; Trinidad And Tobago
      Citation
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      Reinhardt, Forest, Jose B. Alvarez, Jenyfeer Martinez Buitrago, and Mariana Cal. "Arcos Dorados: A QSR Recovery Plan." Harvard Business School Case 721-023, December 2020. (Revised January 2021.)
      • Article

      Value of New Performance Information in Healthcare: Evidence from Japan

      By: Susanna Gallani, Takehisa Kajiwara and Ranjani Krishnan
      Mandatory measurement and disclosure of outcome measures are commonly used policy tools in healthcare. The effectiveness of such disclosures relies on the extent to which the new information produced by the mandatory system is internalized by the healthcare...  View Details
      Keywords: Value Of Information; Feedback; Patient Satisfaction; Healthcare; health care And Treatment; Satisfaction; Information; Measurement And Metrics; Performance Improvement
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      Gallani, Susanna, Takehisa Kajiwara, and Ranjani Krishnan. "Value of New Performance Information in Healthcare: Evidence from Japan." International Journal of Health Economics and Management 20, no. 4 (December 2020): 319–357.
      • 2020
      • Working Paper

      Vertical Integration of Healthcare Providers Increases Self-Referrals and Can Reduce Downstream Competition: The Case of Hospital-Owned Skilled Nursing Facilities

      By: David Cutler, Leemore S. Dafny, David Grabowski, Steven S. Lee and Christopher Ody
      The landscape of the U.S. healthcare industry is changing dramatically as healthcare providers expand both within and across markets. While federal antitrust agencies have mounted several challenges to same-market combinations, they have not challenged any...  View Details
      Keywords: Antitrust; health care And Treatment; Vertical Integration; Organizational Structure; Competition; health Industry; United States
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      Cutler, David, Leemore S. Dafny, David Grabowski, Steven S. Lee, and Christopher Ody. "Vertical Integration of Healthcare Providers Increases Self-Referrals and Can Reduce Downstream Competition: The Case of Hospital-Owned Skilled Nursing Facilities." NBER Working Paper Series, No. 28305, December 2020.
      • 2020
      • Working Paper

      The Market for Healthcare in Low Income Countries

      By: Reshmaan Hussam, Abhijit Banerjee, Jishnu Das, Jeffrey Hammer and Aakash Mohpal
      New research clearly identifies trust as an important driver of the demand for healthcare. However, doctors who realize that patients may not trust them may also alter their behavior in response. We assemble a large dataset that assesses clinical performance using...  View Details
      Keywords: health care And Treatment; Quality; Developing Countries And Economies; Trust
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      Hussam, Reshmaan, Abhijit Banerjee, Jishnu Das, Jeffrey Hammer, and Aakash Mohpal. "The Market for Healthcare in Low Income Countries." Working Paper, December 2020.
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