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3.8 Health Insurance - MBA
3. Financial Obligations 3.8 Health Insurance Welcome to HBS Being a Student at HBS 1. Academic Information & Policies 2. Integrity & Standards of Conduct 3. Financial Obligations 3.1 Student Accounts 3.2...
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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...
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Keywords:
Health Care and Treatment;
Insurance;
Governing Rules, Regulations, and Reforms;
Organizational Change and Adaptation;
Health Industry;
Health Industry;
United States
Gallani, Susanna, Mary Witkowski, and Harry B. Wolberg. "U.S. Commercial Health Insurance Industry." Harvard Business School Technical Note 119-064, January 2019. (Revised June 2019.)
- November 2013
- Case
Choosing Health Insurance Coverage under the Affordable Care Act (ACA)
By: Robert C. Pozen, Katherine Brooks and Iwan Djanali
- July 2018
- Article
Reimagining Health Data Exchange: An Application Programming Interface-Enabled Roadmap for India
By: Satchit Balsari, Alexander Fortenko MD, MPH, Joaquin A. Blaya PhD, Adrian Gropper MD, Malavika Jayaram LLM, Rahul Matthan LLM, Ram Sahasranam, Mark Shankar MD, Suptendra N. Sarbadhikari PhD, Barbara Bierer, Kenneth D. Mandl MD, Sanjay Mehendale MD, MPH and Tarun Khanna
In February 2018, the Government of India announced a massive public health insurance scheme extending coverage to 500 million citizens, in effect making it the world’s largest insurance program. To meet this target, the government will rely on technology to...
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Keywords:
Health Information Exchange;
India;
Health APIs;
Health Care and Treatment;
Information;
Analytics and Data Science;
Information Technology;
Health Industry;
India
Balsari, Satchit, Alexander Fortenko MD, MPH, Joaquin A. Blaya PhD, Adrian Gropper MD, Malavika Jayaram LLM, Rahul Matthan LLM, Ram Sahasranam, Mark Shankar MD, Suptendra N. Sarbadhikari PhD, Barbara Bierer, Kenneth D. Mandl MD, Sanjay Mehendale MD, MPH, and Tarun Khanna. "Reimagining Health Data Exchange: An Application Programming Interface-Enabled Roadmap for India." Journal of Medical Internet Research 20, no. 7 (July 2018).
- November 2013
- Teaching Note
Choosing Health Insurance Coverage under the Affordable Care Act (ACA)
By: Robert C. Pozen, Katherine Brooks and Iwan Djanali
- August 2017
- Case
CareMore Health System
By: Robert S. Huckman and Brian W. Powers
CareMore Health System—a physician-founded care delivery system and health plan—had developed and refined an innovative care model for at-risk seniors enrolled in Medicare managed care (i.e., Medicare Advantage) plans. CareMore's President, Sachin Jain, and his...
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Keywords:
Health Care Delivery;
Health Insurance;
Medicare;
Medicaid;
Managed Care;
Extensivist;
Social Determinants Of Health;
Health Care and Treatment;
Insurance;
Business Model;
Growth and Development Strategy;
Decision Choices and Conditions;
Health Industry;
United States
Huckman, Robert S., and Brian W. Powers. "CareMore Health System." Harvard Business School Case 618-008, August 2017.
- October 2014
- Article
Are Health Insurance Markets Competitive?
By: Leemore S. Dafny
Dafny, Leemore S. "Are Health Insurance Markets Competitive?" American Economic Review 100, no. 4 (September 2010): 1399–1431.
- August 2017
- Supplement
CareMore Health System (B)
By: Robert S. Huckman and Brian W. Powers
This supplement to “CareMore Health System (A)” discusses the company's early experience introducing its managed Medicaid model in the Des Moines, Iowa, market. It also provides an update on the Memphis program discussed in the (A) case.
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Keywords:
Health Care Delivery;
Health Insurance;
Medicare;
Medicaid;
Managed Care;
Extensivist;
Social Determinants Of Health;
Health Care and Treatment;
Insurance;
Business Model;
Growth and Development Strategy;
Health Industry;
United States
Huckman, Robert S., and Brian W. Powers. "CareMore Health System (B)." Harvard Business School Supplement 618-009, August 2017.
- February 2016 (Revised May 2016)
- Case
Employee Health
By: John A. Quelch and Emily C. Boudreau
Keywords:
Health Care;
Empoylee Wellness Programs;
Health Insurance;
Mental Health;
Corporate Culture;
Employee Compensation;
Health;
Corporate Strategy;
Europe;
Asia;
North America
Quelch, John A., and Emily C. Boudreau. "Employee Health." Harvard Business School Case 516-074, February 2016. (Revised May 2016.)
- 17 Sep 2020
- Research & Ideas
Many Small-Business Employees May Be Close to Losing Health Insurance
A health insurance crisis may be looming for employees of small businesses, with many firms struggling to cover their share of these costs, new research from Harvard Business School finds. Nearly one-third of employers surveyed weren’t sure they could pay premiums...
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- June 15, 2021
- Article
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
President Joe Biden’s promise to give every American access to affordable health insurance is well-intentioned, but his plan’s policy elements—a public option, a permanent expanded tax credit—require congressional approval and would expend significant political and...
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Keywords:
Health Insurance;
Health Insurance Marketplaces;
Health Care Delivery;
Health Care Financing;
Health Care Industry;
Health Care and Treatment;
Insurance;
Service Delivery;
Cost Management;
Health Industry;
United States
Herzlinger, Regina E., and Barak D. Richman. "Cutting the Gordian Knot of Employee Health Care Benefits and Costs: A Corporate Model Built on Employee Choice." Health Affairs Blog (June 15, 2021).
- June 24, 2016
- Article
Health Insurance Mergers Put Consumers Last
By: John A. Quelch
Quelch, John A. "Health Insurance Mergers Put Consumers Last." The Hill (June 24, 2016). (Opinion.)
- 10 Jan 2009
- News
Health Insurance CEOs Get Big Raises
- Blog Post
Health Care Transparency: The Fox Is Guarding the Chicken Coop in Washington Again
Now that more people can shop directly for their own health insurance under the Affordable Care Act, they have been transformed from potential patients to consumers, and like any other consumers of goods or services, they want to know if what they're buying is any... View Details
Herzlinger, Regina E. "Health Care Transparency: The Fox Is Guarding the Chicken Coop in Washington Again." Huffington Post, The Blog (March 24, 2014). http://www.huffingtonpost.com/regina-e-herzlinger/health-care-transparency_b_5022531.html.
- 26 May 2020
- News
The Five Deadly Sins Of Private Health Insurance
- 28 Mar 2014
- News
Start-Up Aims to Reinvent Health Insurance
- February 2013
- Article
Let them Have Choice: Gains from Shifting Away from Employer-Sponsored Health Insurance and Toward an Individual Exchange
By: Leemore S. Dafny, Katherine Ho and Mauricio Varela
Dafny, Leemore S., Katherine Ho, and Mauricio Varela. "Let them Have Choice: Gains from Shifting Away from Employer-Sponsored Health Insurance and Toward an Individual Exchange." American Economic Journal: Economic Policy 5, no. 1 (February 2013): 32–58.
- 09 Jul 2009
- News