article thumbnail

Hospital Budget Systems Are Holding Back Innovation

Harvard Business Review

Decentralized departmental budgets, therefore, lead to considerable under-investment in innovative technologies that create benefits across the entire cycle of care. Not all hospital services would need to be incorporated into this more decentralized structure. Heads of the various service lines/IPUs (e.g.,

article thumbnail

An Inside View of How LVMH Makes Luxury More Sustainable

Harvard Business Review

The company is a €36 billion decentralized collection of valuable brands — which they call houses (or maisons ) — covering fashion, wine and spirits, cosmetics, and jewelry. Charles Gibb, Belvedere’s CEO, says it made a strategic choice to invest in this project, even though it had a longer payback period than normal.