The U.S. Health Care System Isn’t Built for Primary Care
Harvard Business Review
SEPTEMBER 28, 2021
Box checking and perverse incentives undermine the patient/physician relationship.
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Harvard Business Review
SEPTEMBER 28, 2021
Box checking and perverse incentives undermine the patient/physician relationship.
Harvard Business Review
JUNE 22, 2018
Will the same happen to health care in the United States? By almost any measure, American health care costs are out of control but the system refuses to change. What if you could provide excellent care at ultra-low prices at a location close to the U.S.? health-care system is striving to get to.”
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Harvard Business Review
MARCH 28, 2018
Consider that in just the first two months of 2018, 24 health care provider organizations reported data breaches affecting over 1,000 patients each, a 60% increase over the same time period last year. Health Care’s New Frontier. How technology is changing the design and delivery of care. Insight Center.
Harvard Business Review
APRIL 2, 2018
We invest billions of dollars each year in medicines, new technologies, doctors, and hospitals—all with the goal of improving health, arguably our most prized commodity. health care system woefully underperform relative to those made in health care in other countries. Yet, investments in the U.S.
Harvard Business Review
DECEMBER 5, 2016
For decades, experts and policy wonks have argued that health care is a uniquely inefficient industry, insulated from conventional market forces that operate in the rest of the economy. Poorly performing hospitals do not feel pressure from patients to improve quality because standard market forces do not apply to health care.
Harvard Business Review
OCTOBER 16, 2015
To move from a reactive posture to a proactive leadership position in driving health care reform, large employers have a lever at their fingertips that they have not often deployed in procuring health care: their purchasing power. Providers and health plans are service suppliers paid by employers. Purchase quality.
Harvard Business Review
OCTOBER 30, 2017
Finally, health care, which has been largely immune to the forces of disruptive innovation , is beginning to change. health care keeps getting costlier. These astronomical costs are largely due to the way competition works in American health care. Transforming Health Care. Insight Center.
Harvard Business Review
NOVEMBER 1, 2017
Transforming Health Care. By collecting several daily measures — including weigh-ins, interactions with the health coach, log-ins, and interactions with the group — Omada can study members’ engagement and personalize the approach to better meet their individual needs. Insight Center. Sponsored by Medtronic.
Harvard Business Review
DECEMBER 23, 2014
They can use their market power (they direct the bulk of health care dollars) and understanding of different consumer segments to create innovative products, services, and partnerships that address consumers’ needs. In the process, they can help move us all toward a low-cost, value-based health care system.
Harvard Business Review
JANUARY 13, 2015
For years, one prescription to health care woes in the United States has been to shift costs to consumers. While patients are paying more and more out of pocket for care, key challenges stand in the way of them operating as effective consumers. Three obstacles. Reconceive the market.
Harvard Business Review
OCTOBER 2, 2015
In the fall of 2014, the HBS-HMS Forum on Health Care Innovation launched the inaugural Health Acceleration Challenge — a “scale up” competition that focuses on compelling solutions to problems in health care delivery that have already been implemented at a small scale and have the potential for wider dissemination.
Deming Institute
FEBRUARY 27, 2017
Here is another of those articles: How Intermountain Trimmed Health Care Costs Through Robust Quality Improvement Efforts by Brent James and Lucy Savitz (2011). Its network of twenty-three hospitals and 160 clinics provides more than half of all health care delivered in the region.
Harvard Business Review
JANUARY 21, 2013
Providing employee health care has become a real challenge for businesses, especially in the United States, where costs keep rising inexorably. The fact that we are self-insured — the company itself pays their health claims, not an outside insurance company — makes us prudent about our costs.
Harvard Business Review
FEBRUARY 24, 2016
For too long, employers have outsourced management of their employees’ health care benefits to those with little incentive to improve value. Engage health systems in change. The HTA “anticipates delivering better health care while reducing costs” through its members’ collective work.
Harvard Business Review
JULY 22, 2014
In health care, the Hippocratic Oath — “first, do no harm” — can hold as much sway in the board room as it does in the exam room. Among health care leadership, it can have the unintended effect of promoting inaction over change and innovation. health care has become akin to a smothered child—stifled and arrested.
Harvard Business Review
FEBRUARY 22, 2011
Editor's note: This post is the first in a three-week series examining innovation in health care, published in partnership with the Advanced Leadership Initiative at Harvard University. Supposedly, everyone working in health care wants the same thing: to help people get and stay healthy.
Marshall Goldsmith
NOVEMBER 24, 2010
These actions, coupled with incentives that elicit new ideas for improving operations can send important positive messages at a time of stress. Merely recognizing employee concerns can help alleviate them. Relatively inexpensive employee counseling can become memorable at times like these. They can foster "ownership" behaviors.
Harvard Business Review
MARCH 9, 2016
Spurred by new payment models and new incentives, health systems are increasing their commitments to innovation in health care delivery. These innovations take the form of small but full-time clinical teams that are commissioned to redesign and deliver care to a particular patient population.
Harvard Business Review
NOVEMBER 6, 2018
health care system. Many have received unpleasant surprises, such as a medical bill they expected to be covered by their health insurance or an unexpectedly expensive bill for a simple service. We used this index to assess how health care literacy affected the performance of nine consumer experience touchpoints.
Harvard Business Review
MARCH 29, 2018
Nearly 800 digital health startups were funded in 2017, an all-time high. health care system. But much of the blame can be attributed to hospitals’ misaligned budgeting and incentive systems. surgery, medicine, oncology), care areas (e.g., Health Care’s New Frontier. Insight Center.
Harvard Business Review
NOVEMBER 22, 2016
About one-third of members are only somewhat to not at all satisfied with their plans’ communications, claims handling operations, and customer support. More than half liked the idea of their insurer providing an online or mobile personal health record.
Harvard Business Review
NOVEMBER 12, 2018
The dilemma for directors, however, is determining what aspects of sustainability, or ESG performance, should have priority — and should be linked to pay incentives. Compensation committees often start by tying bonuses and long-term incentives to goals related to compliance and risk management.
Harvard Business Review
NOVEMBER 5, 2013
health care are Accountable Care Organizations (ACOs) — networks of doctors, hospitals and usually payers banded together to rein in costs by providing higher quality, better coordinated care, with primary care doctors central to the process. Leading Health Care Innovation.
Harvard Business Review
NOVEMBER 13, 2017
Not long ago, many services such as tax accounting were delivered episodically and in-person, as most health care still is today. Health care has proved resistant to a similar transition, although everyone would benefit. The ideas have also been embraced by public policy makers, health plans, and the general public.
Harvard Business Review
MAY 25, 2017
Other firms have ventured down this path, including the conglomerate Wesfarmers , with its 200,000-plus staff, and the global hospital operator Ramsay Health Care. CEO incentives have traditionally been evaluated against objective data — also labelled “hard.”
Harvard Business Review
OCTOBER 16, 2013
It is widely acknowledged that patients and their families should be deeply involved in the design of and decisions about the health care that the former receive — and that it is integral to achieving high quality and patient satisfaction. But delivering such “patient-centered care” has proven challenging.
Harvard Business Review
DECEMBER 18, 2014
It used to be that hospitals and health systems operated as islands, selecting and purchasing medical supplies, devices and medications in isolation, and keeping their operational and leadership practices to themselves. While collaboration is always challenging, the health care benefits are by now clear.
Harvard Business Review
OCTOBER 16, 2017
Leaders in today’s complex health care systems need better processes and systems for aligning day-to-day, clinical-care activities with the strategic goals of their organizations. Transforming Health Care. FTE clinical-care workload. Insight Center. Sponsored by Medtronic.
Harvard Business Review
JULY 27, 2015
companies were making progress on the operations front, but now they seem to have lost their way—and business schools are in a position to help set them right again. Clearly, well-run operations and careful talent management went hand-in-glove. A few decades ago, U.S. Let me explain.
Harvard Business Review
NOVEMBER 29, 2013
A fascinating business dynamic will unfold as health care providers in the United States shift from a reimbursement system that has historically paid for procedures performed to one that rewards population health — providing the total care of a community at a fixed cost and improving its members overall health.
Harvard Business Review
JULY 25, 2017
It may seem that the employers of such low-wage workers — who focus mainly on keeping costs down in order to survive in a relentlessly competitive industry — would have no incentive to provide such training or resources for personal development. India’s biggest garment export firm.
Harvard Business Review
DECEMBER 10, 2015
In today’s health care landscape, consultants often advise independent hospitals to merge with a larger health system. Leading Change in Health Care. Five main factors make our clinical partnerships work: Joint operating committees that meet regularly. With an accountable care organization (ACO).
Harvard Business Review
NOVEMBER 7, 2017
In the health care arena, horizontal mergers seem to have run their course: The proposed mergers of insurers Aetna and Humana, and of Cigna and Anthem, were challenged by the DOJ and withdrawn , as was Walgreens’s proposed acquisition of Rite Aid. All this would benefit their shareholders, but would it also benefit consumers?
Harvard Business Review
OCTOBER 3, 2013
The traditional fee-for-service reimbursement model is widely acknowledged to be a major driver of escalating health care costs. Harvard Pilgrim agreed to join the effort because it recognized that traditional payment models were unlikely to help control rising health care costs. The Motives of the Pilot’s Members.
Harvard Business Review
FEBRUARY 16, 2011
The Enron effect is highly hazardous because it lethally poisons incentives. Incentives shape human behavior — and overcounting benefits and undercounting costs is a surefire way to blunt our incentives to innovate, to take on ambitious goals, and create real value. Let's call it Enronia, for short. Innovation atrophy.
Harvard Business Review
OCTOBER 5, 2018
How would we deliver care to a population overburdened with severe mental illness, food insecurity (the lack of consistent access to enough food to lead an active, healthy life) and early-onset chronic diseases — and do so in locations as disparate as Tennessee and Iowa? The Future of Health Care. Insight Center.
Harvard Business Review
DECEMBER 23, 2015
If the health care industry followed suit, the impact on the quality and cost of care, the patient’s experience, and innovation could be enormous. The impact of open, standardized APIs in health care would be even more significant. Leading Change in Health Care. Insight Center.
Harvard Business Review
JULY 27, 2015
If you’re getting breached, there’s an incentive to talk about it as being an attack as opposed to a mistake. In general, organized criminals are trying to steal things of high value, and one of the most valuable industries, in terms of cost, is health care. Third is the use of encryption.
Harvard Business Review
OCTOBER 29, 2012
These deficiencies are as common in health care and education as they are in manufacturing and retail. Fourteen plants got free, high-quality advice from consultants, who taught them about three management fundamentals: setting targets, establishing incentives, and monitoring performance. You really are above average!
Harvard Business Review
NOVEMBER 17, 2016
companies manage their supply chains with diligence to ensure suppliers meet their standards for quality and affordability, but the vast majority don’t behave in this fashion when purchasing health care services. Here’s how most employers deal with the health care services they offer their employees and their dependents.
Harvard Business Review
DECEMBER 19, 2016
health care system shift from fee for service to value-based approaches that pay providers for quality, they are turning to two models: One is procedure- and DRG-based bundled payments that pay one price for all the care related to treating a condition. Innovating for Value in Health Care. Insight Center.
Harvard Business Review
JULY 6, 2017
The EU’s case asserts, among other things, that Google unfairly exploits its dominance in search engines and smartphone operating systems to restrict competition in shopping services, ad placement services, and smartphone app store markets. Google has appealed and is now preparing its defense.
Harvard Business Review
OCTOBER 10, 2017
Americans are both undertreated and overtreated in a health care system that wastes up to $1 trillion a year and delivers profoundly uneven quality: Current estimates indicate that preventable medical errors are the third leading cause of death in the United States. Information technology has come late to health care delivery.
Harvard Business Review
OCTOBER 15, 2013
Its services will include tertiary care procedures, such as open-heart surgery, angioplasty, knee or hip replacement, and neurosurgery for about 40% of U.S. At a time when health care costs in the United States threaten to bankrupt the federal government, U.S. Today, the U.S.
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