HMPI

Articles and Issues

April 2024: Volume 9, Issue 1

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Word from the Editor

Medicare Advantage and Hospice Care: My Family’s Difficult Story
Neil S. Fleming, Hankamer School of Business, Baylor University

ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine
Robert Pearl, Stanford University School of Medicine, Stanford Graduate School of Business

A Business-Based Pathway to a Stronger U.S. Healthcare System
Richard M. Levy, Former Chairman and CEO, Varian

Current Common Procedural Terminology (CPT®) Coding Process Challenges: Impact on the HealthTech Innovation Ecosystem
Cheyenne Ariana Erika Modina, Sandra Waugh Ruggles, Juliana Perl, and Josh Makower, Stanford Byers Center for Biodesign, School of Medicine, Stanford University

Regi’s “Innovating in Healthcare” Cases

Pharmacy Benefit Managers and the U.S. Pharmaceutical Market
Rena M. Conti, Questrom School of Business, Boston University; Brigham Frandsen, Brigham Young University, and James B. Rebitzer, Questrom School of Business, Boston University

The Business of Health Care: AI, Elections, and the Economy
Karoline Mortensen, Steven G. Ullmann, and Richard Westlund, University of Miami Herbert Business School

Revitalizing Employee Network and Ensuring Workforce Stability
Angela Botiba, DivineMercy Bakare, and Erika Schlosser, Carlson School of Management, School of Public Health, Medical School, University of Minnesota.

What’s Exciting about Consumer Medical Price Transparency?
Stephen T. Parente, University of Minnesota, Carlson School of Management

A Review on the Role of Prior Authorization in Healthcare and Future Directions for Reform
Austin J. Allen and Markus Saba, UNC Kenan-Flagler Business School

Florida Wants to Import Low-Cost Prescription Drugs from Canada. Will Its Plan Work?
Paul Grootendorst, Leslie Dan Faculty of Pharmacy, University of Toronto

December 2023: Volume 8, Issue 3

December 2023: Volume 8, Issue 3

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Preparing for Future Emergencies: Insights from Costa Rica and the Dominican Republic in Maintaining Essential Health Services During COVID-19

Aging in the Americas: A Multi-Country Discussion
Steven G Ullmann, University of Miami Herbert Business School, and Francisco Palao Reines, Purpose Alliance

Association of Hospital System Affiliation with COVID-19 Capacity Burden
Zachary Levin, Pinar Karaca-Mandic, University of Minnesota, Richard J. Boxer, UCLA, Regina E. Herzlinger, Harvard Business School

Price Variability of Heart Transplant and Ventricular Assist Procedures Across the United States
Ishan Paranjpe, Chen Wei, Stanford University; Pranav Sharma, Drexel University; Roy H. Lan, Stanford University; Maitreyi Sahu, Joseph Dieleman, University of Washington; Kevin Schulman, Alexander Sandhu, Stanford University

Promoting Cultural Inclusivity in Healthcare Artificial Intelligence: A Framework for Ensuring Diversity
Nivisha Parag, Rowen Govender, and Saadiya Bibi Ally, Regent Business School, South Africa

The TEACH Framework for Introducing Faculty, Students, and Other Business School Stakeholders to Diversity Topics: Pronouns as an Exemplar
Kevin D. Frick, Johns Hopkins Carey Business School

September 2023: Special Issue Volume 8, Issue 2

September 2023: Special Issue Volume 8, Issue 2

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Drug Pricing in the United States: Theory and Evidence
Special Issue Editors: Mark V. Pauly, Wharton-UPenn, William S. Comanor, UCLA, and H.E. Frech, III, UCSB

Efficiency, Consumer Welfare, and Market Equilibrium in Private Insurance Coverage of Patented Drugs
H.E. Frech, III, UCSB, Mark V. Pauly, Wharton-UPenn, William S. Comanor, UCLA, and Joseph Martinez, Wharton and Perelman School of Medicine, U-Penn

Drug Pricing Decisions and Insurance Coverage: Evidence from Medicare Part D
Benedic N. Ippolito, American Enterprise Institute, and Joseph F. Levy, Johns Hopkins Bloomberg School of Public Health

Decomposition of Pharmaceutical Manufacturer Discounts into Voluntary and Mandatory Discounts for Glucagon-Like Peptide-1 Receptor Agonists
Inmaculada Hernandez, Nico Gabriel, UCSD; Jingchuan Guo, Univ. of Florida; Aryana Sepassi, UCI; Walid F. Gellad, UPMC; Sean Dickson, West Health Policy Center

A Direct Measure of Medical Innovation on Health Care Spending: A Condition-Specific Approach
Abe Dunn and Lasanthi Fernando, U.S. Department of Commerce, and Eli Liebman, Terry College of Business, University of Georgia 

The Global Distribution of New Drug R&D Cost: Does the Rest of the World Free Ride?
Angela Chen, Wharton-UPenn, William S. Comanor, UCLA, H.E. Frech, III, UCSB, and Mark V. Pauly, Wharton-UPenn

Arbitrage Deterrence: A Theory of International Drug Pricing
Stephen Salant, University of Michigan

June 2023: Volume 8, Issue 1

June 2023: Volume 8, Issue 1

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When His Doctor Was Unavailable, He Saw a Nurse Practitioner. A Physician Billed for the Visit.
Robert M Kaplan, Stanford University School of Medicine, and Barak Richman, Duke University School of Law and Stanford University School of Medicine

Differences in Physician Compensation Associated with Simplifications to the CPT/WRVU System
Kelly H. McFarlane, David Scheinker, Barak D. Richman, Jacqueline J. Vallon, and Kevin A. Schulman, Stanford University School of Medicine

Managing Medical Device Liability through Innovation: A Strategic Approach
Alberto Galasso, University of Toronto, and Hong Luo, Harvard Business School

Emerging Technologies for Remote Monitoring of Elderly Patients
Swati DiDonato, Vittavat Termglinchan, Kevin Schulman, Clinical Excellence Research Center, Stanford University School of Medicine

University of Miami’s Business of Health Care Conference: Managing Through Uncertainty
Karoline Mortensen, Steven G. Ullmann, Richard Westlund, University of Miami

Evaluating the Need for a New Pharmaceutical Company in Africa Based on the Civica Rx Model
Nina Yun and Kola Lawal,, Stanford Graduate School of Business; Kevin Schulman, Stanford University School of Medicine; and Iain Barton, Health4Development

October 2022: Volume 7, Issue 3

October 2022: Volume 7, Issue 3

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Ignorance is Not Bliss: Discordant Beliefs and Preferences for Prices Among Healthcare Consumers in the United States
Austin J. Triana, Lauren A. Hatcher, Stefan Koester, Dawn Iacobucci, Vanderbilt University: Arthur B. Laffer, The Laffer Center; R. Larry Van Horn, Vanderbilt University

Improving Patient Satisfaction by Monitoring Hospital Service Quality
Steven Ullmann and Joseph Johnson, University of Miami; Shaan Khosla, New York University; Jessica Griff and Sedona Webb, University of Miami

Improving Healthcare Productivity by Using Technology Strategically
David Scheinker, Stanford University, and Roger E. Bohn, Stanford University and University of California San Diego

Telehealth’s Role in Preserving Access for Medicare Beneficiaries During and After the Public Health Emergency
Devin Stone, Jennifer Ohn, Luis Arzaluz, and Mara McDermott, McDermott+Consulting

Telehealth Pay Parity: The Current Debate and Insights from Business Research
Özden Engin Çakıcı, American University, and Alex F. Mills, Baruch College

Impact of State Incentives on COVID-19 Vaccination Uptake in the U.S.
Ahmed Sabit, Johns Hopkins University, Sibbir Ahmad, Michigan State University, and Redwan Bin Abdul Baten, University of North Carolina at Charlotte

Rethinking the Rural Hospital: A Rural Health Alliance
Stephanie Dodgen, Joseph Spear, and Cholan Wijekumar, Baylor University, Hankamer School of Business

The Nursing Workforce Shortage – What’s the Solution?
Ernest Grant, American Nurses Association

The Pandemic as a Stimulus for Innovation in Pediatric Cancer Care
Kerstin Lynam, The Pablove Foundation; Howard Smith, University of Washington; Sarah Wolff, University of Nevada; Neill Piland, Idaho State University

May 2022: Volume 7, Issue 2

May 2022: Volume 7, Issue 2

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Expanding the Evidence Base for Precision Healthcare
Joseph B. Franklin, Amy P. Abernethy, Jason Arora, and Brad Hirsch, Verily

Shopping for Healthcare: Can We Be Good Consumers?
Barak Richman, Duke University

Workforce Woes: Tackling Labor and Productivity Challenges in Healthcare
Alan Z. Yang, Kushal T. Kadakia, Harvard Medical School, and Adam M. Licurse, Brigham and Women’s Advanced Primary Care Associates

Commercializing Science: Turning Life Science Discoveries Into Lifesaving Products – Part 1: Overcoming Barriers to Commercialization of Original Research
Kevin Ho, Graduate School of Business, Stanford University

Commercializing Science: Turning Life Science Discoveries Into Lifesaving Products – Part 2: What Makes Life Sciences Innovation Ecosystems Tick
Kevin Ho, Graduate School of Business, Stanford University

Auction Pricing for Medicare Services: Could It Be Applied to Cataract Surgery?
Laszlo Bollyky, Harker School, and Kevin Schulman, Stanford University

The Business of Health Care: Technology and Access
Karoline Mortensen, Steven Ullmann and Richard Westlund, University of Miami Herbert Business School

January 2022: Volume 7, Issue 1

January 2022: Volume 7, Issue 1

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The Need for Accelerated Medicare Coverage of Innovative Technologies: Impact on Patient Access and the Innovation Ecosystem
Sandra Waugh Ruggles, Juliana R. Perl, Zachary Sexton, Kevin Schulman, and Josh Makower, Stanford University

Did the Trump Administration Hurt or Help the ACA? It Helped.
Joseph Antos, American Enterprise Institute

The Trump Administration’s Relentless Attack on Insurance for the Poor
Sara Rosenbaum, George Washington University

Framing & Covid-19 Vaccine Hesitancy: Experimental Evidence from India
Arzi Adbi, National University of Singapore Business School; Chirantan Chatterjee, University of Sussex Business School; and Pranjali Sharma, IIM Ahmedabad

Effective Patient-Centric Engagement in Population Health: Using Marketing Segmentation Methods to Address Patient Non-Adherence
Stacy Wood, North Carolina State; Richard C. Mather & Carolyn Hutyra, Duke University School of Medicine; Kevin A. Schulman, Stanford

Value-Based Procurement Using Total Cost of Ownership: A Step-by-Step Financial Assessment of Orthopaedic-Powered Instrument Procurement
Aazad Abbas, Jin Tong Du, Cari Whyne, William Mitchell, and Jay Toor, University of Toronto

Value in Healthcare and Education: The Potential of Surgical Training Based on Immersive Virtual Reality
Danny P. Goel, Precision OS, and Ryan Lohre, Massachusetts General Hospital

The U.S. Healthcare Ecosystem: Payers, Providers, Producers
Robert Lawton Burns, University of Pennsylvania

December 2021: Volume 6, Issue 2

December 2021: Volume 6, Issue 2

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Building a Better Health Insurance System: How the U.S. Can Benefit from the Experiences of Other Countries
Thomas Rice, UCLA Fielding School of Public Health

How COVID Changed Health Innovation in Mental Health in Low- to Middle-Income Countries: Gaza Strip in the Spotlight
Rola Shaheen, Queen’s University, and Yasser Abu Jamei, Gaza Community Mental Health Programme

Mentoring for Healthcare-Oriented Faculty in Business Schools: An Eye toward Facilitating Success and Increasing Diversity
Kevin D. Frick, Johns Hopkins Carey Business School, and Pinar Karaca Mandic, University of Minnesota, Carlson School of Management

Using Reverse Innovation to Improve Healthcare Management in Response to COVID-19
Liam Ferreira and Forest S. Kim, Robbins Institute of Health Policy, Baylor University

Insights from the 10th Annual Business of Health Care Conference at the University of Miami
Karoline Mortensen, Steven G. Ullmann, and Richard Westlund, University of Miami

January 2021: Volume 6, Issue 1

January 2021: Volume 6, Issue 1

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The Promises and Challenges of Value-Based Care and Bundled Reimbursements in Single-Payer Health Systems
Brian R. Golden and Rosemary Hannam, Rotman School of Management

The Role of Shared Services in Supporting Ontario’s Move to Bundled Care and Value-Based Procurement
Lauren M. Bell and Jiayan (Maggie) Chen, Plexxus

A Narrative Review of Traditional Medicare and Medicare Advantage
Jiayin Xue and Kevin Schulman, Stanford University 

The Long Fix: Solving America’s Healthcare Crisis with Strategies That Work for Everyone
Vivian S. Lee, Verily Life Sciences

Light Under a Bushel: Medical Price Transparency Regulation and Low-Priced Seller Behavior
Mark V. Pauly and Koushal Rao, The Wharton School

Innovations in Technology: Perspectives of Hospital CIOs
Kristan Staudenmayer, Courtenay Stewart, Clare Purvis, and Kevin Schulman, Stanford University

Chicago Hospitals Response to the 1918 Influenza Pandemic: Legitimating Their Identity as Community Institutions
Blair D. Gifford, University of Colorado Denver

Health Care Access, People, and Policy in a COVID World: A Discussion with Healthcare Industry Leaders
Steven G. Ullmann and Richard Westlund, University of Miami Herbert Business School

China COVID-19 Fallout Effects: An Analysis of Emergency Response to Non-COVID Needs
Hoyt Gong and Cecilia Wang, The Wharton School, University of Pennsylvania

June 2020: Volume 5, Issue 2

June 2020: Volume 5, Issue 2

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Well-Being in the Workplace: An Exploratory Study in Latin America
Camelia Ilie-Cardoza, Guillermo Cardoza, Ramiro Casó B, and Andrés Fernández, INCAE Business School

The Emerging Role of PPP Value Chain Integrators in the U.S. Pharmaceutical Ecosystem
Navid Asgari, Fordham University; Will Mitchell, University of Toronto

Speratum: Building a Life Science Startup in Costa Rica
Andrea Prado and Ramiro Casó, INCAE Business School; Benjamin Gallo Marin, Brown University

Assessing the Impact of High-Deductible Health Plans on People with Diabetes
Markus Saba, Kati Schy, and Daniella Kapural, University of North Carolina at Chapel Hill

How U.S. Hospitals Can Overcome Barriers to Automation of Electronic Clinical Quality Measurement (eCQM)
Aaron Baird, Andrew Sumner, and Yusen Xia, Georgia State University

Key Lessons From a Minnesota Multi-Stakeholder Opioid Policy Forum
Pinar Karaca-Mandic, Ralph Hall, Kimberly Choyke, University of Minnesota

December 2019: Special Issue Volume 4, Issue 3

December 2019: Special Issue Volume 4, Issue 3

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Slowing Health Spending Growth and Expanding Coverage: A Bipartisan Solution
Joseph Antos, American Enterprise Institute

Mandate Outcomes Reporting
Robert S. Kaplan and Michael E. Porter, Harvard Business School

Block Grants Can Match National Health Care Goals to Local Differences
Mark V. Pauly, the Wharton School, University of Pennsylvania

A Public Option Can Be a Triple Win for U.S. Healthcare
Regina Herzlinger, Harvard Business School and Richard Boxer, UCLA School of Medicine

A Reformed Individual Market for All: Using Long-Term Health Insurance to Limit Fragmentation
Michael R. Richards and Forest S. Kim, Hankamer School of Business, Baylor University

The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers
R. Lawrence Van Horn, Vanderbilt University;  Arthur Laffer, Laffer Associates; and Robert L. Metcalf, Concert Genetics

Healthcare Finance in America: Fixed and Variable Cost-Based Pricing
Bruce R. Neumann, University of Colorado Denver

A Transparent, Mathematical Model to Evaluate Proposals for Healthcare Reform
Gabriel M. Knight, Northwestern University; Kevin Schulman, Arnold Milstein, Sheridan Rea, Giovanni Malloy, Usman Khaliq, David Scheinker, Stanford University

Are Healthcare Access and Quality Compatible? Insights from Peer Countries
Will Mitchell, Rotman School of Management, University of Toronto

Private and Public Incentives for Hospitals to Improve the Quality and Reduce the Cost of Care
Xiaole Liu, Columbia University; Kevin Schulman and David Scheinker, Stanford University

November 2019: Volume 4, Issue 2

November 2019: Volume 4, Issue 2

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Innovation in the Public Sector: The Costa Rican Primary Healthcare Model
Andrea Prado and Priscilla Rodríguez, INCAE Business School; Alvaro Salas, University of Costa Rica

The Anatomy of a Disruptor
George Stalk, The Boston Consulting Group; Joe Manget, Edgewood Health Network

The Current State of Physician Leadership Training
Indira Laothamatas and David B. Nash, Thomas Jefferson University

Identifying and Solving the Problem of Poor-Quality Drugs
Elizabeth Ndichu, Duke University, and Kevin Schulman, Stanford University

Generic Drugs: The Hidden Safety Value in the Drug Pricing Controversy
Will Mitchell, Rotman School of Management, University of Toronto

May 2019: Volume 4, Issue 1

May 2019: Volume 4, Issue 1

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Diagnostic Coding Intensity for Medicare Advantage versus Fee-for-Service Populations
Stephen T. Parente and Roger Feldman, University of Minnesota

The Business of Healthcare: Common Thoughts by Leaders of Disparate Healthcare Organizations
Steven G. Ullmann, Richard Westlund, Miami Business School

Healthcare Consolidation Does Not Mean the Death of Innovation
Gary S. Kaplan, C. Craig Blackmore, Virginia Mason Health System

A Program to Influence Healthy Behaviors in Low-Income Communities
Aditi Borde, Jacqueline Gerhart, University of North Carolina at Chapel Hill

A Value Proposition for AI-Enabled Population Health Management
Chris DeRienzo, Cardinal Analytx; Michael Barr, NCQA; Nigam Shah, Arnold Milstein, Stanford

Decomposing the Value of Health Insurance
Oluwatobi A. Ogbechie-Godec, Clay P. Wiske, NYU; Kevin A. Schulman, Stanford

October 2018: Volume 3, Issue 2

October 2018: Volume 3, Issue 2

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Pharma Prices Are Not Too High (Usually)
Will Mitchell, University of Toronto, Rotman School of Management

The Supply-Side Effects of Moral Hazard on Drug Prices
Kevin A. Schulman, MD, Stanford University

Value-Based Pricing as a Signal for Drug Innovation
Jennifer Ohn, Anna Kaltenboeck, Memorial Sloan Kettering Cancer Center

High-Cost U.S. Drugs: A Tale of Unhealthy Markets
David Wohlever Sánchez, Jackie Xu, and Qiang Zhang, Duke University

Healthcare Leaders Reflect on the Business of Healthcare Today
Steven G. Ullmann, Richard Westlund, Miami Business School

First Do No Harm: How an OB Emergency Department Can Help Reduce Perinatal Adverse Events
Mark N. Simon, MD, Ob Hospitalist Group

Healthcare – An Industry Unlike Any Other Goes Global
Lilac Nachum, City University New York, Baruch College

CEASE: Community Empowerment to Address the Substance-Use Epidemic
Elisha Friesema, Stephen Palmquist, Prachi Bawaskar, Univ. of Minnesota

A Blueprint for Developing Leadership in Physicians and Non-Physicians
Gregory Shea, University of Pennsylania; Jeffrey Kaplan, IGW; Stephen Klasko, Thomas Jefferson University

Do Providers Offer Medicaid Patients Different Services than Private Patients?
Karoline Mortensen, Univ. of Miami; Tianyan Hu, Merck; Aleeza Vitale, George Washington Univ.; Hanns Kuttner, Hudson Inst.

Limited Public Support for Team-Based Care Models – Survey Results
Rachel A. Hadler, Julia F. Lynch, Julia Berenson, Lee A. Fleisher, University of Pennsylvania

April 2018: Volume 3, Issue 1

April 2018: Volume 3, Issue 1

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Private Physicians with Sovereign Immunity at a Public Hospital: The Impact on Adverse Events
David A. Lubarsky et al., University of Miami Health System, Miller School of Medicine, Jackson Memorial Hospital

Leading Change – A National Survey of Chief Innovation Officers in Health Systems
Sneha Shah, Harvard; Lauren McCourt et al., Russell Reynolds; Kevin Schulman, Harvard and Duke

Healthcare Innovation Education in Schools of Medicine and Healthcare Management: Is There Light at the End of the Tunnel?
Regina E. Herzlinger, Harvard Business School

Value Chain Integration Strategies in Global Health
Raman Sohal, Onil Bhattacharyya, Will Mitchell, University of Toronto

Provider Satisfaction with Telehealth: Exploring Variation Across Structural and Demographic Factors
Sumate Permwonguswa, Assumption University & Errol Biggs et al., University of Colorado

A Case for Marketing in Medicine: Using Consumer Theory to Understand Patient Choice and Improve Patient Care
Stacy Wood, North Carolina State University

Technological Innovations for Aging Populations: What Are the Opportunities for Learning across Low- and High-Income Countries?
Onil Bhattacharyya and Kathryn Mossman, University of Toronto

September 2017: Volume 2, Issue 2

September 2017: Volume 2, Issue 2

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Strategies to Improve Care in the Emergency Department — the De Facto Multispecialty Clinic of the 21st Century
Erika Lynn-Green, Arjun Venkatesh, Howard P. Forman, Yale University

A Vision of the Future: Organization and Delivery of Healthcare in the Digital Age
M. Chris Gibbons & Yahya Shaikh, Johns Hopkins, FTC, Greystone

Disseminating and Diffusing Internal Innovations: Lessons from Large Innovative Healthcare Organizations
Regina Herzlinger, Harvard, & Clay Wiske, NYU

Scenario Planning Tools for Organizations Struggling with Healthcare Reform Uncertainty – The Case of Oscar Health Insurance
Michael Lefferts, Tina Liu, & Jonathan Friedlander, Harvard

How Much Do U.S. Hospitals Spend on Medical Supplies?
Yousef Abdulsalam, Kuwait Univ., Eugene Schneller, Arizona State Univ.

Clear Vision+ Great Culture + Disciplined Strategy = Winning Innovation
Steve Bonner, Harvard; former CEO, Cancer Treatment Centers

Improving the Management Skills of Primary Healthcare Leaders: The “Mid-Level Management Training” Program in Nigeria
Nora Brown; Sandra Dratler; Muhammad Pate; Kristiana Raube; Will Mitchell

Strengthening the Private Health Sector in Africa: The PharmAccess Solution
Sashidaran Moodley, CareMore; Anant Vasudevan, Harvard; Kevin Schulman, Duke

Education, Prevention, Access, and Efficiency: Notes and Insights from a Conference of Health Care System Leaders from the Americas
Steven Ullmann, University of Miami School of Business Administration

May 2017: Volume 2, Issue 1

May 2017: Volume 2, Issue 1

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Diffusion of Global Innovations in Health Care: How to Make It Happen
Regina E. Herzlinger, Harvard Business School, Kevin A. Schulman, Duke University School of Medicine

Using Acquisitions for Successful Growth: Learning from Stryker Corporation
Kevin A. Lobo, CEO, Stryker Corporation, and Will Mitchell, University of Toronto

Innovating in Health Care Delivery
Senator William H. Frist, Sr., MD, Benjamin J. McMichael, and R. Lawrence Van Horn

Innovations in Global Mental Health Practice
Onil Bhattacharyya, MD, and‎ The University of Toronto Health Organization Performance Evaluation (T-HOPE) Team

Transforming Health Outcomes in San Francisco’s Most Vulnerable Neighborhood
Kristiana Raube, Kimberly MacPherson, Jennifer Kiss, and Abbie Yant, Haas School of Business, University of California, Berkeley

Strategies for Dealing with Supply Chain Disruptions
Health Sector Supply Chain Research Consortium (Eugene Schneller, Director), Arizona State University

Consolidated Services Centers Can Improve the Health Care Supply Chain
Health Sector Supply Chain Research Consortium (Eugene Schneller, Director), Arizona State University

Two Secretaries: Lessons and Insights for U.S. Health Care
Steven Ullmann, University of Miami School of Business


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