{"id":"https://openalex.org/W182780245","doi":null,"title":"Let's put consumers in charge of health care.","display_name":"Let's put consumers in charge of health care.","publication_year":2002,"publication_date":"2002-07-01","ids":{"openalex":"https://openalex.org/W182780245","mag":"182780245","pmid":"https://pubmed.ncbi.nlm.nih.gov/12140854"},"language":"en","primary_location":{"id":"pmid:12140854","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12140854","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Harvard business review","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076663975","display_name":"Regina E. Herzlinger","orcid":"https://orcid.org/0000-0001-9948-8023","observed_orcids":["https://orcid.org/0000-0001-9948-8023"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Regina E Herzlinger","raw_affiliation_strings":["Harvard Business School, Boston, USA. rherzlinger@hbs.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Business School, Boston, USA. rherzlinger@hbs.edu","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5076663975"],"corresponding_institution_ids":["https://openalex.org/I136199984"],"apc_list":null,"apc_paid":null,"fwci":9.692,"has_fulltext":false,"cited_by_count":89,"citation_normalized_percentile":{"value":0.97331087,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"80","issue":"7","first_page":"44","last_page":"50, 52"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.006399999838322401,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14130","display_name":"Healthcare, Law, Governance, and Management Studies","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/consumer-driven-health-care","display_name":"consumer-driven health care","score":0.9919999837875366},{"id":"https://openalex.org/keywords/employer-sponsored-health-benefits","display_name":"employer-sponsored health benefits","score":0.7680000066757202},{"id":"https://openalex.org/keywords/health-insurance-premiums","display_name":"health insurance premiums","score":0.5580000281333923},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.7129999995231628},{"id":"https://openalex.org/keywords/employee-incentives","display_name":"employee incentives","score":0.5609999895095825},{"id":"https://openalex.org/keywords/health-plan-choice","display_name":"health insurance choice","score":0.5509999990463257},{"id":"https://openalex.org/keywords/value-based-payment","display_name":"value-based payment","score":0.6899999976158142},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.4880000054836273},{"id":"https://openalex.org/keywords/healthcare-productivity","display_name":"health care productivity","score":0.4320000112056732},{"id":"https://openalex.org/keywords/consumer-information","display_name":"consumer information","score":0.44699999690055847}],"concepts":[{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6822630763053894},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.6393402814865112},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6158121228218079},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5804082155227661},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.5008213520050049},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.4627305269241333},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.45662084221839905},{"id":"https://openalex.org/C204983608","wikidata":"https://www.wikidata.org/wiki/Q2111958","display_name":"Productivity","level":2,"score":0.4542454183101654},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4527367651462555},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.4271981120109558},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.24606510996818542},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.23320358991622925},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.1643909215927124},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003258","descriptor_name":"Consumer Behavior","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003299","descriptor_name":"Cooperative Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006264","descriptor_name":"Health Benefit Plans, Employee","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006264","descriptor_name":"Health Benefit Plans, Employee","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007221","descriptor_name":"Industry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:12140854","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12140854","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Harvard business review","raw_type":"Journal Article"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/1009107","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10822/1009107","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:248181","raw_type":null},{"id":"mag:182780245","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12140854","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.6452000141143799,"id":"https://metadata.un.org/sdg/8","display_name":"Decent work and economic growth"},{"score":0.5683000087738037,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2991754811","https://openalex.org/W2050498562","https://openalex.org/W1484766988","https://openalex.org/W51200253","https://openalex.org/W57581297","https://openalex.org/W2463627265","https://openalex.org/W2270478561","https://openalex.org/W2412657747","https://openalex.org/W2436220734","https://openalex.org/W2405474068"],"abstract_inverted_index":{"Businesses":[0],"spend":[1],"billions":[2],"on":[3,184],"health":[4,43,66,99,132,138,145,195,246],"insurance.":[5],"And":[6],"what":[7],"do":[8],"they":[9,27,56,220],"get":[10,57],"for":[11,180,227],"their":[12,32,39,144,175,212,214,217,228],"money?":[13],"A":[14],"lot":[15],"of":[16,24,31,98,113,160,194],"unhappy":[17],"employees.":[18],"Workers":[19],"fret":[20],"about":[21,211],"the":[22,25,29,36,65,78,111,129,169,224,240,245],"quality":[23],"care":[26,44,67,108,133,139,196,247],"receive,":[28],"burden":[30],"out-of-pocket":[33],"expenses,":[34],"and":[35,55,77,107,120,186,216,219,250],"gaps":[37],"in":[38,122,147,192],"coverage.":[40],"For":[41],"businesses,":[42],"has":[45,69],"become":[46],"a":[47,81,95,157,200],"lose-lose":[48],"proposition:":[49],"They":[50],"pay":[51],"way":[52,58,242],"too":[53,59],"much,":[54],"little.":[60],"The":[61],"problem":[62],"is":[63],"that":[64,101,117,141,166,231,235],"industry":[68],"been":[70],"shielded":[71],"from":[72],"consumer":[73,123,237],"pressure--by":[74],"employers,":[75],"insurers,":[76],"government.":[79],"As":[80],"result,":[82],"costs":[83,106],"have":[84,89],"exploded":[85],"even":[86],"as":[87],"choices":[88],"narrowed.":[90],"But":[91,203],"if":[92],"companies":[93,142],"embrace":[94],"new":[96],"model":[97],"coverage--one":[100],"places":[102],"control":[103],"over":[104],"both":[105],"directly":[109],"into":[110],"hands":[112],"employees--the":[114],"competitive":[115],"forces":[116],"spur":[118],"productivity":[119,249],"innovation":[121],"markets":[124,238],"can":[125],"be":[126],"loosed":[127],"upon":[128],"inefficient,":[130],"tradition-bound":[131],"system.":[134],"Moving":[135],"to":[136,153,208,222,243],"consumer-driven":[137],"requires":[140],"revamp":[143],"benefits":[146],"six":[148],"ways:":[149],"Give":[150],"employees":[151,164],"incentives":[152],"shop":[154],"intelligently;":[155],"offer":[156],"real":[158],"choice":[159],"insurance":[161],"plans;":[162],"charge":[163,193],"prices":[165],"accurately":[167],"reflect":[168],"company's":[170],"costs;":[171],"let":[172],"providers":[173],"set":[174],"own":[176],"prices;":[177],"adjust":[178],"payments":[179],"each":[181],"enrollee":[182],"based":[183],"need;":[185],"provide":[187],"relevant":[188],"information.":[189],"Putting":[190],"consumers":[191],"may":[197],"seem":[198],"like":[199],"radical":[201],"approach.":[202],"individuals":[204],"are":[205],"highly":[206],"motivated":[207],"educate":[209],"themselves":[210],"health,":[213],"insurance,":[215],"care,":[218],"want":[221],"seek":[223],"most":[225],"value":[226],"money.":[229],"Promoting":[230],"economic":[232],"dynamic--the":[233],"same":[234],"fuels":[236],"everywhere--is":[239],"best":[241],"enhance":[244],"industry's":[248],"quality.":[251]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":15},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
