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ICEIM Conference, Durban, SA 2014 - Sudeep Krishnan, IIM Ahmedabad
- 1. Thesis Advisory Committee Prof. Rekha Jain (Chairperson) Prof. Kavitha Ranganathan Prof. Rakesh Basant Dr. Sudeep K. Krishnan Open and Collaborative Innovation in US Healthcare: The Case of Health Insurance Exchange (HIX)
- 2. Roadmap INTRODUCTION – Literature Review and Gap Analysis US HEALTHCARE AND HEALTH INSURANCE OPEN INNOVATION RESEARCH OBJECTIVES & METHODOLOGY CASE STUDY – HEALTH INSURANCE EXCHANGE IMPLICATIONS AND FUTURE RESEARCH NETWORK AND COLLABORATION ANALYSIS
- 3. Introduction to Open Innovation Traditional/Closed Model – Emphasis on organizational control for success of innovations Competitive advantage by funding large projects Open Innovation – A paradigm that assumes firms should use internal as well as external ideas and paths to commercialize their technology Chesbrough (2003) Current Research on Open Innovation Studies limited to conceptual foundation development based on limited empirical evidence Current studies look at principles, individual drivers, and benefits of open innovation Measures of Openness – Extent of Usage of External Sources Partner characteristics (Type and number) Phase openness Intensity of collaboration
- 4. Context of Open Innovation Required Conditions There exists co-operation between firms and other agents in the network The objective of co-operation is creation, adoption or development of something new to the organization that essentially involves a market. Open innovation refers to actual partnerships and is not limited to cooperation (for longer periods normally, shorter periods may also exist). There is a permanent or quasi-permanent investment in the relationship by all partners. Current study analyzes degree of openness and understands operationalization aspects of open innovation principles in US Healthcare Sector Partnership as need of new reforms
- 5. Introduction to US Healthcare and Major Players HealthCare reforms in US Reduction of Cost and Quality of Care Obamacare – Affordable Care Act Major Players 5
- 6. Research Questions & Methodology What is open innovation in the US Healthcare Context and how open innovation principles differ from the traditional models of innovation? How open innovation principles are operationalized in Healthcare projects? How does partner selection and opening up of organization boundaries happen in such contexts? Case Analysis of Health Insurance Exchange (HIX)
- 7. HIX - Introduction HIX helps citizens compare health insurance plans online, select a plan, apply for subsidies intended to make health insurance more affordable, and receive verification of enrolment in a plan. Requirements Handle the needs of two distinct marketplaces—individuals and small employers (businesses) Provide assistance to purchasers Facilitate applications for the premium tax credits and cost-sharing subsidies offered under the ACA Provide individuals with access to other health benefit programs (such as Medicaid) through a “no wrong door” approach to coverage Certify that health plans meet benefit standards
- 8. Network and Collaboration Analysis Rationale to Collaborate Formation Stage Exchange Characteristics – Basic structure itself calls for collaboration (Federal and state government, insurers) Environmental Factors – Potential market, complementarity of partners, transaction costs Reforms Characteristics – ACA calls for insurance and government bodies are bound to create exchanges Rationale to Collaborate Partner Selection Execution
- 9. Network and Collaboration Analysis Partner Selection Basic structure itself calls for partnership Insurance companies, federal and state government Payer and Patients Proposed New Partners Providers – provision to access insurance policy by provider directly Analytics Partners – help in plan selection, cost benefit analysis, online platform support Rationale to Collaborate Partner Selection Execution
- 10. Network and Collaboration Analysis Execution Development of online models, tools and platform for analysis and plan selection Desired project management Identifying environmental risks Control over processes (investment requirement from partners and identifying roles and responsibilities) Rationale to Collaborate Partner Selection Execution
- 11. Contributions Contributions to Open Innovation Literature Understanding basic concepts in a new domain Exploring operationalization aspects of open innovation across a project and identifying factors influencing its Guidelines for Practitioners Identification of prospective partners Results will have high impact on HIX implementation Future Research Simulation Model: US census data and predictive model for usage statistics and exploring cost Influence of credit feature Linkages with other policies and coordination of benefits