phd in healthcare finance

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Concentration in Health Economics and Policy

Offered By: Department of Health Policy and Management

Onsite | Full-Time | 4 - 5 years

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About the Concentration in Health Economics and Policy

The concentration in Health Economics and Policy prepares doctoral students to address the most pressing challenges in health and health care through innovative, rigorous and interdisciplinary research in the field of health economics. This program integrates traditional training in economics with practical training in health policy and health services research to train the next generation of health economists.

The curriculum offers a broad exposure to the health economics literature and public health disciplines, and stresses the policy implications of these fields of research. The curriculum stresses a foundation in applied modern microeconomic theory, economic evaluation, quantitative methods and econometrics, including PhD-level courses from the Department of Economics in the Krieger School of Arts and Sciences.

Doctoral students are paired with a faculty adviser from the Health Economics concentration with similar research interests. Faculty in the Health Economics concentration are working in a variety of research areas including understanding health insurance design, the economic implications of health and health care disparities, market forces and health care prices, pharmaceutical economics, and payment design and access. Doctoral students will also have the opportunity to work with other faculty within the Department, as well as faculty from other Departments including International Health, Population, Family, and Reproductive Health, Biostatistics, the School of Medicine, School of Nursing, the Carey Business School, and the Department of Economics. Students also often work with various centers and initiatives across the University, including the Hopkins Business of Health Initiative.

What Can You Do With a Graduate Degree In Health Economics And Policy?

The program prepares students for successful research careers as health economists. Former students have gone onto careers in academia, government, research-oriented non-profits, and the private sector. Visit the  Graduate Employment Outcomes Dashboard to learn about Bloomberg School graduates' employment status, sector, and salaries.

View a list of selected recent graduates and dissertation titles for the PhD Concentration in Health Economics and Policy.

Curriculum for the Concentration in Health Economics and Policy

Browse an overview of the requirements for this PhD program in the JHU  Academic Catalogue  and explore all course offerings in the Bloomberg School  Course Directory .

Admissions Requirements

For general admissions requirements, please visit the How to Apply page.

Standardized Test Scores

Standardized test scores are  not required and not reviewed  for this program. If you have taken a standardized test such as the GRE, GMAT, or MCAT and want to submit your scores, please note that they will not be used as a metric during the application review.  Applications will be reviewed holistically based on all required application components.

Matthew Eisenberg, PhD, MPhil,

uses applied health economics methods to study how consumers make decisions about their healthcare.

All accepted PhD students receive a standard funding package.  As of September 1, 2023 this package includes full tuition support, a $30,000 per year stipend, individual health, dental, and vision insurance and the University Health Services clinic fee for four years.

For funding sources, please see PhD funding page .

Need-Based Relocation Grants Students who  are admitted to PhD programs at JHU starting in Fall 2023 or beyond can apply to receive a $1500 need-based grant to offset the costs of relocating to be able to attend JHU.   These grants provide funding to a portion of incoming students who, without this money, may otherwise not be able to afford to relocate to JHU for their PhD program. This is not a merit-based grant. Applications will be evaluated solely based on financial need.  View more information about the need-based relocation grants for PhD students .

Questions about the program? We're happy to help. [email protected] 410-955-2488

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Ph.D. in Health Economics

The Ph.D. in Health Economics is designed to train scientists to engage in modern economic research related to questions pertinent to the health care sector and to personal and public health.  It is an on-campus program. Students take courses both from the Economics Department, which is housed in the College of Liberal Arts and Sciences, and from the Health Systems, Management & Policy (HSMP) Department, which is housed in the Colorado School of Public Health. The ECON coursework grounds students in rigorous economic theory and modern statistical methods, whereas the HSMP coursework connects students to institutional details of the health care sector, administrative data methods, grant writing, and the development of interdisciplinary health care research.

Learning Outcomes

Upon completing the Ph.D. degree in Health Economics, students will be able to:

• Understand the economic approach to studying the healthcare sector, health behaviors, and health outcomes.
• Understand how different markets function in the health care sector, such as the market for health care, health insurance, health labor (such as physicians and nursing), and pharmaceuticals.
• Understand the challenges in identifying causal relationships using health data. 
• Use and develop statistical and econometric models, based on economic theory, to analyze various economic issues and make policy recommendations.
• Communicate, in written form and verbally, theoretical and econometric findings to an audience of economics professionals and to a general audience. 

The Emphasis of the Program

Students begin the program with extensive training in microeconomic theory along with substantial exposure to applied econometrics and quantitative analysis. This training includes working with large and diverse data sets, and becoming proficient using statistical software. The Ph.D. core and elective courses provides the foundation for students to engage in innovative and original research in health economics, including evaluating the effectiveness of health interventions and health policy, and conducting economic cost-benefit analysis.

Financial Aid

General financial aid is managed and awarded to students through the CU Denver Office of Financial Aid (FAFSA code: 004508). You can find more information  here . The department offers specific financial assistance to Ph.D. students in form of partial tuition scholarships, teaching assistantships (TAs), research assistantships (RAs), and grader positions. These positions are awarded on a competitive basis, and are initially based on information provided in the student’s application to the Ph.D. program. Students admitted to the Ph.D. program are automatically considered for a gradaute assistantship position. No separate application or further information is needed.

Note: The University of Colorado Denver is a member of Western Regional Graduate Program . Qualified students admitted to this program who are residents of one of the 15 WICHE states may be eligible for in-state tuition.

Ph.D. Program Resources

• Degree Requirements
• Admission Requirements / How to Apply
• Ph.D. Student Directory

M.S. in Health Economics

Certificate Programs

Contact Information

For general admissions questions contact the Graduate School at [email protected] or 303-315-0049.

For questions about the Ph.D. in Health Economics program contact the Graduate Advisor at [email protected]

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• Youth Program
• Wharton Online

Health Care Management & Economics

Wharton’s phd program in health care management and economics provides an interdisciplinary health services research focus applicable across private and public sectors..

The program combines intensive training in health care systems and health services research with advanced training in a traditional business discipline.

Our program provides thought leadership and policy development in the following areas of distinction:

• Value of technology and innovation
• Health insurance design and reform
• Design and impact of incentives in numerous health industry contexts
• Competition and collaboration across the value chain
• The broad interprofessional/multidisciplinary work of the Leonard Davis Institute of Health Economics

Wharton’s doctoral program is unique among similar programs because it provides a strong background in microeconomic theory, an advanced teaching of econometric and statistical techniques, a comprehensive analysis of both health economics and health care services research, and grounding in management/strategy theory and research. The doctoral program complements the course work with numerous opportunities to collaborate with faculty members in research projects exploring a wide variety of topics in the health economics and management fields.

For more information on courses and sample plan of study,  please visit the University Graduate Catalog .

Disciplinary Clusters

The purpose of the disciplinary cluster is to equip candidates to conduct research in their areas of choice and to teach in fields in addition to Health Care Management and Economics. The courses may be drawn from the following clusters:

• Economics/Public Management
• Operations and Information Management
• Statistics/Epidemiology
• Finance/Accounting
• Public Policy and Management

Student Involvement in the Department

Students participate in faculty-supervised projects as research fellows, starting in the second year of the program. This work provides first-hand knowledge of research methods and design and often furnishes the basis for a dissertation topic. It also teaches students the art of securing funding for research, which is important for any aspiring health services researcher. Students are also expected to participate in the Leonard Davis Institute’s Research and Policy Seminar Series, which feature external speakers working on cutting-edge health services research projects and policy issues. In addition to regular seminars, all PhD students are expected to participate in the department colloquium, which features discussion of research in progress by faculty members, students, and guests.

Get the Details.

Visit the Health Care Management and Economics website for details on program requirements and courses. Read faculty and student research and bios to see what you can do with a Health Care Management and Economics PhD.

Associate Director Joanne Levy Email: [email protected]

PhD in Health Economics

• Admission and Financial Aid
• Requirements for Degree Completion

Located in Los Angeles on the USC University Park Campus, the USC PhD program in health economics offers students the opportunity to help shape the future of health care through groundbreaking research and innovative policy solutions. Our multidisciplinary program offers rigorous training in microeconomics, econometrics, cost effectiveness analysis, welfare economics, public finance, epidemiology and health status measurement. Students in the program work closely with our world-renowned faculty, gaining the practical research experience needed to launch their careers.

Our program offers numerous benefits to help position our students for future success. All of our PhD students are fully funded, including tuition remission and stipend, for up to five years through teaching and research assistantships or competitive fellowships.  Many of our students participate in internships that offer real world experience and networking opportunities in industry, policy analysis and consulting.  Our department’s affiliation with the Leonard D. Schaeffer Center for Health Policy & Economics provides opportunities for students to work closely with distinguished faculty from across USC on impactful projects. Bolstered in part by our strong alumni network, our students are highly sought after for positions in academia, government and industry.

“I chose the Health Economics PhD program at USC for three reasons: the strong concentration of health economics faculty here as compared to traditional economics departments, the rigor of economics training compared to other applied programs, and quality of life (i.e., location in sunny Southern California and funding from a USC School of Pharmacy fellowship).”

Laura Henkhaus

Phd, health economics ’19, data scientist, hill physicians medical group, the 117th usc mann commencement | saturday, may 11, 2024.

PhD in Management Program

A phd in management: where business research and education intersect.

Become an industry thought leader while preparing tomorrow’s business leaders.

Our fully funded PhD in Management is designed for ambitious students and professionals interested in a career in university teaching and research.

This residential program, based at the Samuel Curtis Johnson Graduate School of Management in Ithaca, NY, combines Ivy League rigor and real-world relevance to prepare you for successful careers in academia.

Why Get a PhD in Management?

With a strong focus on management science and applied research, this doctoral degree is ideal for someone looking to teach at the university level and contribute to the greater body of industry knowledge. Pursuing a PhD in Management is also an ideal next step for executives and senior managers who want to make a transition to academia or enhance their research skills for a successful consulting career.

Fully Funded, Highly Flexible: What Makes Cornell’s Management PhD Different?

As you explore PhD programs’ degree requirements, faculty engagement, and campus experience, Cornell stands alone.

In Cornell’s highly flexible program, you’ll choose a specific area of study and build your own dissertation committee. Our program faculty are genuinely interested and invested in your intellectual development. In this small and highly selective program, you will get to know the faculty and your peers well. 

The SC Johnson Graduate School of Management is home to leading research centers and a high-impact academic journal; these open you up to unique learning and mentorship opportunities.

Business Simulation Lab

The Debra Paget and Jeffrey Berg Business Simulation Lab facilitates in-person and online behavioral research related to decision-making and problem-solving.

Discover More About BSL

Our Three-Pronged Approach to a PhD in Management

The Johnson School’s doctoral degree in management combines the best of theory and practice, building on a three-pronged foundation:

Hands-on Experience

Develop your research and analytical skills. You’ll work with classmates to examine existing literature and theories for class deliverables, which will often include your own original research.

Customizable Curriculum

Design your own academic pathway. You’ll choose one of six primary areas of study and create your own dissertation committee.

University-Wide Coursework

Draw on the expertise from across Cornell. You’ll get to select graduate-level courses from schools and colleges devoted to law , hospitality , engineering , labor relations , and other fields.

At a Glance: Cornell’s Fully Funded PhD in Management

The fully residential, fully funded PhD in Management program includes a tuition waiver and a stipend for living expenses. Here’s a quick overview of what to expect:

Degree Awarded

PhD in Management

Program Location

Ithaca, NY, with options in New York City

Program Format

Foundational coursework, original research, and six potential areas of study

Hear from Our Community

“PhD is a marathon, not a sprint, and collaborating with great people is paramount. At Cornell, I’ve found a place where amazing people come together, supporting my research and personal growth. Choosing Cornell means joining a community that knows how important it is to work with exceptional people to excel in the program.” – Elina Hur PhD ’23

Customize Your Path: Our Areas of Study

When you apply to the Johnson School’s PhD in Management, you will select a primary area of study. Choosing a concentration allows you to gain specialized skills and knowledge while growing a portfolio of original research.

Examine the role of accounting information in firms and financial markets. PhD-level research at Cornell explores topics such as how firms report information to investors, how accounting information is used to manage firms, and the nature of auditing.

Strategy & Business Economics

Use modern tools and methodologies to gain a better understanding of the world. PhD students in this area explore many aspects of economics including industrial, behavioral, labor, and organizational.

Dive deep into the financial structure and issues of organizations. Your research might look at how conflicts of interest affect corporate policy, how investor psychology affects asset pricing, or how to detect price bubbles.

Learn how theories from operations research, economics, psychology, and sociology intersect to inform corporate and consumer decisions. Your PhD studies will explore both quantitative and behavioral perspectives of marketing.

Management & Organizations

Prepare for a research-focused career in academia or industry. This versatile concentration develops skilled, innovative, analytical researchers through a broad curriculum and close faculty collaboration.

Operations, Technology, & Information Management

Develop the technical skills and behavioral analysis knowledge you need to address high-impact managerial decisions. This focus area also offers an option to complete coursework at Cornell Tech in New York City.

Idea Generation to Publication: A Career in Teaching and Research

The majority of our PhD in Management students pursue careers in academia. After graduation, many land tenure-track teaching positions at top-tier business schools and continue to advance knowledge through original research. Johnson School PhD students often field multiple offers and see starting salaries range from $150,000 to $250,000.

Finding Your Place at Cornell: Meet Our Current PhDs

Students from around the United States and across the globe arrive at the Johnson School to earn their PhD in Management —and their diverse research interests, educational backgrounds, and professional experiences make for a vibrant, enriching learning environment. MEET CURRENT PHD STUDENTS

Research and Placements: Making an Impact in the Management Field

After earning the PhD in Management, our alumni go on to teach and inspire future leaders at top-tier institutions. Not only do they teach and conduct research alongside some of the most brilliant minds in business, but they also advance the field through publishing in leading journals and presenting their work at industry conferences.

Recent PhD in Management Placements

• Piyush Anand, PhD ’21, assistant professor of marketing, Jones Graduate School of Business, Rice University
• Guarav Kankanhalli, PhD ’20, assistant professor, Joseph M. Katz Graduate School of Business, University of Pittsburgh
• Eunjee Kim, PhD ’21, assistant professor, Mays Business School, Texas A&M University
• Sarah Lim, PhD ’21, assistant professor, Gies College of Business, University of Illinois Urbana-Champaign
• Xuege Lu, PhD ’22, assistant professor, Carlson School of Management, University of Minnesota
• Subrina Shen, PhD ’21, assistant professor, McCombs School of Business, University of Texas at Austin

Recent Research Publications

• “ Do Real Estate Values Boost Corporate Borrowing? Evidence from Contract-Level Data ” in the Journal of Financial Economics (2022) — Gaurav Kankanhalli, PhD ’20, with Murillo Campello, Robert A. Connolly, and Eva Steiner
• “ Converging Tides Lift All Boats: Consensus in Evaluation Criteria Boosts Investments in Firms in Nascent Technology Sectors ” in Organization Science (2021) — Xirong (Subrina) Shen, PhD ’21, with Huisi (Jessica) Li, PhD ’20, and Pamela S. Tolbert 
• “ Initial and Longer-Term Change in Unit-Level Turnover Following Leader Succession: Contingent Effects of Outgoing and Incoming Leader Characteristics ” in Organization Science (2020)— Huisi (Jessica) Li, PhD ’20, with John Hausknecht and Lisa Dragoni

“ Does Regulatory Jurisdiction Affect the Quality of Investment-Adviser Regulation? ” in American Economic Review (2019) — Alan Kwan, PhD ’17, with Ben Charoenwong and Tarik Umar

Our Faculty: Accomplished Researchers, Dedicated Teachers

When you join the PhD in Management program at the Johnson School, you’ll be part of a learning community comprising more than 100 accomplished academics and thought leaders. 

Not only will you take courses with renowned professors from across the Cornell SC Johnson College of Business, but you also will have the opportunity to build your own faculty committee—a group that will become instrumental as you select your dissertation topic and embark on your original research.

Faculty Spotlight: Learn from Leading Thought Leaders

Throughout the PhD program—from foundational coursework to your dissertation—you’ll work closely with dedicated teacher-scholars like these:

Kristina Rennekamp

Dr. Rennekamp’s research focuses on financial accounting from a behavioral perspective. She’s widely published, with work appearing in leading academic journals such as The Accounting Review , Contemporary Accounting Research , and The Journal of Financial Reporting .

Karan Girotra

Dr. Girotra studies the digital transformation of companies, whether it’s looking at emerging tools and practices or exploring new business models. He’s frequently interviewed in an array of mainstream business media outlets, including Bloomberg BusinessWeek , Fortune , and Forbes .

Kaitlin Woolley

Dr. Woolley studies the psychological processes behind consumer motivation. She’s an award-winning educator and researcher with work published in academic journals and national media outlets including the Journal of Consumer Research , Journal of Marketing Research , and The Wall Street Journal .

EXPLORE JOHNSON SCHOOL FACULTY

What You’ll Learn: Curriculum Overview

As you pursue your PhD in business management , you’ll begin with a set of foundation courses and progress into advanced coursework in your area of interest. Through it all, your faculty committee will help make sure you’re on the right track.

Foundational Management Coursework

Early in your doctoral program, you will complete foundational coursework in management and other fields. Many of these will focus on the research process and prepare you for your dissertation.

Advanced Coursework in Your Concentration Area

As you progress in the PhD in Management program, you’ll take electives and advanced courses that align with your research area of interest; these classes can be in the Johnson School and across Cornell.

Your Dissertation: Creating Original Research

During the final part of the program, you begin work on your dissertation—the culmination of your original research. You choose the topic of research in conjunction with your committee.

VIEW PROGRAM SPECIFICS

Beyond Business: Cross-Disciplinary Collaboration and Dialogue

Tap into the experience and expertise of faculty members from across Cornell University.  

Management is a broad science. Business leaders serve in a variety of roles in industries of all kinds: healthcare, consumer goods, agriculture, biotechnology, media, and consulting to name just a few. At Cornell, you can enrich your education and expand your research opportunities by taking courses and finding mentors beyond the college of business.

Explore fields like computer science, psychology, sociology, communication, engineering, and data science—and then connect the dots back to your management research.

Interact with peers and professors from other disciplines by participating in student organizations and special interest groups or by attending public lectures, workshops, and networking events.

Admissions Overview: How to Apply to the Management PhD Program

The ideal candidate for the Johnson School’s doctorate degree in management will have a strong record of academic excellence, a solid understanding of the research process, and an entrepreneurial approach to problem-solving. An MBA or master’s degree is not a requirement for admission. 

Our admissions page offers more details about program prerequisites, selection criteria, requirements, deadline information, and a checklist of materials you need to submit with your application.

Connect With Cornell Admissions

The Johnson School admissions team is available to answer your questions about the program and the application process. Stop in or reach out by phone or email today.

253-D Sage Hall Johnson Graduate School of Management Cornell University Ithaca, NY 14853-6201

Phone: 607-255-5340 Email: Graduate Research Programs Office

The Cornell Campus: Where You Will Learn, Grow, and Thrive

Learn, grow, and thrive on one of the most beautiful college campuses in the United States. As a PhD student, you’ll spend a lot of time in Sage Hall, a Gothic-style building dating back to 1875. You’ll find more high-tech learning spaces just off campus at the Breazzano Family Center for Business Education. You’ll also have access to the innovative campus of Cornell Tech in New York City—particularly relevant to students focused on technology and information management. 

Attending Cornell also means you’ll call Ithaca, NY, home for about five years. Our eclectic downtown is full of eateries, shops, activities, and all of the amenities you’d need for everyday life. When you’re not in class or studying, you can explore all that the Finger Lakes region has to offer.

PhD in Management FAQ: What You Need to Know

Before you apply to a research-focused graduate program, you’re likely to want to do some deep research of your own. For instance, how does a fully funded PhD in Management work? What’s the typical completion time?

We have a robust Frequently Asked Questions section to help you learn more about our program, the admissions process, and dissertation requirements. For our international applicants, you’ll also find specific details about earning your PhD in Management.

May I speak to someone about my interest in the program and visit?

You are welcome to reach out to any professor with whom you see a good research fit. Our website also has a wealth of information about the program.

Is an interview part of the process?

We offer interviews only to a few applicants after their first screening.

May I talk to a professor or advisor?

You are welcome to contact any professor with whom you see a research match. Faculty are more likely to respond to specific research queries.

I have questions; may I write to this program email address?

Yes. Our response time will vary. We are not able to answer detailed questions that are better assessed by faculty during the application process.

May I schedule a campus tour?

Admissions does not offer campus tours for PhD program applicants. However, you may arrange an appointment with a faculty member.

Fraud alert – beware of third-party post-doc scams.

Cornell University recently has been made aware of fraudulent activity targeting overseas students and researchers, including at least one third party website falsely stating that it is offering a postdoctoral or visiting scholar program in association with Cornell. These scams, which may seek to obtain money and/or personal details from interested applicants, are fraudulent. 

Cornell wishes to warn the public about these fraudulent activities being perpetrated purportedly in the name of Cornell, and/or its officials. Please be advised that: 

• Cornell does not, nor has it, worked in collaboration with third-party companies or organizations to offer postdoctoral or research certificate programs.
• Third parties do not collect tuition or fees on behalf of Cornell.
• Cornell does not work with or endorse such organizations including, but not limited to, Shanghai Lufei Education Technology Co., Ltd. (Chinese name: 上海璐斐教育科技有限公司) and Shenzhen Guoyan Era Education Technology Co., Ltd. (Chinese name: 深圳市国研时代教育科技有限公司).

Cornell’s postdoctoral positions are listed on the Academic Career Opportunities website and postdoctoral fellowship programs are available for viewing. If you suspect a third party of falsely advertising a Cornell program, please notify [email protected]. Victims of such scams may also report them to their local law enforcement authorities for appropriate action.

Start the Application Process Today

Ready to apply to our highly selective, fully funded PhD in Management? We look forward to learning more about you and your research goals. Start the application process today at the Cornell Graduate Admissions website. [You’ll first need to register for an account or log in to an existing one.]

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PhD Program: Requirements

The Program involves about 2 years of formal course work and directed research, followed by a dissertation which generally takes 2 years to complete. Students normally complete all degree requirements in 4-5 years. The first year of course work is normally spent on quantitative methods, economics, and courses in a selected disciplinary cluster. Students also complete two health care systems courses during the first year. The second year and the first half of the third year are devoted to the remaining health care systems courses as well as other courses in the disciplinary cluster. The third and fourth years are spent on full-time dissertation research. To be admitted to doctoral candidacy, students must complete all course requirements and pass a preliminary examinations that focuses on health, economics, microceconomics, and cost-effectiveness at the end of the second year.

Summary of Requirements Course Units

Health Care Systems 6 Statistics 2 Microeconomics 2 Major Disciplinary Cluster 6 Dissertation

Total Course Units 16

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PhD Programs

• Accounting & Management
• Business Economics
• Health Policy (Management)
• Organizational Behavior
• Technology & Operations Management

Students in our PhD programs are encouraged from day one to think of this experience as their first job in business academia—a training ground for a challenging and rewarding career generating rigorous, relevant research that influences practice.

Our doctoral students work with faculty and access resources throughout HBS and Harvard University. The PhD program curriculum requires coursework at HBS and other Harvard discipline departments, and with HBS and Harvard faculty on advisory committees. Faculty throughout Harvard guide the programs through their participation on advisory committees.

How do I know which program is right for me?

There are many paths, but we are one HBS. Our PhD students draw on diverse personal and professional backgrounds to pursue an ever-expanding range of research topics. Explore more here about each program’s requirements & curriculum, read student profiles for each discipline as well as student research , and placement information.

The PhD in Business Administration grounds students in the disciplinary theories and research methods that form the foundation of an academic career. Jointly administered by HBS and GSAS, the program has five areas of study: Accounting and Management , Management , Marketing , Strategy , and Technology and Operations Management . All areas of study involve roughly two years of coursework culminating in a field exam. The remaining years of the program are spent conducting independent research, working on co-authored publications, and writing the dissertation. Students join these programs from a wide range of backgrounds, from consulting to engineering. Many applicants possess liberal arts degrees, as there is not a requirement to possess a business degree before joining the program

The PhD in Business Economics provides students the opportunity to study in both Harvard’s world-class Economics Department and Harvard Business School. Throughout the program, coursework includes exploration of microeconomic theory, macroeconomic theory, probability and statistics, and econometrics. While some students join the Business Economics program directly from undergraduate or masters programs, others have worked in economic consulting firms or as research assistants at universities or intergovernmental organizations.

The PhD program in Health Policy (Management) is rooted in data-driven research on the managerial, operational, and strategic issues facing a wide range of organizations. Coursework includes the study of microeconomic theory, management, research methods, and statistics. The backgrounds of students in this program are quite varied, with some coming from public health or the healthcare industry, while others arrive at the program with a background in disciplinary research

The PhD program in Organizational Behavior offers two tracks: either a micro or macro approach. In the micro track, students focus on the study of interpersonal relationships within organizations and the effects that groups have on individuals. Students in the macro track use sociological methods to examine organizations, groups, and markets as a whole, including topics such as the influence of individuals on organizational change, or the relationship between social missions and financial objectives. Jointly administered by HBS and GSAS, the program includes core disciplinary training in sociology or psychology, as well as additional coursework in organizational behavior.

Accounting & Management  

Business economics  , health policy (management)  , management  , marketing  , organizational behavior  , strategy  , technology & operations management  .

Health Care Economics

Explore the economic forces shaping us health care.

Taught by Harvard Medical School faculty, this Harvard Online course provides insights into the interactions between industries in the US health care sector and teaches what economic forces are shaping health care.

What You'll Learn

Why is health care spending so high in the US? What are the primary drivers of rising health care costs? What is the relationship between finance and health care? How does money shape your decision-making as a patient, provider, or payer? Is a sustainable healthcare architecture possible?

Even for those within the health care industry, the economics of the United States health care system are stunningly complex and can be challenging to navigate. In Health Care Economics, gain insights into the interactions between industries in the health care sector and learn what economic forces are shaping health care. You will cover core topics in health care economics, such as moral hazard and adverse selection, and examine how these forces, as well as the actions of patients, providers, and other key stakeholders, shape outcomes in the health care market.

Balancing the needs of patients and purchasers is a daily struggle for health care leaders and central to the success of any health care business. To make this happen, clinical, research, operational, and financial leaders need a shared understanding of the true drivers of health care spending, the policies that shape and define the sector, and how financial incentives impact both patient and provider behavior. This course will examine health care spending growth, considering new technologies and other economic factors, and explore the theoretical framework behind controlling spending growth through changes to benefit design and payment reform.

Delivered via Harvard Business School Online’s innovative course platform, Health Care Economics features real-world examples, interactive lessons, and conversations with industry experts. Led by Harvard Medical School professor Michael Chernew, PhD, Chair of The Medicare Payment Advisory Commission (MedPAC), this course allows you to gain a better understanding of core economic principles as you learn how to create more compelling programs, develop more effective growth strategies, negotiate better reimbursement contracts and partnerships, and advocate more effectively both inside and outside your organization.

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of  19.5 AMA PRA Category 1 Credits™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Upon successful completion of the course, participants will have access to claim their credits through the Harvard Medical School’s continuing education platform.

The course is part of the Health Care Leadership Learning Path  and will be delivered via  HBS Online’s course platform .  Learners will be immersed in real-world examples from experts at industry-leading organizations. By the end of the course, participants will be able to:

• Articulate the drivers of spending and spending growth in health care and evaluate how your organization’s strategy and decision-making processes impact total spending as well as value
• Describe approaches to getting the incentives right for both providers and patients and evaluate the impacts of changes to these incentives
• Understand risk and pooling as they relate to insurance markets and health benefit design
• Define the role of employers, insurers, and government in influencing the economics of health care markets, such as spending, access to care, and stability of insurance markets
• Explain how technology and patients’ and providers’ decisions contribute to high spending and spending growth, and how they impact their own organizations

Your Instructor

Michael Chernew, PhD,  is the Leonard D. Schaeffer Professor of Health Care Policy at Harvard Medical School. Dr. Chernew’s research examines several areas related to improving the health care system, including studies of novel benefit designs, Medicare Advantage, alternative payment models, low-value care, and the causes and consequences of rising health care spending. Dr. Chernew is currently serving as Chair of the Medicare Payment Advisory Commission (MedPAC), where he previously served as the Vice Chair and as a Member. In 2000, 2004, and 2010, he served on technical advisory panels for the Center for Medicare and Medicaid Services (CMS) that reviewed the assumptions used by Medicare actuaries to assess the financial status of Medicare trust funds. He's a member of the Congressional Budget Office’s Panel of Health Advisors and Vice Chair of the Massachusetts Health Connector Board. Dr. Chernew is a member of the National Academy of Sciences, a research associate at the National Bureau of Economic Research, and a Senior Visiting Fellow at MITRE. He's currently a co-editor of the  American Journal of Managed Care  and on advisory boards for several private companies in the health care space, including Virta Health, Archway, and HEALTH[at]SCALE.

Real World Case Studies

Affiliations are listed for identification purposes only.

MATTHEW HUTTER, MD, MPH

SANDHYA RAO, MD

Dr. Sandhya Rao is chief medical officer for Blue Cross Blue Shield of Massachusetts , the largest private health plan in Massachusetts. Learn from Rao about the challenges in health insurance today.

JOSEPH NEWHOUSE, PHD

Available discounts and benefits for groups and individuals.

Experience Harvard Online by utilizing our wide variety of discount programs for individuals and groups. 

Past participant discounts.

Learners who have enrolled in at least one qualifying Harvard Online program hosted on the HBS Online platform are eligible to receive a 30% discount on this course, regardless of completion or certificate status in the first purchased program. Past Participant Discounts are automatically applied to the Program Fee upon time of payment.  Learn more here .

Learners who have earned a verified certificate for a HarvardX course hosted on the  edX platform  are eligible to receive a 30% discount on this course using a discount code. Discounts are not available after you've submitted payment, so if you think you are eligible for a discount on a registration, please check your email for a code or contact us .

Nonprofit, Government, Military, and Education Discounts

For this course we offer a 30% discount for learners who work in the nonprofit, government, military, or education fields. 

Eligibility is determined by a prospective learner’s email address, ending in .org, .gov, .mil, or .edu. Interested learners can apply below for the discount and, if eligible, will receive a promo code to enter when completing payment information to enroll in a Harvard Online program. Click here to apply for these discounts.

Gather your team to experience Health Care Economics and other Harvard Online courses to enjoy the benefits of learning together: 

• Single invoicing for groups of 10 or more
• Tiered discounts and pricing available with up to 50% off
• Growth reports on your team's progress
• Flexible course and partnership plans 

Learn more and enroll your team ! 

Who Will Benefit

Rising Leaders

Develop a comprehensive understanding of the health care landscape, including the key drivers of rising US health care spending.

Administrators and Policy Makers

Gain insights into strategic decisions around new business initiatives, health benefit plans, reimbursement contract negotiations, and care delivery models.

Understand the financial impacts of new technologies and services and how to create value-based care for patients.

Learner Testimonials

“This is an amazing course. The professor did a fantastic job dissecting the complexities of healthcare into chewable chunks.”

Howard H. Dinh, MD, FACC Medical Director, Cardiac Services, Greater Sacramento The Permanente Medical Group and Chief, Cardiology, Kaiser Permanente, South Sacramento

“This is now my fourth HBS online course that I have taken. I love that the format lets me learn asynchronously when I have time in my busy schedule. The HBS courses do a wonderful job encouraging interaction with peer learners which amplifies the learning. The HBS courses foster this peer engagement much more effectively than I have found in other online courses that I have taken.”

Denver Sallee III, MD Chief Financial Officer, Sibley Heart Center Cardiology and Associate Professor of Pediatrics Emory University School of Medicine

“This is a very well designed course to understand the nuances of the US healthcare system economics. The videos and the guest talks were very helpful to understand the real world examples. The discussion surrounding the RAND experiment was very useful to understand many key concepts. Overall a very good course.”

Krishna K. Chotneeru, MPH Associate Director, Data Science & Statistics Alnylam Pharmaceuticals

Syllabus and Upcoming Calendars

Health Care Economics provides insights into the interactions between industries in the health care sector and teaches what economic forces are shaping health care.

Learning requirements: There are no required prerequisites to enroll in this course. In order to earn a Certificate of Completion from Harvard Online, participants must thoughtfully complete all 6 modules, including associated assessments, by stated deadlines.

Download Full Syllabus

Download October 2023 Calendar 

Download January 2024 Calendar 

• Why is health care so expensive?
• Why is health care spending growing?
• Make health care spending growth predictions.
• Compare US health care costs to costs in other countries.
• Analyze the math behind health care spending.
• Examine sources of waste in the health care industry.
• Explore the role of technology in health care spending growth.
• What role should patients play in making important choices about their care?
• What role should money play in the decisions of patients?
• Interpret demand curves.
• Explore willingness to pay for health care.
• Evaluate different solutions to inefficient consumption of care, such as moral hazard.
• What role should the provider play in determining care patterns?
• How do provider behavior and competition influence care?
• Analyze clinical decision-making.
• Recognize supplier-induced demand and the consequences of the medical arms race.
• Explore practice ownership trends.
• Determine whether prevention programs and care coordination are cost saving.
• What is the role of insurance in health care?
• Why is the risk pool for health insurance so important and how do we manage it?
• Explore risk preferences.
• Calculate actuarially fair premiums to understand what health insurance is and how it works.
• Examine solutions for solving some of the problems with insurance.
• Evaluate policy proposals for dealing with information asymmetry and adverse selection.
• How can we design insurance plans to promote efficient consumer decision-making?
•  Explore patient decision-making in health care.
• Analyze different approaches for improving patient incentives.
• Understand the benefits of value based care and insurance.
• Strategies for implementing value-based healthcare and insurance designs.
• How do we structure payments to promote efficient provider decision-making?
• Explore provider decision-making in health care.
• Analyze different approaches for improving provider incentives.

Earn Your Certificate

Enroll today in Harvard Online's Health Care Economics course.

Still Have Questions?

What are the learning requirements? How do I list my certificate on my resume? Learn the answers to these and more in our FAQs.

Related Courses

Digital health.

Digital technologies and big data offer tremendous opportunities to improve health care.

Health Care Strategy

Learn from HBS Professor Leemore Dafny how to align the principles of business strategy with the unique challenges and structures of health care organizations to capture value, define your mission, and lead your organization to success.

Innovations in Teamwork for Health Care

In this course, experts from Harvard Business School and the T.H. Chan School of Public Health teach learners to implement a strategy for organizational teamwork in health care.

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Meet, visit and discover LSE

MPhil/PhD Health Policy and Health Economics

• Graduate research
• Department of Health Policy
• Application code L4ZC
• Starting 2024
• Home full-time: Open
• Overseas full-time: Open
• Location: Houghton Street, London

The MPhil/PhD Health Policy and Health Economics at LSE covers the choice, design, analysis, and evaluation of health and social care policies, institutions and practice in Low-, Middle-, and High-Income settings. This is an interdisciplinary programme, drawing on disciplines relevant to the research topic, and the health-specific and social care-specific application of an array of social sciences.

The programme trains students to undertake research that employs the tools of policy and economic analysis and qualitative and quantitative empirical techniques in order to understand, critically appraise, and evaluate the complexities of health and social care policy and practice in a global context.

You will be exposed to a range of different theoretical frameworks and methodological approaches, and will be expected to learn technical and conceptual skills, so that you will become autonomous in carrying out research in line with your progression, and will demonstrate deep and synoptic understanding of your field of study.

You are expected to take training and transferable skills courses, including the core course in Advanced Health Policy and Health Economics. You can choose other taught courses tailored to your existing academic foundations and research interests, and streamed around health policy or health economics subject areas.

You will become a member of a vibrant and exciting research community, with access to the Department of Health Policy's affiliated research centres and supervision by expert faculty. The long-established and highly regarded research centres affiliated with the Department are:  LSE Health ,  Care Policy and Evaluation Centre at LSE (CPEC) , the  National Institute for Health Research (NIHR)  School of Social Care Research (SSCR), the African Health Observatory , the  European Observatory on Health Systems and Policies , and the  Global Health Initiative (GHI) , with a total of over 70 academic staff based across these centres.

Programme details

For more information about tuition fees and entry requirements, see the 'Fees and funding' and 'Assessing your application' sections.

Entry requirements

Minimum entry requirements for mphil/phd health policy and health economics.

The minimum entry requirement for this programme is a merit (60 per cent and above, or equivalent) in a relevant master's degree.

Competition for places at the School is high. This means that even if you meet our minimum entry requirement, this does not guarantee you an offer of admission. 

If you have studied or are studying outside of the UK then have a look at our  Information for International Students  to find out the entry requirements that apply to you.

Assessing your application

We welcome applications for research programmes that complement the academic interests of members of staff in the Department. Details about the supervisory interests of staff members can be found on the Department of Health Policy’s website . If you share research interests, you are welcome to apply.

Please note that admission to the doctoral programme will not be made by prospective supervisors, but by the Department's PhD Programme Directors: Professor Andrew Street, Dr Mylene Lagarde, Dr Justin Parkhurst and Dr Huseyin Naci. Admission is subject to there being appropriate supervisory expertise and support available in the Department.

What we take into consideration

We carefully consider each application on an individual basis, taking into account all the information presented on your application form, including:

• academic achievement (including existing and pending qualifications with certified transcripts)
• statement of academic purpose
• research proposal of maximum 2,500 words
• writing sample of between 2,500 and 7,000 words. It must be typed in English. If not in English originally, you should translate the piece yourself. If an article, preference is for single-authored; if an essay, preference is for one from your most recent programme of study. The piece of written work is ideally related to your proposed topic of research or more broadly, to the discipline or area for which you are applying.

The above listed guidance is set by the Department of Health Policy and is specific to your application to the MPhil/PhD programme in Health Policy and Health Economics.

You may wish to review  the School's central guidance on supporting documents here . The  main steps of your application  are outlined by the School. You can familiarise yourself with  a range of likely interview questions  ahead of writing your application as well. You may also have to provide evidence of your English proficiency. You do not need to provide this at the time of your application to LSE, but we recommend that you do.  See our English language requirements  for further information. LSE's International Students Visa Advice Team will be able to competently advise on any visa queries you may have.

When to apply

The application deadline for this programme is 23 May 2024,  but it is advantageous to apply well before the deadline. To be considered for any LSE funding opportunity, you must have submitted your application and all supporting documents by the funding deadline. See the fees and funding section for more details.

Fees and funding

Every research student is charged a fee in line with the fee structure for their programme. The fee covers registration and examination fees payable to the School, lectures, classes and individual supervision, lectures given at other colleges under intercollegiate arrangements and, under current arrangements, membership of the Students' Union. It does not cover  living costs  or travel or fieldwork.

Tuition fees 2024/25 for MPhil/PhD Health Policy and Health Economics

Home students: £4,829 for the first year (provisional) Overseas students: £22,632 for the first year

The fee is likely to rise over subsequent years of the programme. The School charges research students in line with the level of fee that Research Councils recommend. The fees for overseas students are likely to rise in line with the assumed percentage increase in pay costs (ie, 4 per cent per annum).

The Table of Fees shows the latest tuition amounts for all programmes offered by the School.

The amount of tuition fees you will need to pay and any financial support you are eligible for will depend on whether you are classified as a home or overseas student - otherwise known as your fee status. LSE assesses your fee status based on guidelines provided by the Department of Education.

Further information about fee status classification.

Scholarships, studentships and other funding

The School recognises that the  cost of living in London  may be higher than in your home town or country, and therefore provide generous scholarships each year to home and overseas students.

This programme is currently eligible for LSE PhD Studentships , and  Economic and Social Research Council (ESRC) funding . Selection for the Studentships is based on receipt of an application for a place - including all ancillary document, before the relevant funding deadline. Students that hold LSE PhD Studentships will be expected to contribute to the teaching in the Department of Health Policy.

Funding deadline for the first round of LSE PhD Studentships and ESRC funding: 15 January 2024 Funding deadline for the second round of LSE PhD Studentships: 25 April 2024

In addition to our needs-based awards, LSE also makes available scholarships for students from specific regions of the world and awards for students studying specific subject areas.  Find out more about financial support. Office of Health Economics (OHE) Studentship  

This programme is also currently eligible for a studentship funded by the  Office of Health Economics  (OHE). For further details, please  see here .

Funding deadline for OHE studentship: 25 April 2024 Care Policy and Evaluation Centre (CPEC) Studentship 

The Care Policy and Evaluation Centre (CPEC) affiliated to the Department of Health Policy is currently recruiting for two full-time MPhil/PhD studentships, with a start date of October 2024.  

The Centre hosts the NIHR Policy Research Unit in Adult Social Care (ASCRU) and is a partner in the NIHR Policy Research Unit in Economics of Social and Health Care (ESHCRU). New 5-year programmes of work will start in both Units from January 2024.   

For further details, please see here .  

Funding deadline for CPEC studentship: 28 February 2024 

External funding 

There may be other funding opportunities available through other organisations or governments and we recommend you investigate these options as well. For example:

• Wellcome Trust
• Health Foundation
• Commonwealth Fund

Further information

Fees and funding opportunities

Information for international students

LSE is an international community, with over 140 nationalities represented amongst its student body. We celebrate this diversity through everything we do.  

If you are applying to LSE from outside of the UK then take a look at our Information for International students . 

1) Take a note of the UK qualifications we require for your programme of interest (found in the ‘Entry requirements’ section of this page). 

2) Go to the International Students section of our website. 

3) Select your country. 

4) Select ‘Graduate entry requirements’ and scroll until you arrive at the information about your local/national qualification. Compare the stated UK entry requirements listed on this page with the local/national entry requirement listed on your country specific page.

Programme structure and courses

The programme is based around a set of taught courses which provide you with the skill set necessary to undertake your research in your chosen thesis area. In the first year, you will register initially for the MPhil programme, and undertake specific training in research methods as required. In subsequent years, you will continue your research under the guidance of your supervisors, participate in seminars and present your work.

Throughout the programme, you also have the option of taking relevant courses provided by the PhD Academy, and offered by other academic departments, after discussion with your supervisor/s. The preference is for students to select from the courses offered by the Department of Health Policy or the Department of Methodology. However, courses from other departments may be taken, subject to the approval of the supervisor/s and that of the hosting departments. 

Advanced Health Policy and Health Economics The PhD programme will be centred around this core course. Alongside a set of traditional and bespoke lectures, the course includes a series of seminars given by faculty in the Department of Health Policy and external speakers, thereby guaranteeing exposure to different materials, research areas, and theoretical and analytical techniques. The course will provide you with insights into the breadth of work in the areas of health and social care policy and health economics, and will act as a supportive critical forum for discussion of each PhD student's work-in-progress. The course features a journal club where key articles are critically appraised. In the second and third years of enrolment, full-time students will be required to participate in work-in-progress seminars where students present work relating to their theses and contribute fully to discussions on their colleagues' work, and will be encouraged to attend external conferences.

Optional courses to the value of one unit

Second year

Advanced Health Policy and Health Economics See above

Fourth year

For the most up-to-date list of optional courses please visit the relevant School Calendar page .

You must note, however, that while care has been taken to ensure that this information is up to date and correct, a change of circumstances since publication may cause the School to change, suspend or withdraw a course or programme of study, or change the fees that apply to it. The School will always notify the affected parties as early as practicably possible and propose any viable and relevant alternative options. Note that the School will neither be liable for information that after publication becomes inaccurate or irrelevant, nor for changing, suspending or withdrawing a course or programme of study due to events outside of its control, which includes but is not limited to a lack of demand for a course or programme of study, industrial action, fire, flood or other environmental or physical damage to premises.  

You must also note that places are limited on some courses and/or subject to specific entry requirements. The School cannot therefore guarantee you a place. Please note that changes to programmes and courses can sometimes occur after you have accepted your offer of a place. These changes are normally made in light of developments in the discipline or path-breaking research, or on the basis of student feedback. Changes can take the form of altered course content, teaching formats or assessment modes. Any such changes are intended to enhance the student learning experience. You should visit the School’s  Calendar , or contact the relevant academic department for information on the availability and/or content of courses and programmes of study. Certain substantive changes will be listed on the  updated graduate course and programme information page.

Supervision and progression

Supervision.

You will have a Supervisory Team, consisting of a primary and one or two secondary Supervisors. It is a requirement that at least one of the Supervisory Team is a member of the Department’s teaching faculty.

The primary supervisor will be based in the Department of Health Policy, encompassing the affiliated research centres and units: LSE Health, the Personal Social Services Research Unit (PSSRU at LSE), the National Institute for Health Research School for Social Care Research (NIHR SSCR) and the European Observatory on Health Systems and Policies.

The role of primary supervisor is to help define the area of research, advise on sources, choice of materials and methods, and advise on attendance at courses and seminars. Later on, the primary supervisor will discuss the preparation and writing of the student's thesis. This supervisor will also attend to administrative matters, including the annual progress reviews, appointment of examiners, and arrangements for examinations.

The secondary supervisor is likely to be based in the Department of Health Policy, or may be based in another department at LSE. The secondary supervisor's role involves keeping in touch with the student's work, providing additional specialist inputs from time to time, contributing second opinion in the face of difficult choices, and stepping in for the primary supervisor in case of absence or illness.

Progression and assessment

You are required to undertake Major Review (also known as the Upgrade) in the Spring Term of your first year. Following Major Review, a decision is taken whether to upgrade you from MPhil to the PhD programme. In order to earn the upgrade, you need to meet a number of criteria, including achieving a certain grade in taught courses, submitting a 5,000-word thesis document detailing your thesis proposal.

For students who successfully upgrade to PhD enrolment, there will be another review in second and third year of full-time study. Students will need to meet specific criteria to progress to each following year.

Student support and resources

We’re here to help and support you throughout your time at LSE, whether you need help with your academic studies, support with your welfare and wellbeing or simply to develop on a personal and professional level.

Whatever your query, big or small, there are a range of people you can speak to who will be happy to help.  

Department librarians   – they will be able to help you navigate the library and maximise its resources during your studies. 

Accommodation service  – they can offer advice on living in halls and offer guidance on private accommodation related queries.

Class teachers and seminar leaders  – they will be able to assist with queries relating to specific courses. 

Disability and Wellbeing Service  – they are experts in long-term health conditions, sensory impairments, mental health and specific learning difficulties. They offer confidential and free services such as  student counselling,  a  peer support scheme  and arranging  exam adjustments.  They run groups and workshops.  

IT help  – support is available 24 hours a day to assist with all your technology queries.   

LSE Faith Centre  – this is home to LSE's diverse religious activities and transformational interfaith leadership programmes, as well as a space for worship, prayer and quiet reflection. It includes Islamic prayer rooms and a main space for worship. It is also a space for wellbeing classes on campus and is open to all students and staff from all faiths and none.   

Language Centre  – the Centre specialises in offering language courses targeted to the needs of students and practitioners in the social sciences. We offer pre-course English for Academic Purposes programmes; English language support during your studies; modern language courses in nine languages; proofreading, translation and document authentication; and language learning community activities.

LSE Careers  ­ – with the help of LSE Careers, you can make the most of the opportunities that London has to offer. Whatever your career plans, LSE Careers will work with you, connecting you to opportunities and experiences from internships and volunteering to networking events and employer and alumni insights. 

LSE Library   –   founded in 1896, the British Library of Political and Economic Science is the major international library of the social sciences. It stays open late, has lots of excellent resources and is a great place to study. As an LSE student, you’ll have access to a number of other academic libraries in Greater London and nationwide. 

LSE LIFE  – this is where you should go to develop skills you’ll use as a student and beyond. The centre runs talks and workshops on skills you’ll find useful in the classroom; offers one-to-one sessions with study advisers who can help you with reading, making notes, writing, research and exam revision; and provides drop-in sessions for academic and personal support. (See ‘Teaching and assessment’). 

LSE Students’ Union (LSESU)  – they offer academic, personal and financial advice and funding.  

PhD Academy   – this is available for PhD students, wherever they are, to take part in interdisciplinary events and other professional development activities and access all the services related to their registration. 

Sardinia House Dental Practice   – this   offers discounted private dental services to LSE students.  

St Philips Medical Centre  – based in Pethwick-Lawrence House, the Centre provides NHS Primary Care services to registered patients.

Student Services Centre  – our staff here can answer general queries and can point you in the direction of other LSE services.  

Student advisers   – we have a  Deputy Head of Student Services (Advice and Policy)  and an  Adviser to Women Students  who can help with academic and pastoral matters.

Student life

As a student at LSE you’ll be based at our central London campus. Find out what our campus and London have to offer you on academic, social and career perspective. 

Student societies and activities

Your time at LSE is not just about studying, there are plenty of ways to get involved in  extracurricular activities . From joining one of over 200 societies, or starting your own society, to volunteering for a local charity, or attending a public lecture by a world-leading figure, there is a lot to choose from. 

The campus 

LSE is based on one  campus  in the centre of London. Despite the busy feel of the surrounding area, many of the streets around campus are pedestrianised, meaning the campus feels like a real community. 

Life in London 

London is an exciting, vibrant and colourful city. It's also an academic city, with more than 400,000 university students. Whatever your interests or appetite you will find something to suit your palate and pocket in this truly international capital. Make the most of career opportunities and social activities, theatre, museums, music and more. 

Want to find out more? Read why we think  London is a fantastic student city , find out about  key sights, places and experiences for new Londoners . Don't fear, London doesn't have to be super expensive: hear about  London on a budget . 

Quick Careers Facts for the Department of Health Policy

Median salary of our PG students 15 months after graduating: £38,000          

Top 5 sectors our students work in:

• Health and Social Care  
• Education, Teaching and Research            
• FMCG, Manufacturing and Retail              
• Government, Public Sector and Policy   
• Consultancy

The data was collected as part of the Graduate Outcomes survey, which is administered by the Higher Education Statistics Agency (HESA). Graduates from 2020-21 were the fourth group to be asked to respond to Graduate Outcomes. Median salaries are calculated for respondents who are paid in UK pounds sterling and who were working in full-time employment.

Recent doctoral graduates who were supervised by staff in the Department of Health Policy went on to be employed in international organisations such as the WHO, IMF, World Bank, European Union, OECD, African Development Bank, Asian Development Bank, and the United Nations. Some joined national and regional Ministries of Health, the English NHS - and others went on to work with consultancy firms, pharmaceutical companies, and think tanks such as The King's Fund and the Health Foundation.

Further information on graduate destinations for this programme

Support for your career

Alongside leading organisations' career presentations and events, LSE Careers also offers  resources and bespoke advice to assist PhD students with their career progression within or outside of academia. 

If you have any questions about the programme, please contact:  [email protected] .

Find out more about LSE

Discover more about being an LSE student - meet us in a city near you, visit our campus or experience LSE from home. 

Experience LSE from home

Webinars, videos, student blogs and student video diaries will help you gain an insight into what it's like to study at LSE for those that aren't able to make it to our campus.  Experience LSE from home . 

Come on a guided campus tour, attend an undergraduate open day, drop into our office or go on a self-guided tour.  Find out about opportunities to visit LSE . 

LSE visits you

Student Marketing, Recruitment and Study Abroad travels throughout the UK and around the world to meet with prospective students. We visit schools, attend education fairs and also hold Destination LSE events: pre-departure events for offer holders.  Find details on LSE's upcoming visits . 

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Health Finance Specialization

The Health Finance specialization has two sub-specialization areas:

• Health Financial Management

Health Public Finance

The Health Financial Management specialization prepares students to organize and interpret financial information as the basis of decision-making.

You’ll study financial and managerial accounting, financial statements, business plans, budgeting, capital planning, cost accounting, managerial control, working capital management, and payment systems.

Financial managers measure the flow of funds into and out of the organization, plan for investments in buildings and new technology, and forecast future surpluses and deficits for the organization as a whole and its departments. As a financial manager, you’ll work closely with other professionals—accountants, administrators, computer programmers, records managers, and planners—whose decisions have an impact on the organization’s financial status and who rely on your skills and advice.

PROGRAM REQUIREMENTS

Below is an overview of the required coursework for the two specializations. 

DEGREE CORE COURSES

Required courses.

HPAM-GP.1830 , Introduction to Health Policy and Management OR HPAM-GP.2836 , Topics in Health Policy: Policy, Politics, and Power

Recommended Electives

Students may wish to organize their electives around the following areas:

Topics in Finance

Topics in Health Policy and Management

The Health Public Finance specialization gives students the concepts and skills needed for careers that focus on the financial aspects of healthcare policy and the healthcare delivery system. You’ll take courses in public expenditure analysis, social insurance programs, taxation, and debt financing, among others.

Health public finance positions are located in every sector, and many graduates move between positions during their careers. They might be budget officers and analysts, consultants, finance directors, grant managers, program auditors, financial analysts, bond raters, investment bankers, and bond insurance underwriters.

Health Finance Faculty

Healthcare Finance and Economics

• Certificate Options

The Graduate Certificate in Healthcare Finance and Economics (CRHF) is available for working professionals who would like to expand their knowledge and further their education in healthcare finance and economics without pursuing a full graduate degree in healthcare administration. It is a flexible, 100% online, 12-semester hour program, provided in an accelerated 8-week format.

Courses that meet the academic requirements are eligible to transfer into the Master of Science in Healthcare Administration program should you choose to continue on towards the MSHA degree.

Required Courses

• HPHC 5311 Healthcare Finance
• HPHC 5313 Healthcare Economics and Policy
• HPHC 5320 Health Insurance & Reimbursement

Elective Courses (students must complete one of the following electives)

• HPHC 5321 Healthcare Operations & Supply Chain Management
• HPHC 5323 Business Innovation & Entrepreneurship in Healthcare

Optional Electives for MSHA Graduates

It is preferred that students take courses 5320 and either 5321 or 5323 within the Certificate program. If an MSHA student has taken one or two of those courses as electives within the MSHA program, then they may take an optional elective to make up for each of those courses.

• HPHC 5318 Organizational Behavior in Healthcare
• HPHC 5322 Quality, Patient Safety, and Risk Management

Four courses are required for this certificate. A maximum of two core courses (5311 and 5313) may be transferred from the MSHA program to the Certificate program.

CRHF graduates may enroll in the MSHA program. They may transfer two core courses from the Certificate Program into the MSHA program.

Course Descriptions

HPHC 5311 Healthcare Finance This course introduces students to the core concepts of financial management in healthcare, including interpretation of financial reports, financial ratio analysis, cost and profit analysis, planning and budgeting, time value analysis, financing, investments, capital budgeting, and current accounts management. The purpose of this class is to assist the student in developing the necessary analytical ability, attitudes, and decision making skills required of a healthcare manager in a changing environment.

HPHC 5313 Healthcare Economics and Policy The course introduces the concepts of economic theory and analysis within the health services industry, focusing on healthcare consumption, supply and demand, healthcare resource allocation, and the impact of health policy on the delivery of healthcare in the U.S.

HPHC 5320 Health Insurance and Reimbursement This course provides an overview of health insurance, including public and private payers, self-funded insurance, managed care, health insurance markets, and policy changes that impact these areas. In addition, the course will cover healthcare payment systems and reimbursement methods of various payers in the health services marketplace.

HPHC 5321 Healthcare Operations & Supply Chain Management This course examines operational issues in healthcare management. Healthcare operations topics include systems analysis, forecasting, facility location and design models, decision analysis techniques, inventory control, CQI and statistical quality control. The course also integrates key components of supply chain management, including strategic sourcing and purchasing, acquisition, logistics, inventory management, and point of use applications, providing understanding, knowledge and evaluation models to operate and manage an organization's enterprise resource planning and management system

HPHC 5323 Healthcare Business Innovation & Entrepreneurship This course will explore the evolving world of healthcare innovation from a business perspective to include the entrepreneurial side of human health advancements. Technology is an institutional imperative driving innovation through value-chain optimization and strategic convergence and/or divergence across all sub-sectors within healthcare, including sectors such as pharmaceuticals, biotechnology, medical devices and health informatics. The course will evaluate the entrepreneurial process, strategic thinking and new venture exploration while focusing on rapid growth and technological implementation and cost considerations within the healthcare sector.

MS in Finance Specialization Healthcare

A specialization in Healthcare Finance provides students with vital knowledge at the intersection of finance and the healthcare industry. You’ll be taking the next step toward a successful career in the healthcare industry, working to obtain a finance function that will impact functional units in healthcare, new technology, or the healthcare marketplace.

What You'll Learn

• The different actors transacting the more than $8 trillion global health economy annually, ranging from health insurers, physicians, hospitals, medical device manufacturers, and pharmaceutical firms
• How new medical technologies, ranging from cures for specific cancers to to $1 billion pharmaceutical blockbusters are financed and brought to market
• How to conduct a cost-effectiveness analysis when evaluating new medical technologies
• How to construct an investor report on the financial viability of new medical innovations in the U.S. and global markets

Course Schedule

Students can complete the program in 10 or 16 months based on personal goals and preferences. You will take 31 credits of the required MS in Finance curriculum and round out your degree with elective classes developed to specifically focus on Health Finance.

Courses include:

• MILI 6985 - The Health Care Marketplace (strongly encouraged)
• MILI 6995 - Medical Valuation Laboratory  (strongly encouraged)
• MILI 6589 - Medical Technology Evaluation
• MILI 6235 - Pharmaceutical Industry
• MILI 6963 - Healthcare Analytics
• MILI 6562 - Information Technology in Healthcare
• MILI 6726 - Medical Device Industry

Career Outcomes

Graduates with a specialization in Healthcare Finance go on to work in fields such as management consultancies, health insurers, hospitals, medical device manufacturers, and investment banks. Our graduates find jobs at top companies, including UnitedHealthcare, Optum, The Mayo Clinic, Medtronic, Piper Sandler, Accenture, Walgreens, McKinsey, Ernst & Young, Boston Scientific, Blue Cross Blue Shield, and Abbott Labs.

Those who specialize in this area are prepared for positions, such as:

• Financial Analyst
• Financial Performance Manager
• Financial Consultant

Learn more about career outcomes for MS in Finance graduates by viewing our employment report .

The Carlson School and health finance faculty prepared and mentored me for a range of career roles starting from United healthcare intern to hospital financial industry analyst at a national consultancy to a Director of a Washington DC health policy think tank within three years. Michael Ramlet, BSB (2009), CEO, The Morning Consult

Healthcare Finance Admissions

The admissions process and application deadlines for the MS in Finance Healthcare Finance specialization are the same for the MS in Finance program.

Start an application

View application requirements

Other Finance Specializations

• Asset Management
• Corporate Finance
• Research Track

Contact Master of Science in Finance

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How to Get Accepted to Multiple Top Business Schools

Maximize every opportunity to emphasize the unique contributions you can bring to an MBA class.

Get Accepted to Multiple Top B-schools

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When applying, it's important tailor your application to each school and have well-developed goal statement that plots the intended career path, experts say.

Nikita Srivastava applied to seven MBA programs and got admitted to three: Yale University School of Management in Connecticut, New York University's Stern School of Business and the University of Chicago's Booth School of Business in Illinois.

“I definitely was not expecting it,” says Srivastava, who chose Booth.

She attributes her multiple acceptances to top B-schools to tying her personal and professional backgrounds to her post-MBA goals. Her background was mainly in communications, media relations and public relations, and she credits her MBA admissions consultant for showing her how to tell her story.

“Lean into what makes you unique," Srivastava advises MBA applicants .  " Think about how this unique quality will enhance the classroom for your peers and professors. Be proud of it and own it.”

Being accepted into multiple B-schools can allow an applicant to weigh program fit, potential opportunities and scholarship offers. Here are some things to consider to increase your chances of being accepted to multiple top business schools .

Apply More Broadly

Getting admitted to numerous MBA programs is a numbers game, says Sam Weeks, an MBA admissions consultant and founder of Sam Weeks Consulting.

“The more business schools a prospective applicant applies to, the more likely they are to be accepted into more than one school. That’s why we recommend to our clients to apply to at least six schools, if possible,” says Weeks, who has an MBA from the University of Oxford in England.

Students should not only apply to more schools to increase their chances of multiple admissions, but also more broadly in terms of school selectivity, experts say.

“This sounds obvious, but there are many applicants who go into this process only considering a limited set of schools with slimmer acceptance odds. They say the ROI is not there for other schools outside their ambitious targeting,” says Alex Leventhal, an MBA admissions consultant at Prep MBA Admissions Consulting.

Leventhal, who has an MBA from Harvard University Business School in Massachusetts, contends that the return on investment is compelling at more schools than most people think. He says applicants should look at the salary data of program graduates and the percentage of graduates who got jobs within three months after graduation.

“For example, the very top consulting firms recruit at a range of schools, and not just the top three,” Leventhal says.

He also suggests looking for joint degree programs to increase your odds by applying to a specialty track that a school is promoting or trying to fill.

Leventhal said he has had "some less-than-stellar clients" get accepted to the University of Pennsylvania's Wharton School , likely because they applied to the Lauder Institute of Management and International Studies joint program "for one of their less popular regional tracks. Or a client who got into Stanford Graduate School of Business because their professional experiences fit so nicely with a limited scholarship program focusing on the sustainable food supply chain.”

Customize Each Application

Schools like to see B-school applicants demonstrate familiarity with their programs, experts say. Leventhal says schools will “look for evidence that you have engaged with their program and talked to current students and alumni.”

Applicants should demonstrate they took the time to research a particular school “and all it has to offer, and consider both what they will learn from the program and how they will add value on campus,” says MBA consultant Scott Edinburgh, founder of Personal MBA Coach.

This means taking time to develop a strong personal story that connects past choices with future goals, says Edinburgh, who has an MBA from Wharton.

Applicants should demonstrate four key things in their tailored applications, he says: “Ability to handle the academic rigor of the target MBA program, leadership potential, how they will uniquely add value on campus and clarity of purpose.”

When applying, Weeks says, it’s important to have a well-developed goal statement that “charts out the applicant's intended career path and the impact they expect to have in their career.” He says those goals should be ambitious but attainable and make sense for the applicant.

Knowing what makes top business schools distinct "and then showing how you fit into those unique scenarios is essential to securing admits,” says Candy Lee LaBalle, an MBA admissions expert and founder of mbaClarity, formerly LaBalle Admissions.

Highlight Extracurricular Activities

Professional accomplishments that demonstrate leadership are great but shouldn’t be the only things highlighted. Edinburgh says applicants should show a passion for driving change.

“Successful MBA applicants are interesting people with plans to leave the world better than they found it in unique ways. Demonstrating passion and a track record of success in working towards this passion goes a long way,” Edinburgh says.

LaBalle says applicants who get admitted to multiple top B-schools tend to be “genuinely curious about the world, about learning, about having their perspectives challenged, and that shows in their hobbies and interests, work and goals.” They care deeply about the world and can demonstrate it, she adds, “whether that is mentoring classmates or starting an NGO that feeds thousands, and everything in between.”

Boost Your GMAT or GRE Score

If your GMAT or GRE score is lower than you had hoped for, take some more time to study and retake the exam.

“It is easier to get admits, and thus multiple admits, if your test score is strong and balanced between quantitative and verbal,” LaBalle says.

She says a strong, above-average test score can make a difference. “While there are many ways to offset a lowish test, the hard truth is that the higher your score, the better your odds of multiple admits.”

Students who don’t do well in the quantitative or analytical parts of the GMAT may prefer to take the GRE. Some business schools accept either test for MBA admissions.

Tests and other application materials aside, experts say securing strong letters of recommendation by supporters invested in your career and future is important to getting accepted to top MBA programs.

Apply to Schools Offering Scholarships

Applying to more schools can mean more scholarships that come with those admissions, which can give you options. Leventhal says his clients have focused on applying to more B-schools the last few cycles because they are increasingly interested in merit scholarships.

“The schools are trying to secure talented applicants with money off the tuition. As the price tag of the MBA has gone up, the merit pull can understandably matter. And schools that are reaches for an applicant generally won’t offer much in the way of merit grants,” Leventhal says.

Srivastava says she received some scholarships with each admissions offer, helping to relieve the burden of paying back student loans after graduation and giving her “freedom to focus on finding a career that would be a good fit for me both personally and professionally.”

A major bonus to getting accepted to multiple B-schools that offer scholarships is leverage, Weeks says. “You are in a strong position to negotiate scholarships.”

That includes awards at the most elite business schools. Students with more than one acceptance can inform schools that they received another offer and ask if any additional scholarship funding is available, he says.

Boost the Odds of MBA Acceptance

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How healthcare organizations can optimize financial performance and increase revenue

May 16, 2024

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The state of financial performance in healthcare today

The healthcare industry in the U.S. is facing a perfect storm when it comes to financial challenges. Hospitals and large healthcare organizations today are facing significant issues when it comes to reimbursement and payment, rising costs of supplies and services, regulatory and compliance costs, and of course, physician burnout and high turnover rates. In fact, only 38% of physicians believe their organization is on solid financial footing. 1 And according to the American Hospital Association, overall hospital expenses increased by 17.5% in just three years between 2019 and 2022. 2

These challenges pose serious threats to the long-term viability and sustainability of many healthcare organizations, and potentially jeopardize access to care for millions of Americans. Understanding the root causes and ramifications of these financial headwinds is crucial for healthcare leaders if they seek to improve financial performance. So, before we dive deeper, let’s examine the most pervasive barriers that healthcare organizations face to growth.

Common challenges: the biggest barriers to efficiency and growth

• Difficulty collecting full payment – It’s getting harder to get paid, and the overall denial rate has increased to 12% in 2023, up from 10% in 2020 3 and large healthcare organizations often struggle with collecting timely payments from patients for care provided. The biggest reasons for this barrier include outdated digital systems and patient portals, issues with payer and claims denials, and long lag times after a claim is approved. 4
• Administrative and operational burden – Like many providers in the U.S. today, hospitals and other large healthcare organizations struggle with the systemic issue of burnout and the phenomenon known as “pajama time”, which describes time spent by care providers doing clinical notetaking and documentation after hours. These trends – alongside unsustainable administrative tasks, lack of operational rigor, and lack of automation in healthcare technology—are all major challenges that healthcare organizations must overcome if they seek to drive efficiency and growth.
• Struggling to stay on top of industry changes – Staying in the know about industry changes like new medical codes, as well as a lack of interoperability, are also preventing healthcare organizations from achieving progress when it comes to financial stability. With literally thousands of medical codes to keep track of, it can be hard to keep up. 5 The growing burden of regulatory and compliance changes has tacked on added administrative work and expenses that affect the bottom line.

Understanding revenue cycle management in the healthcare industry

Revenue cycle management (RCM) is a vital process used by healthcare organizations to manage financial operations, from the point when a patient schedules an appointment all the way to accounts receivable (A/R) follow-up. RCM is essential to the day-to-day operations of all healthcare organizations in the U.S., with the global RCM market valued at over $658 billion by 2030. 6 The process is complex, involving patient intake, insurance verification, authorization management, medical coding, communicating with payers to bill claims, managing claim denials, and ensuring compliance with all billing rules. But the overall goal of RCM is to help healthcare organizations ensure they’re paid timely and efficiently, collect what’s owed for care provided, and in such a way that mitigates any potential errors or denials from the payer.

The key steps of the RCM process include:

• Patient schedules an appointment
• Patient is registered in the healthcare org’s system (EHR or EMR)
• Charge capture is completed for the patient encounter
• A claim is created, submitted, and billed to the payer (the insurance company of the patient)
• Any possible denials that may arise from the payer are managed so that the claim can be resubmitted and processed
• Patient billing for any costs owed that are not covered by the payer
• A/R follow-up for any unpaid claims to ensure reimbursement

An effective RCM process works to streamline these steps and ensure regulatory compliance to optimize revenue capture, minimize denials and delays, and improve overall financial performance for healthcare organizations.

RCM best practices and core benefits

So, what does it look like when a healthcare organization has implemented an effective RCM process? In order to maximize financial performance and increase operational efficiency, all RCM processes used by large care providers should follow the below best practices:

• Streamlining administrative tasks - reducing burden and freeing up time to perform other essential work and better serve patients.

• Operational excellence and strong back-office standards - helping drive maximum productivity.

• Training and education for staff on the RCM process - helping increase efficiency and proactively preventing any issues with payers.

• Strong denial management systems - ensuring that any claims denials from payers are addressed to secure reimbursement.

• Monitoring and analysis of revenue - leveraging data and reporting to help track KPI and drive revenue growth.

• Maintaining updated, mobile-friendly digital payment systems - allowing patients to pay their bills quickly and conveniently.

By implementing these RCM best practices into their daily workflow, healthcare organizations can overcome operational and financial challenges, capture appropriate reimbursement, and lay the foundation for long-term sustainability.

Now, let’s take a closer look at some of the ways that your healthcare organization can alter your RCM process to drive increased revenue and support your bottom line.  

Opportunities to transform the RCM process and increase your financial performance

1. Enhance the patient experience to attract and retain more patients

Dedicating time to enhancing and bettering the patient experience can help your healthcare organization in the short and long term. Current patients will be encouraged to regularly return for the care they need and will also share their positive experience with others, creating a network of referrals to you. Focusing on the patient experience yields additional benefits like improved scheduling volume, reduced no-show rates, reduced gaps in care, and greater patient satisfaction and loyalty.

By engaging patients through automated messages and tailored messaging campaigns, you can improve patient communications while also reducing proactive outreach work for your staff. In addition, providing self-service actions for patients, like self-scheduling and digital bill pay, helps provide them with flexibility around care and payment options, and helps practices maintain schedule density without staff support. Digital bill pay also helps remove barriers to payment, so patients can make digital payments quickly and on their own time.

2. Use cloud-based RCM tools to get paid what you’re owed faster and drive increased efficiency

If you’re currently using an on-prem RCM solution, you might want to consider switching to a cloud-based tool instead. Not only do cloud-based RCM tools help healthcare organizations save money on maintenance, energy, and operational costs, but using a cloud-based solution gives you access to real-time updates and data related to billing rules, medical coding, and more, while easily adding support software services that help reduce burden and create cleaner claims. Managing your RCM process in the cloud also provides better data security and reliability, and you can scale and adjust your cloud storage as needed, or as your healthcare organization grows.

3. Gain visibility into financial performance to make informed, data-driven decisions for your business

With the right RCM tool, you can gain actionable insights into the financial health of your business to discover revenue and efficiency gaps and identify opportunities to reduce burnout in providers and staff. Using metrics gleaned from your RCM solution, you can enhance your perspective on the market by leveraging healthcare industry insights and benchmark data of other organizations similar to your own, helping you understand what your peers are doing, what payers will require, what patients will be demanding, and how to stay on top of it all.

Key metrics like days in accounts receivable (DAR), claim denial rate, and net collection rate help you track where your healthcare organization could be underperforming compared to competitors. An RCM solution that includes a financial performance dashboard is an easy way to proactively address revenue challenges before they arise and can help your business identify new areas of potential growth.

4. Improve operational efficiency by streamlining workflows and reducing burden

In many respects, operational efficiency is the backbone to enhancing your RCM process. By setting goals towards achieving operational excellence, your healthcare organization can eliminate or outsource time-consuming administrative work, so you can free up resources to focus on patient care and patient volume. Streamlining processes and optimizing workflows can significantly reduce administrative overhead, minimize errors and redundancies, and accelerate cash flow.

Key areas where operational efficiency drives RCM success include front-end processes, such as registration, eligibility verification, and pre-authorization. And having standardized, digitized procedures in place minimizes delays and claim denials. Seamless integration of EHR, coding, and billing systems also enhances efficiency by eliminating coding errors, and manual data entry and reconciliation. On the back end, automated claim scrubbing, denial management protocols, and analytics-driven process improvements enhance operational efficiency. Workflow tools that prioritize outstanding accounts and automate patient billing and collections can further boost productivity.

Continuous efforts to remove administrative burden, reduce cycle times, and implement lean RCM processes yield significant operational gains, freeing up staff to focus on increasing patient satisfaction by supporting a smooth in-office experience.

athenahealth helps your organization succeed under any payment model

Our revenue cycle management solution is built to support practices of all sizes, from single physician practices to large healthcare organizations, equipping them with the software and services they need to effectively manage their RCM and practice management requirements. By choosing athenahealth's RCM solution, you're not just choosing a service provider; you're choosing a partner dedicated to your success—a partner who understands the intricacies of healthcare management and is committed to helping you optimize your operations, enhance patient care, and maximize financial performance.

RCM for value-based care

Value-based care models come with high complexity and few guarantees. For healthcare organizations to get the most returns, they must excel in everything from collaborating with other providers to integrating the systems required for reporting. If your business follows a value-based care model (VBC), athenahealth’s RCM solution can help you proactively gain actionable insights into care and diagnosis gaps at the moment of care. athenahealth helps you coordinate care and measure performance, with research and guidance support that we audit and submit on your behalf, so you’ll be able to track changes in quality program requirements to maximize revenue.

RCM for fee-for-service

With a fee-for-service model, your organization strives to maximize collections on services rendered while reducing administrative burden and overhead. athenahealth’s RCM solution helps practices with a fee-for-service model to simplify their medical billing workflow, while maintaining schedule density and getting you the information needed to make an accurate post-visit claim. We have over 30,000 rules in our billing rules engine to catch possible errors before claim submission 7 , minimizing denials and supporting a more efficient and precise payment process.

How athenahealth helps enterprise-scale customers to collect more, faster

With our revenue cycle management solution, healthcare organizations can maximize revenue, reduce administrative burden, and stay ahead of industry changes. We simplify revenue cycle work from the beginning stages at appointment scheduling, all the way to securing full payment. Robust benchmarking, reporting, and coaching within our RCM solution help empower practices to take control of their financial health, streamlining your revenue cycle and boosting your healthcare organization’s success. Here are some of the ways that we help healthcare organizations collect more of what’s owed, quickly and efficiently:

Efficient Scheduling: We start at the very beginning of the patient's journey with intuitive scheduling solutions that integrate seamlessly with the rest of the practice's operations, ensuring smooth patient flow and optimized appointment management Advanced Billing Rules Engine: Our extensive billing rules engine is at the heart of our RCM offering. It's been engineered to help ensure that claims are more accurate from the outset, drastically reducing denials and the need for re-work.

Claims Creation and Management: With our sophisticated claims creation and management tools, we take the complexity out of this critical step. Our platform ensures that claims are processed efficiently and accurately, improving turnaround times and cash flow.

Denials Management: Our proactive approach to denials management helps identify potential issues before they result in denied claims. When denials do occur, our comprehensive review process makes resolution swift and straightforward, minimizing delays in payment.

Self-Pay Billing: Recognizing the growing importance of patient responsibility in healthcare payments, our self-pay billing solutions are designed to make this process as straightforward as possible for both practices and patients, enhancing satisfaction and improving collection rates.

Real-Time Connectivity: One of the most powerful aspects of our RCM solution is its real-time connectivity with our Clinicals and Patient Engagement platforms. This integration provides practices with unparalleled insights across the entire patient care spectrum—from scheduling and billing to patient engagement and clinical outcomes.

See how these athenahealth customers optimized their financial performance with our RCM solution

Consensus Health

Consensus Health, comprised of New Jersey-based independent primary care and related specialty clinicians, provides administrative support to enable independent clinicians in New Jersey to focus on patient care while benefiting from organizational scale. Seeking to increase efficiency and growth, they partnered with athenahealth to drive operational efficiency and rapid growth.

By using athenaOne's integrated EHR, revenue cycle management, and analytics software and services, Consensus optimized billing, achieving top 25th percentile performance in accounts receivable metrics across their practices. As they took on more value-based contracts, they leveraged athenaOne data to track quality metrics in addition to financial metrics.

The cloud-based athenaOne platform allowed Consensus to rapidly onboard new practices with minimal manual work. This scalability enabled adding 63 new providers in 2 years and helped support their aggressive plans to add 100 more physicians within 18 months.

Consensus' investors value the efficiencies and data-driven insights facilitated by athenaOne. As COO Michael Lovett stated, "If you're going to grow exponentially and quickly, you need a scalable platform, and that's an advantage athena gives us."

StrideCare, a Texas-based podiatric group, transitioned all their practices onto athenahealth's athenaOne platform to enable scalable growth. They onboarded 15 practices in just a few months, capitalizing on reduced patient volumes during the pandemic.

The seamless data conversion and intuitive athenaOne system helped facilitate an efficient transition. StrideCare gained significant operational efficiencies, including increased electronic remittance from 90% to 99% and a nearly 100% improvement in A/R days.

athenahealth's clearinghouse and rules-based claim management allowed StrideCare to operate lean staffing levels as they rapidly expanded, adding 30+ providers yearly. Robust analytics helped provide denial visibility and identified financial opportunities missed by prior disjointed systems. StrideCare leaders cited athenaOne as critical for achieving their growth strategy while delivering high-quality, efficient care.

CenterPlace Health

CenterPlace Health, a federally qualified health center in Florida, partnered with athenahealth to improve revenue cycle processes across their 7 clinics while maintaining compassionate, accessible care. As RCM Director Crystal Wolfe worked with athenahealth's Advisory Services team, together they analyzed workflows and developed staff training tailored to CenterPlace's values.

A key initiative was scripted patient communications to discuss payment options sensitively. This approach, along with automated claim scrubbing, led to a 42% increase in visit volume and over 124% growth in time-of-service collections in 12 months.

Leveraging athenaOne's reporting, CenterPlace gained visibility into key metrics to share with leadership and ensure community-focused mission delivery. The integrated solution empowered staff engagement and efficiency, allowing CenterPlace to serve more patients with fewer resources. Wolfe states, "With athenahealth, we've trained, empowered and given our teams confidence to do their jobs and serve our community to the greatest ability."

Maximizing your organization’s financial health with effective revenue cycle management

Effective revenue cycle management is vital for the financial health and operational success of large and enterprise-scale healthcare organizations. With reimbursement rates facing downward pressures and operating costs continuing to rise, healthcare providers must optimize their revenue cycle performance in order to succeed in today’s industry climate. RCM analytics provide crucial visibility into key metrics like denial rates, accounts receivable days, and time-of-service collections. This intelligence enables continuous process improvement and identification of revenue gaps.

In today's challenging healthcare landscape, organizations cannot afford to continue with inefficient, costly revenue cycle management. To make the most of your organization’s profitability, cash flow, patient satisfaction, and long-term sustainability, focus on an RCM partner that can do more.

To learn more about how athenahealth is helping healthcare organizations optimize their financial performance, take a look at our RCM solution .

1 2023 Physician Sentiment Survey, commissioned by athenahealth and fielded by Harris Poll, Jan 2024

2 American Hospital Association, Costs of Caring Report, “The Financial Stability of America’s Hospitals and Health Systems Is at Risk as the Costs of Caring Continue to Rise”, April 2023; https://www.aha.org/costsofcaring

3 Fierce Healthcare, “Payers’ increasing claims denials, delays ‘wreaking havoc’ on provider revenue cycles”, Dec 2023; https://www.fiercehealthcare.com/finance/payers-increasing-claims-denials-delays-wreaking-havoc-provider-revenue-cycles

4 American Hospital Association, Report: Hospitals struggle to collect payments from commercial insurers, May 2023; https://www.aha.org/news/headline/2023-05-22-report-hospitals-struggle-collect-payments-commercial-insurers

5 American Medical Association, “AMA releases the CPT 2024 code set”, Sep 2023; https://www.ama-assn.org/press-center/press-releases/ama-releases-cpt-2024-code-set

6 Gartner, Jan. 2024, Market Guide for Revenue Cycle Management Software, pg no:7; https://www.gartner.com/document/5153231?ref=solrResearch&refval=397104950&; IS086

7 Based on athenahealth data as of Apr. 2023; M017

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Fundamentals of Healthcare Finance, Fourth Edition Fourth edition

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• ISBN-10 1640553223
• ISBN-13 978-1640553224
• Edition Fourth edition
• Publisher Gateway to Healthcare Management
• Publication date August 10, 2022
• Language English
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• Print length 500 pages
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About the author.

Paula H. Song, PhD, is the Richard M. Bracken Professor and Chair of the Department of Health Administration in the College of Health Professions at Virginia Commonwealth University. Her research and teaching interests cover areas such as healthcare financial management, investment strategies in not-for-profit hospitals, payment reform, and business case evaluation for health initiatives. Dr. Song received a doctorate in health services organization and policy as well as master’s degrees in health services administration and applied economics from the University of Michigan in Ann Arbor. She has published more than 50 peer-reviewed articles and has coauthored five leading textbooks in healthcare finance. In 2020, Dr. Song was awarded the John D. Thompson Prize by the Association of University Programs in Health Administration.

Kristin L. Reiter, PhD, is a professor and associate chair in the Department of Health Policy and Management of the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill, where she specializes in healthcare finance. She is also a research fellow in the Cecil G. Sheps Center for Health Services Research and an investigator with the North Carolina Rural Health Research Program, both at the University of North Carolina at Chapel Hill. Prior to joining academia, Dr. Reiter worked in public accounting, serving not-for-profits and clients in the insurance industry. She is a coauthor of more than 60 peer-reviewed articles and two leading textbooks in healthcare finance.

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