Lessons From India in Organizational Innovation: A Tale of Two Heart Hospitals
The most up-to-date version of this piece can be found in the Duke Law Scholarship
published at, 27 Health Affairs 1260-1270 (Sept./Oct. 2008)
Recent discussions in health reform circles have pinned great hopes on the prospect of innovation as the solution to the high-cost, inadequate-quality U.S. health system. But U.S. health care institutions—insurers, providers, and specialists—have ceded leadership in innovation to Indian hospitals such as Care Hospital in Hyderabad and the Fortis Hospitals around New Delhi, which have U.S.-trained doctors and can perform open heart surgery for $6,000 (compared to $100,000 in the United States). The Indian success is a window into America’s stalemate with inflating costs and stagnant innovation.
Date of Authorship for this Version
health care reform, organization innovation, hospitals, India, tiered pricing
Richman, Barak D.; Udayakumar, Krishna; Mitchell, Will; and Schulman, Kevin, "Lessons From India in Organizational Innovation: A Tale of Two Heart Hospitals" (2008). Duke Law School Faculty Scholarship Series. 154.