<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-09-20T13:08:31Z</responseDate><request verb="GetRecord" identifier="oai:dspace.mit.edu:1721.1/90725" metadataPrefix="dim">https://dspace.mit.edu/server/oai/request</request><GetRecord><record><header><identifier>oai:dspace.mit.edu:1721.1/90725</identifier><datestamp>2022-01-13T07:54:46Z</datestamp><setSpec>com_1721.1_7582</setSpec><setSpec>com_1721.1_7581</setSpec><setSpec>col_1721.1_131023</setSpec></header><metadata><dim:dim xmlns:dim="http://www.dspace.org/xmlns/dspace/dim" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.dspace.org/xmlns/dspace/dim http://www.dspace.org/schema/dim.xsd">
   <dim:field mdschema="dc" element="contributor" qualifier="advisor" lang="en_US">Patrick Hale.</dim:field>
   <dim:field mdschema="dc" element="contributor" qualifier="author" lang="en_US">Shefali, Shweta</dim:field>
   <dim:field mdschema="dc" element="contributor" qualifier="other" lang="en_US">System Design and Management Program.</dim:field>
   <dim:field mdschema="dc" element="contributor" qualifier="department" lang="en_US">System Design and Management Program.</dim:field>
   <dim:field mdschema="dc" element="contributor" qualifier="department">Massachusetts Institute of Technology. Engineering Systems Division</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="accessioned">2014-10-08T15:25:17Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="available">2014-10-08T15:25:17Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="copyright" lang="en_US">2014</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="issued" lang="en_US">2014</dim:field>
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   <dim:field mdschema="dc" element="identifier" qualifier="oclc" lang="en_US">891139497</dim:field>
   <dim:field mdschema="dc" element="description" lang="en_US">Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2014.</dim:field>
   <dim:field mdschema="dc" element="description" lang="en_US">Cataloged from PDF version of thesis.</dim:field>
   <dim:field mdschema="dc" element="description" lang="en_US">Includes bibliographical references (page 127) and index.</dim:field>
   <dim:field mdschema="dc" element="description" qualifier="abstract" lang="en_US">Our current Healthcare system has multiple problems and it is widely perceived that it is not able to provide quality affordable healthcare to all Americans; millions of Americans are without Health Insurance. The Affordable Care Act (ACA) was signed into law to achieve goal of 'quality affordable care for all American'. The ACA has focus on Individual Health Insurance and the provision of Health Exchange Marketplaces to find and purchase Health Insurance. Disruptive Innovation is a phenomenon in which a new entrant company disrupts the existing established company. As ACA and Health Exchanges have provided level playing field for all companies - new entrants and established - will this lead to disruption of Healthcare? Disruptive Innovations is analyzed from System Approach point of view. Disruption is not limited to two companies; Disruptor System disrupts the existing system including incumbent company. Disruption will be spearheaded by new entrant Disruptor Company and disruption will take place at system level. The existing Healthcare System and Possible Disruptor Systems are defined and investigated. Relative advantage and disadvantages to these two systems with regard to ACA regulations are analyzed. Elements of the healthcare disruptor system are analyzed and information present in the public domain about Health Exchange enrolment after the end of first enrollment seasons is studied to find out who could be possible disruptor and whether disruptor system formation has started.</dim:field>
   <dim:field mdschema="dc" element="description" qualifier="statementofresponsibility" lang="en_US">by Shweta Shefali.</dim:field>
   <dim:field mdschema="dc" element="description" qualifier="degree" lang="en_US">S.M. in Engineering and Management</dim:field>
   <dim:field mdschema="dc" element="format" qualifier="extent" lang="en_US">131 pages</dim:field>
   <dim:field mdschema="dc" element="language" qualifier="iso" lang="en_US">eng</dim:field>
   <dim:field mdschema="dc" element="publisher" lang="en_US">Massachusetts Institute of Technology</dim:field>
   <dim:field mdschema="dc" element="rights" lang="en_US">M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission.</dim:field>
   <dim:field mdschema="dc" element="rights" qualifier="uri" lang="en_US">http://dspace.mit.edu/handle/1721.1/7582</dim:field>
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   <dim:field mdschema="dc" element="subject" lang="en_US">System Design and Management Program.</dim:field>
   <dim:field mdschema="dc" element="title" lang="en_US">Disruption of the group health insurance in light of the Affordable Care Act - system approach</dim:field>
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   	&lt;Title>Disruption of the group health insurance in light of the Affordable Care Act - system approach&lt;/Title>
   	&lt;Subtitle>Disruption of the group health plans in light of the Affordable healthcare Act&lt;/Subtitle>
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   	&lt;PublicationDate>2014&lt;/PublicationDate>
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   	&lt;Abstract>Our current Healthcare system has multiple problems and it is widely perceived that it is not able to provide quality affordable healthcare to all Americans; millions of Americans are without Health Insurance. The Affordable Care Act (ACA) was signed into law to achieve goal of &amp;apos;quality affordable care for all American&amp;apos;. The ACA has focus on Individual Health Insurance and the provision of Health Exchange Marketplaces to find and purchase Health Insurance. Disruptive Innovation is a phenomenon in which a new entrant company disrupts the existing established company. As ACA and Health Exchanges have provided level playing field for all companies - new entrants and established - will this lead to disruption of Healthcare? Disruptive Innovations is analyzed from System Approach point of view. Disruption is not limited to two companies; Disruptor System disrupts the existing system including incumbent company. Disruption will be spearheaded by new entrant Disruptor Company and disruption will take place at system level. The existing Healthcare System and Possible Disruptor Systems are defined and investigated. Relative advantage and disadvantages to these two systems with regard to ACA regulations are analyzed. Elements of the healthcare disruptor system are analyzed and information present in the public domain about Health Exchange enrolment after the end of first enrollment seasons is studied to find out who could be possible disruptor and whether disruptor system formation has started.&lt;/Abstract>
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