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Larry Van Horn

Associate Professor of Management and Executive Director of Health Affairs

Expert in health care management, health insurance policy and health care economics.


A renowned expert and researcher on health care management and economics, Larry Van Horn is a leading figure within the Vanderbilt health care community. Van Horn has been honored by the U.S. Department of Health and Human Services as a Ruth L. Kirschstein National Research Service Award (NRSA) Fellow. Van Horn has also conducted industry research for such organizations as Kodak Health Imaging, Health Care Financing Administration, Kaiser Family Foundation and the Robert Wood Johnson Foundation, and has consulted for national consulting firms, managed care organizations, pharmaceutical firms and foreign governments. Van Horn holds many leading positions at Owen and in the healthcare community. He is the Executive Director of Health Affairs and Founder and Co-Director of the Center of Health Care Market Innovation at Vanderbilt. He is also the Co-Director of Nashville Health Care Council (alongside Senator Bill Frist). Van Horn’s research on healthcare organizations, managerial incentives in nonprofit hospitals and the conduct of managed care firms has appeared in such leading publications as the Journal of Health Economics, Journal of Law and Economics, International Journal of Industrial Organization, Medical Care, Medical Care Research and Review, Journal of Public Budgeting and Financial Management, and Harvard Business Review. Van Horn's current research interests include nonprofit conduct, governance and objectives in healthcare markets, and the measurement of healthcare outcomes and productivity.

Media Appearances

  • Trump administration shines sunlight into our health care system

    In fact, an analysis by economist Larry Van Horn at Vanderbilt University found that patients who pay cash for health care services pay 40 percent less, on average than the prices charged for insured patients. The cash-paying portion of the market for health care services is fairly small (compared to the portion of the market controlled by third-party payment), but price transparency rules would help all payers, and all patients, to shop around for services or simply plan for health care expenditures. Transparency would lead to greater competition and lower prices.

    November 3rd, 2020

  • Remarks by President Trump at Signing of Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First

    DR. VAN HORN: Thank you, Mr. President, for taking this action that will put healthcare information in the hands of the American consumer. This truly will be transformational.

    June 24th, 2019

  • Apology Not Accepted: When Saying 'I'm Sorry' Isn't Enough

    McMichael and coauthor Larry Van Horn, associate professor of management and executive director of health affairs at Vanderbilt's Owen Graduate School of Management, say health systems need to train providers on when and how to apologize.

    April 16th, 2019

  • Sorry, Laws Protecting Doctors Who Apologize Don’t Lessen Litigation

    “The idea is simply that if providers could just say they’re sorry, that’s what patients really want. They really don’t care about punishing the doctor in a financial context, they care about having them express remorse,” said Larry Van Horn, associate professor of management and executive director of health affairs at Vanderbilt’s Owen Graduate School of Management, one of the authors of the study. “But what we find is that no, people sue for money. ‘Sorry’ is not enough.”

    April 5th, 2019

  • Don't understand health care? You're not alone. It's the industry's fault — not yours

    "That's what going to have to happen in health care," said Larry Van Horn, executive director of health affairs at Vanderbilt University's Owen Graduate School of Management. "It's going to be incumbent on providers. The onus is on the provider, not the consumer."

    August 11th, 2017

  • Column: How a bite from a stray dog shows the sick state of U.S. healthcare

    Larry Van Horn, director of the Center for Health Care Market Innovation Research at Vanderbilt University, said he sees hope for change in the growing use of high-deductible insurance plans. “Neither providers nor medical technology companies will be able to charge the prices they have historically if they expect an average American to foot the bill,” he said. “That is the future, and it will be bright. Providers will have to supply services that people can afford out of pocket, and this will force them to innovate and take down their costs to survive.”

    September 6th, 2016


Ph.D., University of Pennsylvania

M.P.H., University of Rochester

M.B.A., University of Rochester


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