Publications

Educators

Article

Supporting Value-Based Health Care—Aligning Financial and Legal Accountability

By: Mark M. Zaki, Anupam B. Jena and Amitabh Chandra

U.S. health care payment and delivery-system reforms have focused on improving care by making organizations accountable for outcomes, quality, and costs. Payers have supported the implementation of accountable care organizations (ACOs), bundled-payment models, and... View Details

Keywords: Value-based Health Care; Accountability; Health Care and Treatment; United States

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Article

Better Accounting Transforms Health Care Delivery

By: Robert S. Kaplan and Mary L. Witkowski

The paper describes the theory and preliminary results for an action research program that explores the implications from better measurements of health care outcomes and costs. After summarizing Porter's outcome taxonomy (Porter 2010), we illustrate how to use process... View Details

Keywords: Activity Based Costing and Management; Research; Health Care and Treatment; Health Industry

Research Summary

Governance and Accountability in Social Sector Organizations

This research examines governance in two types of organizations: international NGOs and socioeconomic hybrids.

First, over the past decade, many of the world's most prominent international nongovernmental organizations and networks (INGOs) ... View Details

2013
Working Paper

Organization Identity and Accounting Choices

By: J. Bouwens and P. Kroos

March 2008 (Revised January 2010)
Background Note

Note on Accountability in the U.S. Health Care System

By: Regina E. Herzlinger and Michael Millenson

This note explains how health care providers, health insurers, and consumers are held accountable for their performance and the entrepreneurial opportunities thus created. View Details

Keywords: Entrepreneurship; Ethics; Insurance; Corporate Accountability; Health Care and Treatment; Demand and Consumers; Health Industry; United States

Educators

Web

Building Entrepreneurial Organizations - Health Care

Impact Building Entrepreneurial Organizations Health Minute: How Entrepreneurs are Reducing Costs & Improving Outcomes More “Entrepreneurship” stories Faculty Focus Innovating In Health Care is the focus of... View Details

2014
Article

The Governance of Social Enterprises: Mission Drift and Accountability Challenges in Hybrid Organizations

By: Alnoor Ebrahim, Julie Battilana and Johanna Mair

We examine the challenges of governance facing organizations that pursue a social mission through the use of market mechanisms. These hybrid organizations, often referred to as social enterprises, combine aspects of both charity and business at their core. In this... View Details

Keywords: Governance; Hybrid Organizations; Nonprofit; Performance Measurement; Legal Form; Agency Theory; Stakeholder Management; Mission and Purpose; Social Enterprise; Corporate Accountability

January 2023
Exercise

Identify the Health Care Venture

By: Regina E. Herzlinger and James Wallace

This case enables rapid learning of the key financial characteristics of many types of health care organizations and to diagnose their financial status. It is a surprisingly fun exercise (see the Teaching Note) accomplished by organizing groups of students that compete... View Details

Keywords: Health Care; Health Care Spending; Health Care Financing; Health Care Industry; Health Care Operations; Health Care Delivery; Health Care and Treatment; Financial Condition; Health Industry

Article

Spending Variation Among ACOs in the Medicare Shared Savings Program

By: Michael Anne Kyle, J. Michael McWilliams, Mary Beth Landrum, Bruce E. Landon, Paul Trompke, David J. Nyweide and Michael E. Chernew

OBJECTIVES: Understanding variation in spending across organizations, rather than across geographic areas, is important because care is delivered by organizations and interventions increasingly focus on organizations. Accountable care organizations (ACOs) are... View Details

Keywords: Medicare; Accountable Care Organizations; ACOs; Health Care and Treatment; Spending; Analysis

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05 Aug 2009
News

The Shifting Mission of Health Care Delivery Organizations

Article

Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective

By: Michaela J. Kerrissey, Jonathan Clark, Mark Friedberg, Wei Jiang, Ashley Kay Fryer, Molly Frean, Stephen Shortell, Patricia Ramsay, Lawrence Casalino and Sara J. Singer

Structural integration is increasing among medical groups, but whether these changes yield care that is more integrated remains unclear. We explored the relationships between structural integration characteristics of 144 medical groups and perceptions of integrated... View Details

Keywords: Integration; Health Care Delivery; Organization Structure; Organizational Structure; Health Care and Treatment; Perception; Perspective; Health Industry; United States

1994
Book

Financial Accounting and Managerial Control for Nonprofit Organizations

By: R. E. Herzlinger and D. Nitterhouse

Keywords: Nonprofit Organizations

Article

Accounting for Climate Change

By: Robert S. Kaplan and Karthik Ramanna

Corporations are facing growing pressure—from investors, advocacy groups, politicians, and even business leaders themselves—to reduce greenhouse gas (GHG) emissions from their operations and their supply and distribution chains. About 90% of the companies in the S&P... View Details

Keywords: Greenhouse Gas Mitigation; Social Accounting; E-liabilities; Business And The Environment; Climate Change; Corporate Social Responsibility and Impact; Environmental Sustainability

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2021
Working Paper

Accounting for Organizational Employment Impact

By: David Freiberg, Katie Panella, George Serafeim and T. Robert Zochowski

Organizations create significant positive and negative impacts through their employment practices. This paper builds on the substantial body of research regarding job quality and impact measurement to present a framework for monetized analysis of employment impact. We... View Details

Keywords: Impact-Weighted Accounts; IWAI; Employment Impact; Employment; Jobs and Positions; Quality; Measurement and Metrics; Analysis; Framework

SSRN

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Video

Accounting Equation - Financial Accounting

March 2015
Case

Transforming Care at UnityPoint Health – Fort Dodge

By: Amy C. Edmondson, Ashley-Kay Fryer and Morten T. Hansen

This case details the transformation of a health care delivery system, UnityPoint Health – Fort Dodge, into a Pioneer Accountable Care Organization (ACO) after the passage of health reform in the United States. The case explores in detail how the hospital CEO and staff... View Details

Keywords: ACO; Health Care; Health Care Industry; Health Reform; Change Leadership; Change Management; Coordination; Health Care and Treatment; Leading Change; Health Industry; United States

Educators

Research Summary

Of Measurement and Mission: Accounting for Performance in Non-Governmental Organizations

By: Debora L. Spar

As members of civil society NGOs would seem to have a built-in proclivity towards representation: towards working on behalf of some group of people, or toward some specific goal. Yet in practice such moments of accountability are rare. Unlike other social agents,... View Details

May 2018
Article

The Economics of Patient-Centered Care

By: Guy David, Philip Saynisch and Aaron Smith-McLallen

The Patient-Centered Medical Home (PCMH) is a widely-implemented model for improving primary care, emphasizing care coordination, information technology, and process improvements. However, its treatment as an undifferentiated intervention in policy evaluation obscures... View Details

Keywords: Primary Care; Accreditation; Patient-centered Medical Home; Health Care and Treatment; Economics