Publications

Teaching Note for Schon Klinik: Measuring Cost and Value. View Details

Keywords: Health Care and Treatment; Cost Management; Projects; Health Industry; Germany

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Article

Formal Measures in Informal Management: Can a Balanced Scorecard Change a Culture?

By: Robert Gibbons and Robert S. Kaplan

Agency theorists, historically, have analyzed what kinds of performance measures should be used in formal incentive contracts. For example, after Kaplan-Norton proposed a balanced scorecard of both financial and non-financial measures, some envisioned its role only in... View Details

Keywords: Relational Contracts; Performance Measurement; Informal Management; Balanced Scorecard; Economics; Mathematical Methods

Article

Time-driven Activity-based Costing of Multivessel Coronary Artery Bypass Grafting across National Boundaries to Identify Improvement Opportunities: Study Protocol

By: F. Erhun, B. Mistry, T. Platcheck, A. Milstein, V.G. Narayanan and R. S. Kaplan

Coronary artery bypass graft (CABG) surgery is a common treatment for coronary artery disease—a disease that affects over 10% of US adults and is a major cause of morbidity and mortality. In 2005, the mean cost for a CABG procedure among Medicare beneficiaries in the... View Details

Keywords: Activity Based Costing and Management; Health Disorders; Health Care and Treatment; United States; India

Winter 2015
Article

When One Size Doesn't Fit All: Evolving Directions in the Research and Practice of Enterprise Risk Management

By: Anette Mikes and Robert S. Kaplan

Enterprise risk management (ERM) has become a crucial component of contemporary corporate governance reforms, with an abundance of principles, guidelines, and standards. This paper portrays ERM as an evolving discipline and presents empirical findings on its current... View Details

Keywords: Contingency Theory; Grounded Research; Risk Management; Customization and Personalization

December 26, 2014
Article

Delivering Higher Value Care Means Spending More Time with Patients

By: Robert S. Kaplan, Derek A. Haas, Yudit C. Krosner and Nirvan Mukerji

2015
Working Paper

How Should We Pay for Health Care?

By: Michael E. Porter and Robert S. Kaplan

Improving the way we pay for health care must be a central component in health care reform. Payment reform must link provider reimbursement and accountability to improving patient value: better health outcomes delivered at lower cost. Today’s deeply flawed... View Details

Keywords: Competition; Value; Health Industry

Article

How Not to Cut Health Care Costs

By: Robert S. Kaplan and Derek A. Haas

Health care providers in much of the world are trying to respond to the tremendous pressure to reduce costs—but evidence suggests that many of their attempts are counterproductive, raising costs and sometimes decreasing the quality of care. Using evidence from field... View Details

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Article

Time-Driven Activity-Based Costing: A Driver for Provider Engagement in Costing Activities and Redesign Initiatives

By: Robert S. Kaplan, Nancy McLaughlin, Michael A. Burke, Nisheeta P. Setlur, Douglas R. Niedzwiecki, Alan L. Kaplan, Christopher Saigal, Aman Mahajan and Neil A. Martin

Object. To date, health care providers have devoted significant efforts to improve performance regarding patient safety and quality of care. To address the lagging involvement of health care providers in the cost component of the value equation, UCLA Health... View Details

November–December 2014
Article

Using Time-Driven Activity-Based Costing to Identify Value-Improvement Opportunities in Healthcare

By: Robert S. Kaplan, Mary L. Witkowski, Megan Abbott, Alexis Guzman, Laurence Higgins, John Meara, Erin Padden, Apurva Shah, Peter Waters, Marco Weidemeier, Samuel Wertheimer and Thomas W. Feeley

As healthcare providers cope with pricing pressures and increased accountability for performance, they should be rededicating themselves to improving the value they deliver to their patients: better outcomes and lower costs. Time-driven activity-based costing offers... View Details

Keywords: Value Creation; Activity Based Costing and Management; Health Care and Treatment; Health Industry; United States; Europe

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

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June 2014
Article

Improving Value with TDABC

The article discusses the benefits of time-driven activity-based costing (TDABC) combined with outcomes measurement for healthcare organizations. Topics covered include improving resource efficiency, optimizing care over the complete care cycle, and planning and... View Details

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

June 2014
Article

Using TDABC to Deliver Better Patient Outcomes at Lower Cost

2016
Article

William W. Cooper: Innovator, Fighter, and Scholar

By: Rajiv D. Banker and Robert S. Kaplan

December 2013
Article

To Reconcile Mission and Margin, Deliver Better Outcomes at Lower Costs

By: Robert S. Kaplan, Pamela Greenhouse and Anthony DiGioia

October 14, 2013
Article

Intelligent Redesign of Health Care

By: Robert S. Kaplan, Thomas W. Feeley, Mary L. Witkowski and Heidi Albright

Article

How to Design a Bundled Payment around Value

By: Robert S. Kaplan, Mary L. Witkowski, Larry Higgins, Jon Warner and Michael Sherman

September 2013
Case

Boston Children's Hospital: Measuring Patient Costs (Abridged)

The case describes a pilot project on applying activity-based costing to measure the cost of treating patients. After an overview of Boston Children's Hospital and its local health care market environment, the case presents process maps and financial data relating to... View Details

Keywords: Health Care; Time-Driven Activity-Based Costing; Costing; Hospitals; Activity Based Costing and Management