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Article

Financial Analysis of Pediatric Resident Physician Primary Care Longitudinal Outpatient Experience

By: Robert S. Kaplan, Carole H. Stipelman, Brad Poss, Laura Anne Stetson, Luca Boi, Michael Rogers, Caleb Puzey, Sri Koduri, Vivian S. Lee and Edward B. Clark

Objective
To determine whether residency training represents a net positive or negative cost to academic medical centers, we analyzed the cost of a residency program and clinical productivity of residents and faculty in an outpatient primary care practice with or... View Details

Keywords: Academic Medicine; Cost; Children; Graduate Medical Education

2018
Working Paper

After the Carnival: Key Factors to Enhance Olympic Legacy and Prevent Olympic Sites from Becoming White Elephants

By: Isao Okada and Stephen A. Greyser

In recent years, the total spending on hosting the Olympic Games has snowballed. The 2008 Beijing Olympic Games spent $40 billion on infrastructure development, and the 2014 Sochi Winter Olympics reached $50 billion. Even when the glorious but costly Olympic Games come... View Details

Keywords: Olympic Venue; Effective Reuse; White Elephant; Sustainability; Buildings and Facilities; Sports

August 28, 2018
Article

How Intermittent Breaks in Interaction Improve Collective Intelligence

By: Ethan Bernstein, Jesse Shore and David Lazer

People influence each other when they interact to solve problems. Such social influence introduces both benefits (higher average solution quality due to exploitation of existing answers through social learning) and costs (lower maximum solution quality due to a... View Details

August 2018
Case

Enfoca: Private Equity in Peru

By: Victoria Ivashina and Jeffrey Boyar

This case follows Enfoca, Peru’s largest local private equity firm and its portfolio company Maestro, a leading player in Peru’s hardware retail market. Peru’s GDP growth between 2008 and 2014 was the highest of any Latin American country. Growth of the Peruvian middle... View Details

Keywords: Private Equity; Emerging Markets; Capital Markets; Transition; Strategy; Peru

Article

Defining, Measuring, and Improving Value in Spine Care

By: Robert S. Kaplan and Derek Haas

This chapter discusses how to measure and improve spine care outcomes and costs. Today’s commonly used outcome metrics, such as readmission and complication rates, are actually process and quality metrics. They are not the outcomes, such as improvement in pain and... View Details

Keywords: Spine Care; Outcomes Measurement; Time-Driven Activity-Based Costing; Health Care and Treatment; Cost; Measurement and Metrics; Performance Improvement; Value

March 2018
Case

TrustSphere: Building a Market for Relationship Analytics

By: Boris Groysberg and Katherine Connolly Baden

Manish Goel was the CEO of TrustSphere, a seven-year-old company in the data analytics industry that focused squarely on relationship analytics, a space in which TrustSphere was pioneering a unique technology and solutions in the areas of sales, risk, and people... View Details

Keywords: Data Analytics; People Analytics; Talent Management; Human Resources; Networks; Relationships; Analysis; Employee Relationship Management; Core Relationships; Applications and Software; Communication; Technology Industry; Singapore

March 2018
Case

Sachem Head's Activism at Autodesk

By: Suraj Srinivasan and Quinn Pitcher

In 2015, activist hedge fund Sachem Head Capital, led by founder Scott Ferguson, launched an activist campaign at computer aided design (CAD) software maker Autodesk. The activist campaign, waged mainly in private, was over Autodesk's lackluster financial performance,... View Details

Keywords: Shareholder Activism; Investing; Activist Investing; Technology; CEO Turnover; Hedge Fund Activism; Benchmarking; Corporate Governance; Information Technology; Investment Activism; Performance Improvement; Management Succession; United States

March 2018 (Revised March 2018)
Supplement

Sandlands Vineyards

By: Benjamin C. Esty and Greg Saldutte

Approximately 80% of the wineries in the US breakeven or lose money. An even greater percentage lose money on an economic basis (i.e., after a charge for the cost of equity). Tegan Passalacqua is a successful, young, Californian winemaker who specializes in making... View Details

Article

Orienteering for Electioneering

By: Jonah Kallenbach, Robert Kleinberg and Scott Duke Kominers

In this paper, we introduce a combinatorial optimization problem that models the investment decision a political candidate faces when treating his or her opponents’ campaign plans as given. Our formulation accounts for both the time cost of traveling between districts... View Details

Keywords: Political Elections; Resource Allocation; Time Management; Analysis

February 2018 (Revised March 2019)
Case

Sandlands Vineyards

By: Benjamin C. Esty and Gregory Saldutte

Approximately 80% of the wineries in the U.S. break even or lose money. An even greater percentage lose money on an economic basis (i.e., after a charge for the cost of equity). Tegan Passalacqua is a successful, young, Californian winemaker who specializes in making... View Details

February 2018
Case

Health Savings Accounts: Enabling Consumer Participation

By: Regina E. Herzlinger and James Wallace

Health savings accounts (HSAs), a creation of the 2003 Medicare Modernization Act, had become an integral part of the drive toward consumer-driven health care. Coupled with high-deductible health plans, HSAs allowed consumers to directly control a significant part of... View Details

Keywords: Health Care; Healthcare Costs; Health Insurance; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Health Industry; United States

January 2018 (Revised July 2020)
Technical Note

Short Note on Relative Cost Analysis

By: Eric Van den Steen and Dennis Yao

This note provides a very concise (2 page) introduction to relative cost analysis, with a simple example. View Details

Keywords: Relative Cost Analysis; Cost; Analysis

Article

TDABC Cost Analysis of Ocular Disorders in an Ophthalmology Emergency Department versus Urgent Care: Clinical Experience at Massachusetts Eye and Ear

By: Robert S. Kaplan, Jonathan Chou, Mahek Shah, Amy Watts, Matthew Gardiner, Joan Miller and John I. Lowenstein

Purpose To perform a cost analysis comparison for managing common ocular disorders in an eye emergency department (ED) versus an urgent care setting using a time-driven activity-based cost model (TDABC) to assist physicians and staff in appropriate allocation of... View Details

Keywords: Time-driven Activity-based Cost Model; Emergency Room; Urgent Care Clinic; Cost; Analysis; Activity Based Costing and Management; Health Care and Treatment

January 2018
Article

The Effect of Cost Sharing on an Employee Weight Loss Program: A Randomized Trial

By: Leslie K. John, Andrea Troxel, William Yancy, Joelle Y. Friedman, Jingsan Zhu, Lin Yang, Robert Galvin, Karen Miller-Kovach, Scott Halpern, George Loewenstein and Kevin Volpp

Purpose: We tested the effects of employer subsidies on employee enrollment, attendance, and weight loss in a nationally-available weight management program.
Design: A randomized trial tested the impact of employer subsidy: 100%; 80% 50% and a hybrid 50% subsidy... View Details

Keywords: Affordable Care Act (ACA); Subsidies; Weight Loss; Obesity; Incentives; Behavioral Economics; Motivation and Incentives; Behavior; Health Disorders; Health Care and Treatment; Compensation and Benefits; United States

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2018
Chapter

Transportation Cost and the Geography of Foreign Investment

By: Laura Alfaro and Maggie Chen

Falling transportation costs and rapid technological progress in recent decades have precipitated an explosion of cross-border flows in goods, services, investments, and ideas led by multinational firms. Extensive research has sought to understand the geographic... View Details

Keywords: Foreign Direct Investment; Cost; Transportation; Geographic Scope; Geographic Location

December 2017 (Revised December 2018)
Case

OCP Group

By: Kristin Fabbe, Forest Reinhardt, Natalie Kindred and Alpana Thapar

This case explores the strategy of OCP Group, the 95% state-owned Moroccan firm charged with managing the North African country’s vast reserves of phosphate. Phosphate was one of the most vital macronutrients for plant health, along with nitrogen and potassium, and... View Details

Keywords: OCP; OCP Group; Casablanca; Chemicals; Operations; Transformation; Competitive Strategy; Competitive Advantage; Chemical Industry; Morocco

December 2017 (Revised January 2018)
Case

Alltech

By: David E. Bell and Natalie Kindred

Alltech was a Lexington, Kentucky–based producer of supplements for animal feed, with revenues of over $2 billion (projected to reach $3 billion in 2018), sales in 120 countries, 5,000 employees, and 100 manufacturing plants worldwide. For nearly four decades, Alltech... View Details

2020
Working Paper

The Real Exchange Rate, Innovation and Productivity

By: Laura Alfaro, Alejandro Cuñat, Harald Fadinger and Yanping Liu

We evaluate manufacturing firms' responses to changes in the real exchange rate (RER) using detailed firm-level data for a large set of countries for the period 2001–2010. We uncover the following stylized facts about regional variation of manufacturing firms'... View Details

Keywords: Real Exchange Rate; Firm Level Data; Innovation; Productivity; Exporting; Importing; Credit Constraints; Currency Exchange Rate; Innovation and Invention; Performance Productivity

Fourth Quarter 2017
Article

Optimal Tilts: Combining Persistent Characteristic Portfolios

By: Malcolm Baker, Ryan Taliaferro and Terry Burnham

We examine the optimal weighting of four tilts in U.S. equity markets from 1968 through 2014. We define a “tilt” as a characteristic-based portfolio strategy that requires relatively low annual turnover. This is a continuum, with small size (a very persistent... View Details

Keywords: Risk Anomaly; Beta; Capital Asset Pricing Model; Factor Investing

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2017
Report

Room to Grow: Identifying New Frontiers for Apprenticeships

By: Joseph B. Fuller and Matthew Sigelman

In the United States, apprentices are employed in just 27 occupations, mostly in skilled, physical trades. An analysis of job postings data shows that extending apprenticeships to more occupations provides an opportunity to expand employment and close the middle skills... View Details

Keywords: Employment; Training; Competency and Skills; Personal Development and Career; United States

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