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Objective – To examine whether local area pharmacy market structure influences contract terms between prescription drug plans (PDPs) and pharmacies under Part D.

Data – Data were collected and compiled from four sources: a national mail survey to independent pharmacies, National Council for Prescription Drug Programs (NCPDP) Pharmacy database, 2000 U.S. Census data, and 2006 Economic Census data.

Results – Reimbursements varied substantially across pharmacies. Reimbursement for 20mg Lipitor (30 tablets) ranged from $62.40 to $154.80, and for 10mg Lisinopril (30 tablets), it ranged from $1.05 to $18. For brand-name drug Lipitor, local area pharmacy ownership concentration had a consistent positive effect on pharmacy bargaining power across model specifications (estimates between 0.084 and 0.097), while local area per capita income had a consistent negative effect on pharmacy bargaining power across specifications(−0.149 to −0.153). Few statistically significant relationships were found for generic drug Lisinopril.

Conclusion – Significant variation exists in PDP reimbursement and pharmacy bargaining power with PDPs. Pharmacy bargaining power is negatively related to the competition level and the income level in the area. These relationships are stronger for brand name than for generics. As contract offers tend to be non-negotiable, variation in reimbursements and pharmacy bargaining power reflect differences in initial insurer contract offerings. Such observations fit Rubinstein's subgame perfect equilibrium model.

Implication – Our results suggest pharmacies at the most risk of closing due to low reimbursements are in areas with many competing pharmacies. This implies that closures related to Part D changes will have limited effect on Medicare beneficiaries’ access to pharmacies.

With the ubiquitous spread of the Selfie as a central feature of millennial digital practices, this article examines the impact of digital media on the traditional uses of the snapshot as a record of private life, particularly in terms of the family and circles of friends. It argues that the affordances of digital photography and social media lead to a transformation of the snapshot into the Selfie. The Selfie as a kind of performance impacts the social practices of family photography in a variety of ways. Some positive, in that the affordances of digital photography put the opportunity for the public circulation of self-selected Kodak “moments” which show the individual in the best possible light; and some negative since the new emphasis on the body as a vehicle of self-expression sustains a tournament based on appearances. The resultant shift from notions of the gift economy implicit in practices of family photography leads to the personal snapshot becoming a proto-commodity form in which the competitive logic of Celebrity culture pervades the social exchange of the photograph. The chapter closes with consideration of the importance of the Selfie across the life course and the logic of self-impression management as a digital performance.

Interdisciplinary approaches to sustainability curriculum and pedagogy remain a particular challenge internationally. This chapter shares insights from a 2016 attempt to establish a first-year undergraduate Design course with an interdisciplinary approach to sustainability education. A series of video dialogues between university and community-based sustainability experts was created to enable students to access understandings and research evidence about sustainability issues and the United Nations Sustainable Development Goals, through different disciplinary lenses. The video dialogues provided students with opportunities to learn reflexively through exposure to differing visions for sustainable development, including Indigenous perspectives. In doing so, the video dialogues provide material for critical, creative, and iterative design thinking. Drawing on feedback from students enrolled in the course, this chapter offers reflections about enhancing course design through using video dialogues to support students’ critical openness to addressing sustainability concerns.

Building on prior research linking stakeholder relationship quality with financial performance, we explore interorganizational engagement from a bilateral perspective, more fully representing the dynamics within an alliance. Interorganizational relationship quality and stakeholder management theory in healthcare and in accounting research provide the foundation for these insights.

While the study's findings demonstrate consistent views regarding the importance of relationship management and patient care, the two stakeholder groups hold divergent perspectives on how to accomplish these goals. Insurance executives take a population perspective, whereas physician practices focus their decision making at the patient level. The relative power and size between stakeholders was instrumental in how insurers chose to develop relationships with individual physician practices. These findings provide the nucleus for understanding reported frictions.

Purpose – The purpose of this chapter is to study how dimensions of entrepreneurial orientation (competitive aggressiveness, proactiveness and risk taking) affect international performance in competitive and technology-intensive international environments.

Methodology/approach – To address the research questions, structural equation modelling is applied to Finnish survey data (N=271).

Findings – Our findings reveal that the dimensions of entrepreneurial orientation are differentially related to international performance, and that their effect is contingent on moderating variables.

Research limitations – One limitation is the use of cross-sectional data as it limits the possibility of drawing strong conclusions from the development of the relationships between the different constructs. Also the fact that the study was conducted in a single-country setting is a limitation.

Practical implications – Results indicate that entrepreneurial behaviour is of importance for international business managers. However, results imply that prior to striving for proactive behaviour, competitive aggressiveness and venturesome risk taking managers should study their international market environments carefully and truly understand the nature of these turbulent markets, as in many occasions strong emphasis on entrepreneurial behaviour did not contribute positively to the international performance indicators, such as increasing sales and profits.

Originality/value of the chapter – Present study extends the works of Zahra and Garvis (2000), Lumpkin and Dess (2001) and Wiklund and Shepherd (2005), for example, by (a) applying entrepreneurial orientation on international business, (b) examining the effects of different dimensions of entrepreneurial orientation on a firm's international performance and (c) extending the research of the role of moderating effects on the relationship between entrepreneurial orientation and firm performance.

Industry 4.0 and its leading-edge components are transforming all aspects of human life with wide-ranging repercussions for managing production and workforce in the digital age. The traditional definitions of formal and informal employment are no longer applicable to our world, thanks to disruptions of various nature. The innovation landscape is radically altering the way work is done as well as where it is done, leading to an expansion of the gig economy with its freelancers, contract workers, agile workforce, or independent workforce who are constituting increasingly more temporary providers of labor. In addition to a tension between technological development and loss of jobs at the expense of individuals with lower set of skills, advancing technology is enabling new forms of organizing through facilitating new work arrangements. The new world of work is characterized by short-term contracts, fluidity, fragmentation, transience, temporariness, increased autonomy, and independence, on the one hand, and by precarity, financial instability, job uncertainty, and insecurity embedded in its very fabric, on the other, hence presenting both opportunities and challenges that need to be urgently addressed by researchers and policymakers. The inevitable tension between technology-driven developments in economy and labor markets is further exacerbated by the most recent pandemic and global economic recession, making scholarly and policy discussions all the more relevant.