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Article
Publication date: 1 October 2004

Myles P. Gartland and Cathryn A. Carroll

This paper aims to evaluate the relationship between capitation payment methodology and the physician organization cost function. The paper provides evidence supporting a positive…

Abstract

This paper aims to evaluate the relationship between capitation payment methodology and the physician organization cost function. The paper provides evidence supporting a positive relationship between overhead rates and the level of capitation. Based on sample data, US medical practices whose net medical revenue consists of 11 percent or more capitation payments have significantly higher overhead costs per physician FTE.

Details

Journal of Health Organization and Management, vol. 18 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 1 March 2005

Martin Stack and Myles Gartland

This paper, applies the concept of path creation to a historical case. Path creation arose in part as a response to perceived weaknesses regarding the limited role of firm agency…

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Abstract

Purpose

This paper, applies the concept of path creation to a historical case. Path creation arose in part as a response to perceived weaknesses regarding the limited role of firm agency in the path dependency literature.

Design/methodology/approach

This essay uses the path creation methodology to explain why and how specific features of the American brewing industry's regulatory framework were devised during prohibition (1920‐1933) and implemented upon the repeal of prohibition in 1933. The study draws upon a series of primary sources, including firm publications and government reports.

Findings

It shows that path creation is a useful way to examine the design and implementation of industry‐level regulatory systems. It argues that rather than passively waiting and hoping for a beneficial set of rules, the largest national breweries in America actively set about to shape the regulatory environment in which they and their competitors operated.

Originality/value

The study is valuable on two levels. First, it helps explicate how and why the brewing industry's current regulatory system emerged. Second, and more broadly, it shows how the path creation thesis can be usefully adopted to interpret firm and managerial actions across time periods and industries.

Details

Management Decision, vol. 43 no. 3
Type: Research Article
ISSN: 0025-1747

Keywords

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