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Article
Publication date: 5 June 2017

William Trombetta

Providing health care to the poor is evolving in the new US marketplace. The Affordable Care Act has set goals enhancing access to health care, lowering costs and…

Abstract

Purpose

Providing health care to the poor is evolving in the new US marketplace. The Affordable Care Act has set goals enhancing access to health care, lowering costs and improving patient outcomes. A key segment in this evolution is the most vulnerable health-care population of all: Medicaid. This paper aims to provide a general review of how providing health care to Medicaid patients is changing including how socio-economic aspects of this vulnerable population affects the quality of the health care provided.

Design/methodology/approach

The paper is entirely secondary research; no primary research has been conducted.

Findings

Managed care Medicaid provides a risk-based model to treating a vulnerable health-care market segment. The jury is still out on whether managed care Medicaid (MCM) is improving health-care quality and saving cost, but the provision of health care to the Medicaid segment is definitely shifting from a fee-for-service model to value based payment. Very recent developments of new health-care delivery approaches present a positive outlook for improving quality and containing costs going forward.

Research limitations/implications

At this stage, whether or not MCM saves money or provides better health-care quality to this vulnerable population is a work in progress. Health-care marketing can impact socio-economic aspects of health care for the poor. There is a need to follow up on the positive results being documented in demonstration health-care delivery models.

Practical implications

At this point, there has been no long-term study of whether managed care Medicaid offers better quality of health care and cost savings. The research to date suggest that the quality of health-care delivery to the poor is improving at a lower cost to payers.

Social implications

Medicaid patients are an underserved market segment. Managed care Medicaid offers a new model that has the potential to provide quality care at acceptable cost. Critical to this vulnerable market segment is the need to integrate socio-economic aspects of the population with the delivery of health care.

Originality/value

There has been very little discussion of Medicaid overall in the marketing literature, much less any discussion of managed care Medicaid.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 11 no. 2
Type: Research Article
ISSN: 1750-6123

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Article
Publication date: 1 April 1986

Lyndon E. Dawson, Morris L. Mayer and Janet E. Keith

Resale price maintenance has been used as a management strategy for a long time. Even in the face of unfavorable court decisions, the concept, like a Phoenix, continues to…

Abstract

Resale price maintenance has been used as a management strategy for a long time. Even in the face of unfavorable court decisions, the concept, like a Phoenix, continues to rise from its ashes. Much evidence indicates a strong desire by some manufacturers to control their product's prices throughout a distribution channel. However, businesses must be careful not to overstep legal bounds in the implementation of an aggressive price policy. This article looks at resale price maintenance as a management technique and offers guidelines for the prospective marketer.

Details

Journal of Consumer Marketing, vol. 3 no. 4
Type: Research Article
ISSN: 0736-3761

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Abstract

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 11 no. 2
Type: Research Article
ISSN: 1750-6123

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Book part
Publication date: 1 October 2015

Ikseon Suh and Joseph Ugrin

This study investigates how disclosure of the board of directors’ leadership and role in risk oversight (BODs oversight disclosure) influences investors’ judgments when…

Abstract

This study investigates how disclosure of the board of directors’ leadership and role in risk oversight (BODs oversight disclosure) influences investors’ judgments when information on risk exposures is disclosed. The theoretical lens through which we examine this issue involves negativity bias. Sixty-two stock market investors who engage in the evaluation and/or investment of stocks on a regular or professional basis participated in our study. Our results reveal that the addition of BODs oversight disclosure (positive information) does not carry significant weight on investor judgments (i.e., attractiveness and investment) when financial statement disclosures indicate a high level of operational and financial risk exposures (negative information). In contrast, under the condition of a low level of risk exposures, BODs oversight disclosure causes investors to assess higher risk in terms of worry, catastrophic potentials and unfamiliarity about risk information and, in turn, make less favorable investor judgments. Our findings add to the literature on negativity bias and contribute to the debate on the usefulness of disclosures about risk.

Details

Advances in Accounting Behavioral Research
Type: Book
ISBN: 978-1-78441-635-5

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Article
Publication date: 1 May 1997

Robert W. Hetherington

This study examines the impact of bureaucratic structure on morale among hospital staff. Hypotheses are drawn from Hage's axiomatic theory of organizations, including the…

Abstract

This study examines the impact of bureaucratic structure on morale among hospital staff. Hypotheses are drawn from Hage's axiomatic theory of organizations, including the predicted negative impact on morale of formalization, centralization and stratification, and the positive impact on morale of task complexity. Contingency hypotheses involving structure and task complexity are also examined. Results indicate morale is either positively affected or unaffected by structure, and negatively affected by process. Some evidence of contingent effects are found. The findings are discussed within the broader context of Weber's theory of bureaucracy. This paper addresses the relationship between several structural features of bureaucracy and workers' morale in a hospital setting. It examines these relationships from broadly defined theoretical perspectives. In this connection, Weber's theory of bureaucracy is treated, as was the case in his original, as part of his general theory of rationalization in modern western society. The study considers the relationship between: 1) Formalization and morale, 2) Centralization and morale, 3) Stratification and morale, 4) Complexity and morale. These structural features of bureaucracy—formalization, centralization, stratification and complexity‐are treated as the means at the command of management for attaining organizational objectives. Worker morale is often referred to as the “level of feeling” about themselves among workers or about the work they perform (Revans, 1964; Veninga, 1982; Simendinger and Moore, 1985; Zucker, 1988). In effect, the term is used in stating that morale is high or low to suggest that something is right or wrong about the organization. Surprisingly, many of these studies do not explain why they are suggesting a particular state of morale, but only that the state of morale is crucial to the performance of the organization. In essence, morale is the level of confidence of the employees. It can vary from one department to the other due to specific or overall structural conditions of the organizations; without giving it routine consideration, performance will degenerate (Nelson, 1989).

Details

International Journal of Sociology and Social Policy, vol. 17 no. 5
Type: Research Article
ISSN: 0144-333X

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Article
Publication date: 1 September 2000

Cornel Gusan and Brian H. Kleiner

Considers the growth and development of the temporary worker within the workforce and looks at the advantages and disadvantages this brings. Cites common characteristics…

Abstract

Considers the growth and development of the temporary worker within the workforce and looks at the advantages and disadvantages this brings. Cites common characteristics found in this area and provides a brief case study. Covers the legal implications and the importance of employee classification under Equal Employment Opportunity Commission guidelines. Briefly outlines new developments in this area.

Details

Equal Opportunities International, vol. 19 no. 6/7
Type: Research Article
ISSN: 0261-0159

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Book part
Publication date: 20 May 2011

Martin T. Stuebs and C. William Thomas

According to the SEC, the proposed roadmap for adopting principles-based International Financial Reporting Standards (IFRS) is still a priority. The adoption of IFRS will…

Abstract

According to the SEC, the proposed roadmap for adopting principles-based International Financial Reporting Standards (IFRS) is still a priority. The adoption of IFRS will ultimately demand greater emphasis on practitioner judgment (Mintz, 2010). This chapter focuses on the need for building the judgment skills of the practitioner. Our methodology follows a three-step process. We start with accounting standards, reviewing similarities and differences between “rules-based” and “principles-based” standards and conclude that, while applying any standard requires judgment, applying principles-based standards requires more judgment. We then focus on preparer incentives that can influence this requisite judgment. We use the “fraud triangle” to analyze the influence of incentives on judgment under each standards setting approach. Our third and most important step involves equipping practitioners to make judgments in the presence of incentives. We present and discuss a model that considers economic, social (legal), and ethical dimensions for making principled judgments in the presence of incentives and advocate-improved education for accountants in implementing that model.

Details

Research on Professional Responsibility and Ethics in Accounting
Type: Book
ISBN: 978-1-78052-005-6

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Article
Publication date: 15 January 2018

Stephen Haswell and Elaine Evans

While the debate about fair value accounting (FVA) and the global financial crisis (GFC) of 2008-2009 has been explored in the academic and professional literature, there…

Abstract

Purpose

While the debate about fair value accounting (FVA) and the global financial crisis (GFC) of 2008-2009 has been explored in the academic and professional literature, there has been little debate about the consequences of FVA being implicated in the crash of Enron around 2001, and the effect of this on later FVA developments and the GFC. The purpose of this paper is to examine how well regulators, political actors, and other commentators may have understood the use, misuse, effects and consequences of FVA at the time of Enron, and to examine how this collective understanding (or lack thereof) has influenced later accounting policy, especially that going into and arising from the GFC.

Design/methodology/approach

Using content analysis, the commentary about FVA is traced through documents, primarily the US Congressional Hearings’ examination of the collapse of Enron that took place between December 2001 and December 2002. An assessment of the knowledge of and attitudes toward FVA is made from these and is then traced through later developments including policy responses before, during and after the GFC.

Findings

Links are found between the collapse of Enron and adjustments to FVA in the mid-2000s, which in turn became implicated in the GFC. These linkages are explored in the context of a fair value world view held by global standards setters in the mid-2000s. During the timeline from the 1990s to the mid-2000s, those advocating and adopting FVA as part of this world view, may have had collectively an insufficient understanding of the consequences or effects of FVA technology.

Originality/value

The study provides evidence of a direct link between Enron, the response of global standard setters, and the GFC controversy.

Details

Accounting, Auditing & Accountability Journal, vol. 31 no. 1
Type: Research Article
ISSN: 0951-3574

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Article
Publication date: 9 August 2011

Brano Glumac, Qi Han, Jos Smeets and Wim Schaefer

A brownfield site is well described by various definitions and the idea to redevelop it is supported by identifying numerous benefits for the society. Further, the…

Abstract

Purpose

A brownfield site is well described by various definitions and the idea to redevelop it is supported by identifying numerous benefits for the society. Further, the existing literature covers a broad range of different aspects of the brownfield redevelopment thus elaborating different features. At present, there is no overview of the brownfield features from the real estate development perspective focusing on the physical, legal and financial aspects of a site and property. This paper aims to address these issues.

Design/methodology/approach

At first, this paper contributes with the literature survey after which the features were structured according to the real estate development perspective. Additionally, the authors distinguish different expert groups and show the importance of keeping apart their aggregated opinions. Fuzzy Delphi technique is considered as an excellent method to gather such diverse panel data since it supports expert diversity in its procedure and calculation. Additionally, this method captures the uncertainty due to the human factor in valuation and thus improves the validity of the features quantification.

Findings

The survey was among the experts grouped by the specific goals and tasks. This paper presents the findings how the different expert groups value the brownfield features relevant for development potential and what they are.

Originality/value

The paper aims to contribute to the complex decision‐making process in brownfield redevelopment by identifying, structuring and rating the most relevant features of development potential. The authors introduced the method that highlights the importance of rigorous procedure for the panel data collection and advances the weighting of the features. This is of particular importance for the field of the real estate development appraisal since the present features or variables influence the future marketability and cost of a development. Missing these features seriously endangers the appraisal. A similar threat can influence any econometric model recently extensively used in policymaking.

Details

Journal of European Real Estate Research, vol. 4 no. 2
Type: Research Article
ISSN: 1753-9269

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Article
Publication date: 21 March 2008

A. Elidrissi, O. Krim and S. Ousslimane

To evaluate in the first stage, the efficiency of changing the nature and the length of diols on the properties of perfectly hard sequences polyurethanes (PU). In the…

Abstract

Purpose

To evaluate in the first stage, the efficiency of changing the nature and the length of diols on the properties of perfectly hard sequences polyurethanes (PU). In the second, the thermal properties of a new series of segmented PU with different concentrations of soft sequences were determined.

Design/methodology/approach

The synthesis of segmented PU has been realised in two stages known as the pre‐polymer method. Various compositions of PU were obtained by keeping the poly(tetramethylene glycol) – PTMG molecular weights constant, but varying its concentration. The products obtained were characterised by IR, NMR, gel permeation chromatography and studied by differential scanning calorimetry.

Findings

The level of phase segregation depends on several parameters, especially the nature of the soft segment and its average molecular weight, nature of the hard sequence and the number of hydrogen bonds established in the PU sequences.

Research limitations/implications

The segmented PU obtained were synthesised from PTMG of number molecular weight 2,000. They could also be synthesised from PTMG of molecular weight 600, 1,000, 2,000, 4,000, etc. The effect of change of PTMG molecular weight on PU properties could also be studied.

Practical implications

Better understanding of the morphology of segmented PU and its effect in the practical domains.

Originality/value

Novel perfectly hard sequences PU have been synthesised and characterised. The effect of soft sequence nature and concentration on the phase segregation in these new series of segmented PU is discussed.

Details

Pigment & Resin Technology, vol. 37 no. 2
Type: Research Article
ISSN: 0369-9420

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