Executive Overview For the past decade we have been using double-blind survey techniques and randomized sampling to construct management data on more than 10,000 organizations across 20 countries. On average, we find that in manufacturing American, Japanese, and German firms are the best managed. Firms in developing countries, such as Brazil, China, and India, tend to be poorly managed. America...

This study is aimed at providing an insight into the effects of competition on customer value delivery for customer loyalty. Data were collected using a questionnaire on dyads of service employees and customers. The techniques of ANOVA, ordinary least squares, and logistic regression were used to analyze the dyad data in terms of research purposes. Results show that competition is a moderator o...

We examine the relation between intensity of competition in loan market and risk bank failure, a model with adverse selection. As well established, presence two opposite margin risk-shifting effects creates conditions for nonmonotonicity: conventional competition-fragility view may be challenged at high interest rates. These rates however too to compatible oligopolistic equilibrium conditions. ...

The growing share of financial assets that are held and managed by large institutional investors whose trades move prices contradicts the traditional asset pricing paradigm which assumes markets are competitive with small price-taking players. This paper relaxes the traditional price-taking assumption and instead presents a dynamic multi-asset, multi-large participant model of imperfect competi...

The claim that managed care plans are more efficient than fee-for-service plans has been made so often that it has reached the status of folklore, but the evidence is inconclusive. The claim is usually based on one or both of the following errors: (1) lower medical care costs mean lower total costs (medical plus administrative costs) and (2) lower HMO premiums mean HMOs are more efficient than ...

lain C Enthoven, PhD, is the Marriner S Eccles Professor of Public and Private Management (emeritus) in the Graduate School of Business at Stanford University and a Senior Fellow in the Center for Health Policy at Stanford’s Institute of International Relations. He holds degrees in economics from Stanford, Oxford, and the Massachusetts Institute of Technology. In 1977, while serving as a consul...

Background: The intent of adopting managed care plans is to improve access to health care services while containing costs. To date, there have been a number of studies that examine the relationship between managed care and access to health care. However, the results from previous studies have been inconsistent. Especially, previous studies did not demonstrate a clear benefit of Medicaid managed...

Th e r e i s l i t t l e e v i d e n c e o f a n y r e l a t i o n , either positive or negative, between competition and the quality of medical care, and the existing data amount to even less than an examination of the literature on the topic would suggest. For want of data, analysts often use HMO market shares or, more recently, increased “managed care” shares as a proxy for market competitio...