Financial Outcomes Research Articles

A paradox of size: Case-volume, financial outcomes, and risk in the enhancing oncology model baseline period.

e13809 Background: The Centers for Medicare and Medicaid Innovation’s (CMMI) Enhancing Oncology Model (EOM) is a risk-bearing, population-based value-based care (VBC) model requiring participating physician group practices (PGP) to take financial risk and performance accountability for episodes of care for seven common cancers. We studied the association between case volume, financial outcomes, and risk in the EOM. Methods: Using deidentified public use EOM baseline episode files (2016 - 2020), and the EOM Price Prediction Model provided by CMMI, we calculated the predicted baseline price (BP) per episode and savings (difference between baseline price and actual expenditures (AE)), grouped PGPs per baseline period by episode count (case volume), and evaluated the risk (variation of savings). ANOVA, F-test, and pair-wise tests were used to evaluate statistical significance. Results: Two-thirds of the 16,348 PGP appearances per time-period (n) had <72 episodes (average: 93.8, median: 36). Table 1 shows population and savings metrics. There was a significant effect of episode counts on savings (ANOVA/F-test: F(5,16342) = 24.5, p<0.0005). Post hoc pair-wise t-tests (Holm correction to adjust p) indicated groups with <72 episodes had increased risk (4.5:1, p<0.0005) and >361 episodes had the least risk (p<0.0005). Groups with <72 episodes had four times the median savings than groups with >361 episodes. Conclusions: As expected with the law of large numbers, groups with fewer episodes are exposed to higher risk and extremes of financial outcomes in EOM-like models while paradoxically generating better savings. The impact of case-mix differences among groups is apt for further exploration. Differences in PGP dynamics and provider like-mindedness with care transformation is one possible explanation for this paradox. Future models should incorporate risk mitigating modeling techniques (case-volume adjustments) or facilitate easier partnering arrangements to engage groups with fewer episodes. [Table: see text]

Impact of Leadership Styles on Physical Therapy Clinic Performance: The Mediating Role of Employee Engagement and the Moderating Effect of Organizational Culture

This study examines the impact of leadership styles—transformational, transactional, and servant leadership—on the performance of physical therapy clinics in Pakistan, with a focus on the mediating role of employee engagement and the moderating effect of organizational culture. Using a quantitative research design, data were collected from 350 employees across various clinics and analyzed using Smart PLS 4.0. The findings reveal that all three leadership styles positively influence clinic performance, with employee engagement playing a critical mediating role. The study also highlights that organizational culture, whether supportive, hierarchical, or innovative, moderates the relationship between employee engagement and clinic performance. These results suggest that leadership styles that foster employee engagement and align with the clinic's cultural context are crucial for improving key performance indicators such as patient satisfaction, treatment success rates, and financial outcomes. The study's limitations include the use of convenience sampling and a cross-sectional design, which may affect the generalizability and temporal stability of the findings. The practical implications emphasize the need for targeted leadership development and cultural initiatives to enhance clinic performance. This research contributes to the understanding of how leadership styles and organizational culture interact to influence performance in healthcare settings.

Study of Firm Performance: EMS Adopter Firms to Achieve Sustainable Business Goals

EMS effectiveness is studied concerning financial, environmental, and competitive outcomes among corporations. A comparative analysis of Companies with EMS integrated into their management systems will be made with those Companies without EMS in this research. EMS’s contribution to business sustainability is also analyzed and validated with the help of quantitative research methods including panel data using the Generalized Method of Moments (GMM) and regression analysis. The research focuses on the differences in the financial results, the positive impact on the natural environment, and competitive advantage of enterprises that voluntarily apply the EMS compared to those that do not. The findings of this study shown that EMS adoption enhance environmental performance and offer competitive advantage by enhancing stakeholder relations and market positioning. This alters the nature and benefits that organizations experience while implementing EMS as some companies initially experience cost implications and functioning challenges but in the long run, EMS brings profitability and cost-effectiveness. It may provide more information on how EMS promotes and can sustain responsible business activities and the most effective means of doing so. The above analysis may be useful to firms and policy makers in understanding how to encourage sustainability that will benefit economies and the natural environment in the long-term.

Preparing for Value: Evaluating Organizational Culture in Health Care Transformation.

The health care industry is experiencing a transformative shift from traditional fee-for-service models to value-based care (VBC), emphasizing improved patient outcomes, enhanced quality, and reduced costs. While Centers for Medicare & Medicaid Services Innovation Center models focus on financial and quality outcomes, a critical opportunity for reform lies in organizational culture. VBC signifies a cultural and systemic evolution aligned with the quintuple aim of enhancing equitable patient outcomes, improving quality, reducing costs, and prioritizing provider well-being. Cultural impacts play a pivotal role in this transformation.

Sexual Orientation and Financial Well-Being in the United States

We study the relationship between financial well-being and sexual orientation in the United States using Survey of Household Economics and Decisionmaking (SHED) data for 2019-2022. We document that people who are lesbian, gay, and bisexual (or LGB) have significantly more difficulty managing financially than similarly situated heterosexual individuals—and this pre-dated the COVID-19 pandemic. Differences are found across a broad array of current and future financial well-being outcomes, including retirement savings, rainy-day funds, credit card and schooling debts, and the use of alternative financial services such as payday loans. Differences in partnership, financial assistance from parents, financial knowledge, and risk preferences cannot explain these differences. Instead, we document that some social vulnerabilities such as exposure to discriminatory behavior and violence are differentially experienced by LGB people, which may play a role. Our results demonstrate that people who are lesbian, gay, and bisexual experience significantly more financial insecurity than previously understood.

Empirical evidence of organizational transformation: The subsequent consequence of the causal relationship between the adoption of circular economy strategies and their performance

The adoption of circular economy (CE) strategies by companies—such as reduction, substitution, reuse, and others—is more necessary than ever to face recent challenges that have caused a rise in the price of raw materials, among other effects. However, incorporating CE strategies into the production process is not trivial because it can imply significant organizational transformation. To understand this transformation, this work analyses how the adoption of CE strategies impacts company performance and, consequently, the subsequent transformation of the company in adapting to this strategy. Based on a sample of 213 senior managers from companies in the manufacturing and service sectors, structural equation modelling is performed to contribute empirical evidence to the literature. The findings reveal that the adoption of CE strategies by companies can be more profitable than solely pursuing financial outcomes, as such adoption also impacts external stakeholders, society in general, and customers in particular. However, in return, the company must be open to deploying a certain degree of organizational transformation.

Leveraging Digitalization and Servitization to Improve Financial Performance: An Empirical Analysis

This research investigates the interplay between digitalization, servitization, and Corporate Social Responsibility (CSR) in influencing the financial performance of Pakistani banks. The study addresses a critical gap by examining how these factors combine to impact bank profitability in the contemporary landscape of digital transformation and evolving customer demands. A quantitative approach is employed, utilizing survey data collected from branch managers in Pakistani banks. Standardized scales measure digitalization, servitization, CSR, and bank performance. The findings demonstrate a positive direct effect of digitalization on bank performance. Furthermore, servitization strengthens this positive impact, suggesting that banks offering a comprehensive suite of services alongside traditional products achieve superior financial outcomes. Notably, the study reveals no significant short-term contribution of CSR to a bank's financial performance. Thus, the study sheds light on the crucial role of servitization in amplifying the positive effects of digitalization on bank performance. By strategically integrating services with products, banks can leverage digital technologies to become more data-driven and enhance their financial health.

AI innovations and financial performance: An examination of patent filings and revenue generation

Artificial intelligence (AI) is increasingly becoming indispensable for businesses, offering numerous advantages to compete in today's dynamic market landscape. This study investigates the relationship between AI patent filings and firms' performance in revenue generation from a point of view, aiming to elucidate the impact of AI investments on revenue generation. Leveraging data from The United States Patent and Trademark Office (USPTO) and employing regression analysis, the research finds a significant correlation between firms with AI patent applications and their generated revenue. The findings underscore the importance of AI investments for financial outcomes and provide valuable empirical evidence for strategic decision-making by businesses and policymakers. Additionally, the methodological approach adopted in the study contributes to the methodological approach available for future research in the field of AI and business performance analysis.

EVALUATING THE INTERPLAY BETWEEN ESG PRACTICES AND CORPORATE FINANCIAL PERFORMANCE IN AMERICA: THE INDUSTRIAL SECTOR

A comprehensive strategy that incorporates social responsibility, environmental stewardship, and economic viability is needed to achieve sustainability in the industrial sector, a sector that is responsible for almost a quarter of all carbon emissions worldwide. Nowadays, business strategy, risk management, and long-term value creation are deemed to be critically dependent on sustainability factors. The present paper targets to examine the relationship between ESG (Environmental, Social, and Governance) and CFP (Corporate Financial Performance) for 100 American-listed companies that operate in the Industrial sector from 2018 to 2022. The data used in this study is collected from Thomson Reuters and analyzed using STATA Software. The research reveals a strong association between CFP and ESG as a combined score. When an in-depth analysis is performed regarding the sustainability pillars with separate consideration, a positive relationship was shown between the social and environmental pillar and the financial performance, whereas a weaker link could be determined regarding the governance pillar. As such, American companies need to carefully review ESG investments to avoid bad financial outcomes and gain long-term performance

Information technology integration implementation in public sector organizations: Exploring challenges, opportunities, and future trends

This paper provides an overview of challenges, opportunities, and future trends in implementing IT integration within public sector organizations. Employing an exploratory research approach, the study conducts a case study and reviews pertinent literature (2019–2023) on IT integration implementation. Following the PRISMA flow chart, electronic searches in various databases used keywords related to IT integration. The study identifies inadequate technical facilities, insufficient technology, infrastructure, and unsupportive policies as primary barriers. Conversely, the digital era prompts opportunities, compelling organizations to adopt innovative technologies for enhanced productivity and quality service delivery. The paper's uniqueness lies in developing a framework assessing the success of technology integration, allowing for the incorporation of remote and hybrid work models. Future trends in IT integration implementation focus on remote and hybrid work solutions. Contributing to existing literature, the framework emphasizes that failure to extend IT integration implementation to include remote and hybrid work solutions may lead to additional constraints, creating gaps in organizational operation. The review analyzes research gaps and suggests future directions, ensuring effective IT integration implementation, especially in developing countries with significant gaps. This review is particularly relevant given the global surge in technology use over the past two years. Fueled by rapid technological advancements and the constraints of COVID-19, a systematic literature review (SLR) is imperative to demonstrate how IT integration implementation helps public sector organizations improve employee performance, financial outcomes, productivity, and service delivery.

Green Accounting Fails to Enhance Financial Performance in Indonesia

This study examines the impact of green accounting and company characteristics on financial performance through environmental disclosure for manufacturing and consumer goods companies listed on the Indonesia Stock Exchange (IDX) from 2017-2020. Using a sample of 17 companies selected via purposive sampling, secondary data were analyzed with Partial Least Square (PLS). The results indicate that green accounting and company characteristics positively influence environmental disclosure, but do not affect financial performance through it. Additionally, environmental disclosure does not impact financial performance. These findings suggest that while environmental reporting is enhanced by green accounting and company traits, it does not directly improve financial outcomes. Highlight: Green accounting and company traits boost environmental disclosure. Environmental disclosure doesn’t affect financial performance. Focus: manufacturing and consumer goods firms on IDX (2017-2020). Keywords: Green Accounting, Environmental Disclosure, Financial Performance, Company Characteristics, IDX

Trends and clinical outcomes of abdominal compartment syndrome among intensive care hospitalizations

BackgroundAbdominal compartment syndrome has been shown to be a highly morbid condition among patients admitted to the intensive care unit. The present study sought to characterize trends as well as clinical and financial outcomes of patients with abdominal compartment syndrome. MethodsThe 2010 to 2020 National Inpatient Sample was used to identify adults (≥18 years) admitted to the intensive care unit. Standard mean differences were obtained to demonstrate effect size with >0.1 denoting significance. Hospitals were divided into tertiles based on annual institutional intensive care unit admissions. Multivariable regression models were used to evaluate the association of abdominal compartment syndrome on outcomes. The primary endpoint was in-hospital mortality, while complications, costs, and length of stay were secondarily considered. ResultsOf 11,804,585 patients, 19,644 (0.17%) developed abdominal compartment syndrome. Over the study period, the incidence of abdominal compartment syndrome (2010–0.19%, 2020–0.20%, P < .001) remained similar. Those with abdominal compartment syndrome were more commonly admitted for gastrointestinal (22.8% vs 8.4%) and cardiovascular (22.6% vs 14.9%) etiologies and were more frequently managed at urban teaching hospitals (77.7% vs 65.1%) as well as high-volume intensive care units (85.2% vs 79.1%) (all standard mean differences >0.1). After adjustment, abdominal compartment syndrome was associated with higher odds of mortality (adjusted odds ratio: 3.84, 95% confidence interval: 3.57–4.13, reference: non-abdominal compartment syndrome). Incremental length of stay (β: +5.0 days, 95% confidence interval: 4.2–5.8) and costs (β: $49.3K, 95% confidence interval: 45.3–53.4) were significantly higher in abdominal compartment syndrome compared to non-abdominal compartment syndrome. ConclusionAbdominal compartment syndrome, while an uncommon occurrence among intensive care unit patients, remains highly morbid with significant resource burden. Further work exploring factors to mitigate its clinical and financial burden is needed.

The Effect of Job Creation Law Regulation on Mining Business: Economic Impact Analysis on the Mining Industry

This study provides important insights into the impact of Labor Law Regulation on the mining industry, with a focus on PT. Vale Indonesia. By applying simple linear regression analysis to the company’s financial and operational data from 2019 to 2022, the research evaluates the effects of the Labor Law Regulation both before and after its implementation. The study aims to determine how the regulation influences the financial and operational performance of PT. Vale Indonesia. The Labor Law Regulation, as the independent variable, assesses the effectiveness of government policies in supporting the mining sector. Financial performance, the dependent variable, is measured through indicators such as economic impact and perception. The analysis reveals a significant improvement in PT. Vale Indonesia’s financial outcomes post-regulation, suggesting enhanced operational efficiency and capital investment. However, the study also notes the need for further investigation into the social impact on surrounding communities. Overall, the research concludes that the Labor Law Regulation has a positive and statistically significant effect on the mining business, indicating strong government policy support, with a high predictive power.

Powering Up Data in the Service of Operational Excellence.

Harnessing the power of data is a necessary competency in fueling innovation, improving financial and clinical outcomes, and achieving operational excellence. It can be analyzed, visualized, dashboarded, and embedded into workflows seamlessly with very little technical expertise. Moreover, data can galvanize organizational culture with its neutrality, transparency, and portability. Using data to highlight qualitative evaluations, patient experiences, and employee performance can help validate perceptions and identify broader organizational opportunities. Yet useful data is frequently nonexistent, invalid, or insufficient. Moving from promise to realization requires reframing data management, as described here.

Mortality and resource utilization in surgical versus transcatheter repeat mitral valve replacement: A national analysis.

Transcatheter mitral valve replacement (TMVR) has garnered interest as a viable alternative to the traditional surgical mitral valve replacement (SMVR) for high-risk patients requiring redo operations. This study aims to evaluate the association of TMVR with selected clinical and financial outcomes. Adults undergoing isolated redo mitral valve replacement were identified in the 2016-2020 Nationwide Readmissions Database and categorized into TMVR or SMVR cohorts. Various regression models were developed to assess the association between TMVR and in-hospital mortality, as well as additional secondary outcomes. Transseptal and transapical catheter-based approaches were also compared in relation to study endpoints. Of an estimated 7,725 patients, 2,941 (38.1%) underwent TMVR. During the study period, the proportion of TMVR for redo operations increased from 17.8% to 46.7% (nptrend<0.001). Following adjustment, TMVR was associated with similar odds of in-hospital mortality (AOR 0.82, p = 0.48), but lower odds of stroke (AOR 0.44, p = 0.001), prolonged ventilation (AOR 0.43, p<0.001), acute kidney injury (AOR 0.61, p<0.001), and reoperation (AOR 0.29, p = 0.02). TMVR was additionally correlated with shorter postoperative length of stay (pLOS; β -0.98, p<0.001) and reduced costs (β -$10,100, p = 0.002). Additional analysis demonstrated that the transseptal approach had lower adjusted mortality (AOR 0.44, p = 0.02), shorter adjusted pLOS (β -0.43, p<0.001), but higher overall costs (β $5,200, p = 0.04), compared to transapical. In this retrospective cohort study, we noted TMVR to yield similar odds of in-hospital mortality as SMVR, but fewer complications and reduced healthcare expenditures. Moreover, transseptal approaches were associated with lower adjusted mortality, shorter pLOS, but higher cost, relative to the transapical. Our findings suggest that TMVR represent a cost-effective and safe treatment modality for patients requiring redo mitral valve procedures. Nevertheless, future studies examining long-term outcomes associated with SMVR and TMVR in redo mitral valve operations, are needed.

Clinical and financial outcomes associated with the utilization of right internal mammary artery versus radial artery in multivessel coronary artery bypass grafting

BackgroundMulti-arterial coronary bypass grafting with the left internal mammary artery as a conduit has been shown to offer superior long-term survival compared to single-arterial coronary bypass grafting. Nevertheless, the selection of a secondary conduit between the right internal mammary artery and the radial artery remains controversial. Using a national cohort, we examined the relationships between the right internal mammary artery and the radial artery with acute clinical and financial outcomes. MethodsAdults undergoing on-pump multivessel coronary bypass grafting with left internal mammary artery as the first arterial conduit were identified in the 2016 to 2020 Nationwide Readmissions Database. Patients receiving either the right internal mammary artery or the radial artery, but not both, were included in the analysis. Multivariable regression models were fitted to examine the association between the conduits and in-hospital mortality, as well as additional secondary outcomes. ResultsOf an estimated 49,798 patients undergoing multi-arterial coronary bypass grafting, 29,729 (59.7%) comprised the radial artery cohort. During the study period, the proportion of multi-arterial coronary bypass grafting utilizing the radial artery increased from 51.3% to 65.2% (nptrend <0.001). Following adjustment, the radial artery was associated with reduced odds of in-hospital mortality (adjusted odds ratio 0.44), prolonged mechanical ventilation (adjusted odds ratio 0.78), infectious complications (adjusted odds ratio 0.69), and 30-day nonelective readmission (adjusted odds ratio 0.77, all P < .05). ConclusionDespite no definite endorsement from surgical societies, the radial artery is increasingly utilized as a secondary conduit in multi-arterial coronary bypass grafting. Compared to the right internal mammary artery, the radial artery was associated with lower odds of in-hospital mortality, complications, and reduced healthcare expenditures. These results suggest that whenever feasible, the radial artery should be the favored conduit over the right internal mammary artery. Nevertheless, future studies examining long-term outcomes associated with these vessels remain necessary.

Energy efficiency as an accelerator to environmental and operational performance

As oil and gas operators continue to enhance and start implementing their plans to meet their regulators’ and customers’ net-zero related demands, the industry should not overlook those low-hanging fruit that will bear results in the short term and, if done well, also contribute to long-term objectives. An effective approach to energy management will contribute to environmental, operational and financial outcomes, by addressing resource scarcity and price volatility, delivering on licence-to-operate considerations, complying with regulations, and delivering a competitive advantage through greater efficiency and enhanced reputation. Key considerations are as follows. Data quality: fuel, power, steam, condensate balances will highlight data gaps and inconsistencies. Energy usage: inefficiencies in operations such as boilers, turbines, as well as systemic issues, such as cycle efficiency and steam and condensate losses, can be identified. Emissions monitoring and reporting: clear and consistent data about fuel and power consumption directly feeds into greenhouse gas corporate reporting schemes. Quality assurance of monitoring and reporting processes: review and challenge dashboards and reports for completeness, accuracy and clarity. Management operating system: redesign management processes to improve workflows and optimise operations. Loss accounting: Production and Energy Loss Accounting (PELA) improves staff collaboration and effectively tackles hidden losses. In this paper, dss+ will share how, using a mix of operational efficiencies and capex, an integrated oil and gas company active in 30 countries identified potential to reduce its emissions by 38 m tonnes of CO2 leading to over US$6 m in savings per annum over 4 years for just four of its assets.

A STUDY ON BEHAVIORAL BIASES IN INVESTMENT DECISION

This research prospects how an individuals behavioral biases affect investment decisions. Behavioral biases are rational tendencies that influence the decisions of the people, especially in fields like investing. This study does a qualitative investigation of behavioral biases in investing decisions. Investors frequently make irrational judgments as a result of behavioral biases that originate from intellectual and emotional reasons. This research tries to discover prevalent behavioral biases influencing investing choices and comprehend the effect they have on financial results by combining findings from prior studies. The literature analysis stresses the major biases that influence investment behavior, including herd mentality, loss aversion, and overconfidence. The study emphasizes how crucial the intent is to identify and counteract these biases to enhance financial outcomes and investment decision-making. KEYWORDS: Behavioral biases, investment decisions, qualitative investigation.

Navigating the Cascading Ripples: A Study on the Interplay between the COVID-19 Recession and the Financial Fortunes of Micro Finance Institutions (MFIs)

Purpose: The success of Micro Finance Institutions (MFIs) hinges on effective decision-making amidst challenging economic circumstances, necessitating the ability to anticipate and navigate future business conditions. This research aims to explore the relationship between financial performance and the COVID-19 pandemic's impact on MFIs listed on the National Stock Exchange (NSE) in India. By analyzing financial data and employing statistical techniques, the study seeks to elucidate the resilience of MFIs during the pandemic and the role of financial ratios in predicting earnings per share (EPS). Additionally, the research aims to contribute to a deeper understanding of the interplay between financial indicators and organizational outcomes within the microfinance sector. Design/Methodology/Approach: This research adopts a quantitative approach, utilizing secondary data obtained from quarterly financial reports of selected MFIs listed on the NSE from 2018 to 2022. Statistical analyses such as paired t-tests, correlation, and regression are employed to assess the impact of the COVID-19 pandemic recession on MFIs' profitability and to investigate the relationship between financial ratios and earnings per share (EPS). Findings/Result: Despite the COVID-19 pandemic recession, the profitability of Indian Micro Finance Institutions (MFIs) remained largely unaffected, as indicated by non-significant differences in earnings before interest and taxes (EBIT) before and after the pandemic. Regression analysis highlighted significant influences of financial ratios like the current ratio, total asset ratio, net profit ratio, and gross profit ratio on earnings per share (EPS), underscoring the sector's resilience and the importance of financial analysis in predicting MFI performance. Originality/Value: This research offers novel insights into the resilience of Indian Micro Finance Institutions (MFIs) during the COVID-19 pandemic and underscores the significance of financial analysis in guiding strategic decision-making processes within the microfinance sector. Paper Type: Empirical Research.

Enhancing Corporate Sustainability through Just-In-Time (JIT) Practices: A Meta-Analytic Examination of Financial Performance Outcomes

Enhancing Corporate Sustainability through Just-In-Time (JIT) Practices: A Meta-Analytic Examination of Financial Performance Outcomes