Case in Point: Developing a Unique Healthcare Model

[The following post is re-blogged from SAGE Connection. Click here to view the original article.]

Karen Pellegrin, Director of Continuing Education & Strategic Planning and Founding Director of the Center for Rural Health Science at the University of Hawaii at Hilo, Daniel K. Inouye College of Pharmacy

When the Patient Protection and Affordable Care Act (aka “Obamacare”) went into effect, the healthcare industry experienced the largest expansion of US government involvement since Medicare and Medicaid. This shift in government involvement created a ripe environment for government-subsidized clinics to flourish; but they weren’t the only clinics to do so. Mango Medical, a small business in rural Hawaii that does not rely on government subsidies, experienced enormous success in 2015 due to its unique primary care model that pays doctors for value of service over volume.

Karen Pellegrin & Timothy Duerler wrote a case study for SAGE Business Cases called Mango Medical: Growing a Fresh Healthcare Model. The case follows the creation and success of Mango Medical and allows students to gain a deeper understanding of healthcare trends, markets, systems, and strategies used in the US.

Highlighting the case in this latest installment of our Case In Point series, we caught up with Karen to learn more about the rise of the Mango Medical and the current healthcare environment. Karen provided some helpful insight for any instructor teaching about healthcare in business and management or organizational courses. Read the interview below.

  1. Your case describes the growth of a for-profit healthcare corporation in rural Hawaii, where the market seemed more primed for government-subsidized clinics after the passage of the Affordable Care Act. What would you say are the top three takeaways from this case for those learning about different healthcare models?

 Assumptions about subsidies, both the need and the amount, are typically based on current or traditional models of care; if you don’t question those assumptions, you conclude subsidies are required and easy to quantify.  If you question those assumptions, you might be able to create a more efficient model, as Dr. Duerler has.  There are many inefficiencies in our healthcare system, and we need new models to deliver better, more cost-effective care.

The healthcare industry is highly regulated and complex, which makes it tough to navigate; but where most see obstacles, entrepreneurs find opportunities.

In some ways, you could argue that rural Hawaii is such a unique market that the Mango model wouldn’t succeed in other markets.  I would argue that there is more in the model that translates than not.

  1. After the 2016 election, it seems likely we’ll be seeing some changes in government-subsidized health care. How do you see any potential changes affecting a business like Mango Medical?

 Passing the Affordable Care Act was difficult; changing it is proving to be even more difficult despite the known problems.  In general, the Republicans are focused on eliminating federal mandates that reduce choice and eliminating or changing subsidies.  Assuming fewer people would have health insurance or subsidies to cover the cost of care under a Republican replacement, this could affect Mango’s revenue.  However, because of their operating efficiency, Mango might be an attractive option to those without insurance or with high deductibles who are paying out of pocket.  Businesses focused on value and adaptability, like Mango Medical, will likely maintain a competitive advantage in a dynamic market.

  1. What are some of the marketing challenges faced when a new, growing company like Mango Medical has to adapt to a unique, rural setting?

 Communicating with target audiences is always key.  Our research has found that traditional formal marketing approaches are far less effective (and more expensive) than informal methods in reaching target audiences in rural Hawaii – specifically community members and clinicians.  Getting the message across about a new product or service can be done very efficiently and effectively by understanding the local landscape and leveraging existing communication networks.

Learn more by reading the full case study, Mango Medical: Growing a Fresh Healthcare Model, from SAGE Business Cases, open to the public for a limited time. To learn more about SAGE Business Cases and to find out how to submit a case to the collection, please contact Rachel Taliaferro, Associate Editor: rachel.taliaferro@sagepub.com.

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New Podcast: Chris Grey on Organizations


Chris-Grey_opt.jpgWhat is an “organization?” According to Chris Grey, the guest in this Social Science Bites podcast, in many ways it’s a moment in time. “An organization,” he tells interviewer David Edmonds, “is also a momentary crystallization of an ongoing process of organizing.”

Click here to listen to the podcast now!

Grey is a professor of organizational studies in the school of management at Royal Holloway University in London and a fellow of the Academy of Social Sciences. And while he’s been heavily involved in management studies – he’s actually part of the School of Management at Royal Holloway – he makes clear that the rubric of ‘an organization’ extends far beyond business alone. “A huge amount of life is organized,” Grey explains, “and is therefore under the ambit of organizational studies.” In fact, the field itself, which essentially emerged from work on bureaucracy by Max Weber, was usually located in an institution’s sociology or psychology departments until the advent of business schools in the 1960s exerted a magnetic draw on the discipline.

One of Grey’s best examples of not being solely a business study is detailed in his 2012 book — Decoding Organization: Bletchley Park, Codebreaking and Organization Studies — about the (now) famous British World War II codebreaking campus. As he describes in this podcast, Bletchley Park harnessed many of the current cultural trends and personality traits of its selected workforce so well that even spouses didn’t know of each other’s wartime exploits for decades after V-E Day.

Even if organizational studies is boiled down to issues of economic efficiency, he continues, “we have to open up the question of what does efficiency mean and for who?” He adds: “We needn’t give the answer, ‘efficient for the powerful’.” And while admitting that his “take” is far from universal among his colleagues, “Fundamentally the problems of organization are not soluble and they’re not amenable to the kind of prediction and control that is sometimes promised.”

While he has wide ranging research interests and a love of detective novels, Grey remains well-represented in the management field. He was editor-in-chief of Management Learning for six years. Grey co-edited the 2016 book Critical Management Studies: Global Voices, Local Accents and was co-author of another 2016 volume, Secrecy at Work: The Hidden Architecture of Organizational Life.

His most recent book for SAGE is the cleverly named A Very Short, Fairly Interesting and Reasonably Cheap Book About Studying Organizations.

For a complete listing of past Social Science Bites podcasts, click HERE. You can follow Bites on Twitter @socialscibites and David Edmonds @DavidEdmonds100.

Submit Your Manuscript to Public Personnel Management!

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Public Personnel Management is currently seeking manuscript submissions. Founded by the International Public Management Association for Human Resources (IPMA-HR), Public Personnel Management is published specifically for human resource executives and managers in the public sector. Each quarterly edition contains in-depth articles on trends, case studies and the latest research by top human resource scholars and industry experts.

Manuscripts should be submitted electronically to http://mc.manuscriptcentral.com/ppm.

You will need to create an account in order to submit your manuscript. The system will notify you once we receive the manuscript and have sent it out for review. If you have any questions, please contact Editor Jared J. Llorens (jared1@lsu.edu).

Don’t forget to sign up for email alerts through the journal homepage so you never miss the latest research!

Highlights from California Management Review’s Latest Issue

Calicmra_59_2.cover.pngfornia Management Review has served as a bridge of communication between academia and management practice for sixty years. The newest issue of CMR is now online to view, and features articles covering various topics such as managing technology through outsourcing, managing customer relations, and analyzing sustainability in big corporations.

One article in particular, “Decentralization and Localization of Production: The Organizational and Economic Consequences of Additive Manufacturing (3D Printing),” co-authored by Avner Ben-Ner and Enno Siemsen, provides a glimpse into the research behind 3D printing, and how the phenomenon will likely become a local practice faster than you think.  The article is currently free to read for a limited time. Please find the abstract for the article below:

The future organizational landscape may change drastically by mid-century as a result of widespread implementation of 3D printing. This article argues that global will turn local; mega (factories, ships, malls) will become mini; long supply chains will shrink; many jobs will be broadened to combine design, consulting, sales, and production roles; and large organizations will make room for smaller ones. “A once-shuttered warehouse is now a state-of-the art lab where new workers are mastering the 3D printing that has the potential to revolutionize the way we make almost everything.” [President Obama, State of the Union Address, 2013].

Are you enjoying content from California Management Review? Don’t forget to sign up for email alerts through the homepage so you never miss the latest articles or issues.

Want to submit to CMR? Visit https://mc.manuscriptcentral.com/uc-cmr to begin your submission!

New Podcast from the Journal of Management Inquiry!

We are pleased to feature a new podcast from the Journal of Management Inquiry’s series entitled “Six Degrees” with participants Deepak Patil and Dr. Linda Ackerman Anderson.

Please click here to listen to the podcast directly, where Anderson discusses her life and career in organization transformation.JMI_72ppiRGB_powerpoint.jpg

Deepak Patil is currently pursuing his doctorate in OD with California School of Professional Psychology. He has 16 years of rich work experience in the field of Leadership development and OD. Before rejoining student in Aug 2015, he was VP and Head of Leadership Development at Firstsource for their global operations. He is actively engaged with Indian Society for Applied Behavioral Sciences, Group Relations India, Silicon Valley OD Network and South Asian Association of Transactional Analysis. Deepak aspires to research in Strategic Change Management and Systems Thinking. After doctorate, he desires to consult for profit and not for profit organizations across the globe. Deepak enjoys travelling, reading and experiencing life to its fullest. He can be reached at deepakpatil76@gmail.com

Dr. Linda Ackerman Anderson has spent 40 years as a change consultant in both private (Fortune 1000 companies) and public sector (government at all levels), military, and Not-for-Profits. Key areas of her consulting specialty include assisting senior leaders to sort through the chaos of transformation to develop change processes that produce extraordinary business outcomes while simultaneously transforming culture. She develops and mentosr conscious change consultants and change leaders by equipping them with the insights and methods to become experts in their fields. Anderson was granted an honorary doctorate from Chapman University (Brandman University) for her life’s work in transformational change and leadership.

You can also view the entire JMI Six Degrees podcast series here.

 

Journal of Management Education’s 2016 Award-Winning Article

On behalf of the Journal of Management Education, SAGE Publishing would like to congratulate co-authors Richard J. Miller and Rosemary Maellaro, both of the University of Dallas, for winning the Fritz Roethlisberger Award for 2016 for their article, “Getting to the JME_72ppiRGB_powerpoint.jpgRoot of the Problem in Experiential Learning: Using Problem Solving and Collective Reflection to Improve Learning Outcomes,” which can be found in the April 2016 issue of JME. The award’s criteria include scholarly grounding, expected longevity, potential impact, and potential to reach across disciplines.

The article is currently free to read for a limited time.

The abstract for the article is below:

Experiential learning alone does not guarantee that students will accurately conceptualize content, or meet course outcomes in subsequent active experimentation stages. In an effort to more effectively meet learning objectives, the experiential learning cycle was modified with a unique combination of the 5 Whys root cause problem-solving tool and a collective reflection step. Applying these modifications through multiple iterations of in-class exercises, students in lean operations and leadership courses were able to move beyond treating symptoms of problems and generate more viable alternative actions for future applications of their learning. Improved grades, greater achievement of learning objectives, and positive student reactions provide evidence of the modified experiential learning cycle’s success. A generalized framework for using the modified learning cycle in other management courses is also presented.

Don’t want to miss the latest publications from JME? Be sure to sign up for email alerts through the journal homepage!

Holocaust Education and Its Effect on UNESCO Policy Guides

Holocaust education- working towards cultivating global citizenship, promoting human rights, and developing a culture of peace and prevention of genocide

cme1.pngThe Holocaust as a topic of study is present to varying degrees in a substantial number of countries, notably European, as well as countries where victims of the Holocaust have sought refuge and others not directly affected.  A recent study by UNESCO and the Georg Eckert Institute for International Textbook Research found that at least 65 countries specifically mention the genocide of Jews and other crimes perpetrated by Nazi Germany and its collaborators, in their secondary schools’ social sciences and history curricula. An additional 46 countries provide context (the Second World War and National Socialism) in which the Holocaust can be taught. Teaching about the Holocaust is encouraged by the United Nations, which emphasizes its historical significance and the importance of teaching this event as a fundamental consideration pertaining to the prevention of genocide.

Inspired by the Conference for International Holocaust Education organized by the United States Holocaust Memorial Museum (USHMM) in collaboration with the UNESCO in Washington, D.C., a distinguished journal ‘Contemporary Review of the Middle East by SAGE Publications has come out with a special issue on Holocaust Education. The issue aims to strengthen the history of Holocaust and the genocide through pedagogical means. It has contributions from most of the attendees of this conference. With contributions from eclectic mix of scholars, the issue emphasizes on the fact that Holocaust is not an exclusive Jewish, European, or Christian tragedy but a human calamity. This universal message cannot be understood by ‘uniquefing’ the Holocaust. Despite its unparalleled character and magnitude, its understanding cannot be done in isolation.

Supporting the effort to inculcate future generations with the lessons of the Holocaust and to prevent future genocides, UNESCO has created an educational programme dedicated to the history of Holocaust. To support this effort, it has recently laid down a policy guide for policy-makers who seek to implement or substantiate the study of the Holocaust within their education systems and, more broadly, the study of genocide and mass atrocities. It describes how and why teaching and learning about the Holocaust can support global policy priorities through education, including cultivating global citizenship, promoting human rights, and developing a culture of peace and prevention of genocide. Articles from the issue on Holocaust education from the journal ‘Contemporary review of the Middle East’ have been taken as one of the references for drafting this document. The articles focus essentially on education about the Holocaust and the decades of research, resources and pedagogical practices demonstrating its effectiveness. Thorough guidance is provided for setting clear, realistic and context-specific learning objectives that promote quality education on the occurrences and history of Holocaust.

The special issue is currently free to read for a limited time.

About the Journal:

Contemporary Review of the Middle East, peer-reviewed flagship journal from the Middle East Institute, New Delhi seeks to publish original research articles that analyse contemporary Middle Eastern developments in the fields of security, politics, economy and culture. Though the Journal’s primary focus would be on contemporary developments, it would consider persuasive contributions on the region’s contemporary diplomatic and international histories that have evident bearings on the present.

Editorial Board     |     Submit an article