Tallinn, Estonia


Tallinn, Estonia
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Rassier D.G.,PricewaterhouseCoopers | Earnhart D.,University of Kansas
Environmental and Resource Economics | Year: 2010

Previous research provides opposing theoretical arguments regarding the effect of environmental regulation on financial performance. As one important argument, the Porter hypothesis claims that tighter regulation improves financial performance. This study provides empirical evidence on this debated effect. In particular, we employ panel data analysis to examine the effect of Clean Water Act regulation, as measured by permitted wastewater discharge limits, on expected future financial performance, as measured by Tobin's q, for publicly owned firms in the chemical manufacturing industries. We find that tighter permitted discharge limits lower Tobin's q; i. e., more stringent Clean Water Act regulation undermines expected future financial performance. By decomposing Tobin's q into its constituent components-market value and replacement costs-and estimating each component separately, we find that tighter permitted discharge limits lower both components with a larger impact on market value, which implies that investors revise their expectations of the discounted present value of future profits in response to changes in Clean Water Act regulation. © Springer Science+Business Media B.V. 2009.

Maeng D.D.,Center for Health Research | Khan N.,PricewaterhouseCoopers | Tomcavage J.,Geisinger Health System | Graf T.R.,Geisinger Health System | And 2 more authors.
Health Affairs | Year: 2015

Early evidence suggests that the patient-centered medical home has the potential to improve patient outcomes while reducing the cost of care. However, it is unclear how this care model achieves such desirable results, particularly its impact on cost. We estimated cost savings associated with Geisinger Health System's patient-centered medical home clinics by examining longitudinal clinic-level claims data from elderly Medicare patients attending the clinics over a ninety-month period (2006 through the first half of 2013). We also used these data to deconstruct savings into its main components (inpatient, outpatient, professional, and prescription drugs). During this period, total costs associated with patient-centered medical home exposure declined by approximately 7.9 percent; the largest source of this savings was acute inpatient care ($34, or 19 percent savings per member per month), which accounts for about 64 percent of the total estimated savings. This finding is further supported by the fact that longer exposure was also associated with lower acute inpatient admission rates. The results of this study suggest that patient-centered medical homes can lead to sustainable, long-term improvements in patient health outcomes and the cost of care. © 2015 Project HOPE- The People-to-People Health Foundation, Inc.

Bleustein C.,PricewaterhouseCoopers | Rothschild D.B.,PricewaterhouseCoopers | Valen A.,JPMorgan | Valaitis E.,PricewaterhouseCoopers | And 2 more authors.
American Journal of Managed Care | Year: 2014

Objectives: To analyze the impact of waiting time on patient satisfaction scores; not only of satisfaction with the provider in general, but also with the specific perception of the quality of care and physician abilities. Study Design: Using surveys regarding patient satisfaction with provider care, data was collected from a sample of 11,352 survey responses returned by patients over the course of 1 year across all 44 ambulatory clinics within a large academic medical center. While a small minority of patients volunteered identification, the surveys were made anonymously. Methods: A questionnaire with Health Consumer Assessment of Healthcare Providers and Systems patient satisfaction and waiting time queries was administered via mail to all clinic patients - roughly 49,000 - with a response rate of 23%. Employing a standard statistical approach, results were tabulated and stratified according to provider scores and wait time experience, and then analyzed using statistical modeling techniques. Results: While it is well established that longer wait times are negatively associated with clinical provider scores of patient satisfaction, results indicated that every aspect of patient experience - specifically confidence in the care provider and perceived quality of care - correlated negatively with longer wait times. Conclusions: The clinical ambulatory patient experience is heavily influenced by time spent waiting for provider care. Not only are metrics regarding the likelihood to recommend and the overall satisfaction with the experience negatively impacted by longer wait times, but increased wait times also affect perceptions of information, instructions, and the overall treatment provided by physicians and other caregivers.

For many large infrastructure companies, including utilities, choosing an asset management strategy will impact the businesses' funding requirement from debt providers and shareholders. Significant asset related expenditure will require additional financing (debt or equity) and the company will need to understand what the expenditure plans means for their financial position. Capturing the interdependency between the cost of financing and investment planning is critical to assessing true whole life costs of asset ownership this paper described two approaches to achieving the true whole life cost assessment.

Skelton E.,PricewaterhouseCoopers
Journal of business continuity & emergency planning | Year: 2015

The paper discusses why resilience is increasingly important for companies to measure and address, thinking about relevant issues such as climate change and extreme weather. It gives insight on how companies measure their resilience and that it is more than a business continuity issue; indeed, it is a board issue. The paper looks at the role of regulation for companies with national critical infrastructure in putting in resilience guidelines and discusses the benefits of regulation in resilience, presenting a case study of the UK Water Services Regulation Authority resilience guidelines.

Kollatz-Ahnen M.,PricewaterhouseCoopers
Global Policy | Year: 2013

The EU's handling of the recent financial crisis gives much more weight to fiscal consolidation than to growth stimulus. Because the fiscal multipliers during crisis periods are significantly higher than previously estimated, the consolidation policy requires a second pillar for growth to avoid a vicious downward spiral. The first elements of this second pillar were adopted by the EU summit in June 2012, but the scope of the programme for growth and employment is not sufficient nor has it been implemented with the necessary speed and scope. This article calls for a systematic approach to increase the public intervention capacity to ignite sustainable growth. The main public financial instruments are the budget and the promotional bank at each level in Europe. The contribution of the promotional banks has grown since the eve of the great crisis. Volume and impact can be increased further. The main objectives are revolving funds, combined financial products bringing together loans and budget, focusing on viable projects and attracting private capital for projects where suitable. An optimisation of the budget for better leverage, better allocation efficiency and viable projects improves the impact significantly within given volumes. Even more enforcement seems possible if the budget grows to some extent to enlarge the anticrisis capacity. © 2013 University of Durham and John Wiley & Sons, Ltd.

Darling M.,PricewaterhouseCoopers | Wise S.,PricewaterhouseCoopers
Materials management in health care | Year: 2010

Today, supply chain metrics should be more strategic rather than transactional in nature. They should provide a for greater understanding of the relationship between supply chain manage ment, clinical outcomes and patient safety. In addition to taking a comprehensive look at inventory value, materials managers should assess strategies to reduce theft and consider third-party logistics managers where appropriate. This article provides direction for best practices in inventory management and suggests supply chain metrics that can be employed to improve performance.

Burgman R.,University of Miami | Seager R.,Lamont Doherty Earth Observatory | Clement A.,University of Miami | Herweijer C.,PricewaterhouseCoopers
Geophysical Research Letters | Year: 2010

The role of tropical Pacific SSTs in driving global medieval hydroclimate is assessed. Using fossil coral records from Palmyra Atoll, tropical Pacific sea surface temperature (SST) boundary conditions are derived for the period 1320-1462 A.D. These boundary conditions consist of La Nia-like mean state conditions in the tropical Pacific with inter-annual and decadal variability about that altered state. The reconstructed SSTs in the tropical Pacific are used to force a 16 member ensemble of atmospheric general circulation model (AGCM) simulations, coupled to a one layer ocean model outside of the tropical Pacific. The AGCM simulations of medieval climate are compared with modern climate simulations for the period 1856-2005 A.D. and are shown to reproduce many aspects of medieval hydroclimate found in paleo-proxy records for much of the Western Hemisphere, northern Eurasia, and the northern tropics. These results suggest that many features of global medieval hydroclimate changes can be explained by changes in tropical Pacific SSTs, though the potential role for other oceans is also discussed. Copyright © 2010 by the American Geophysical Union.

Valletta R.,PricewaterhouseCoopers
Healthcare financial management : journal of the Healthcare Financial Management Association | Year: 2010

A new model for lease accounting can have a significant impact on hospitals and healthcare organizations. The new approach proposes a "right-of-use" model that involves complex estimates and significant administrative burden. Hospitals and health systems that draw heavily on lease arrangements should start preparing for the new approach now even though guidance and a final rule are not expected until mid-2011. This article highlights a number of considerations from the lessee point of view.

Garrett D.,PricewaterhouseCoopers
Healthcare financial management : journal of the Healthcare Financial Management Association | Year: 2010

Hospitals and health systems have an important opportunity, today, to use clinical, financial, administrative, and self-reported data to improve health outcomes, reduce medical errors, predict health trends, and demonstrate the comparative value of drugs and treatments. Such secondary use of data requires that the data be standardized to be effective. Danville, Pa.-based Geisinger Health System is an example of a larger healthcare organization that is pursuing a commercial venture to effectively use its vast data resources for research and other purposes in the larger healthcare marketplace.

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