IX. Geld und Kapital

Ohne Zusammenfassung     

Case management: an evaluation at Childrens Hospital Los Angeles

This prospective, quantitative, and qualitative evaluation of the case management program at CHLA clearly demonstrated the value of professional service coordination of care for children with complex, special health needs. Most specifically, the program documented improvement in three discrete areas of evaluation: 1. Financial, with decreased unnecessary expenditures and increased revenue. 2. Patient satisfaction, documented with validated questionnaires. 3. Clinical process improvement, using quantifiable clinical outcomes. At the very least, case management is an extremely valuable service in the present managed health care environment, and may in fact be indispensable.     

The leader as lobbyist

Guidant's Ginger Graham argues that senior executives are actually better prepared than most lobbyists to inform and educate members of Congress about the issues that will affect their businesses.     

Heat-related deaths

Risk factors and criteria for classifying deaths as heat related are discussed with emphasis on investigation of the circumstances.     

Detection of Financial Time Series Turning Points: A New CUSUM Approach Applied to IPO Cycles

This paper presents a new Cumulative Sum approach for the detection of turning points in financial time series that are subject to cyclical mean level and volatility regime shifts. The new CUSUM approach is applied to the problem of detecting turning points in hot issue markets for Initial Public Offerings (IPOs), thus providing a multi-dimensional characterization of states of the IPO cycle.     

Pension roulette: have you bet too much on equities?

In the 1990s, funding pension obligations by investing in stocks looked smart. By 1999, the bull market had poured a collective $260 billion surplus into the pension coffers of the S&P 500, permitting the companies to record the year-to-year increases as additional income. But just two years later, the bear market had obliterated those gains, replacing them with a cavernous $240 billion deficit--which had to be offset by the unlucky firms' ongoing cash flows, wreaking havoc on their earnings, debt levels, and stock prices. Corporate executives may be blamed for this debacle. But they were only following the rules. Current accounting guidelines keep companies from recording pension liabilities and assets on their balance sheets, instead relegating them to the footnotes. That makes it hard to see the risk that market drops expose companies to. Board members and top executives need to look beyond distorted accounting numbers to the economic realities of pension plans. Once they do, they may be surprised to find that they would gain far greater value and flexibility by passively investing their pension funds entirely in bonds. A bond portfolio can be designed to meet precisely, and with virtual certainty, a company's pension obligation, thus eliminating the chance of a funding gap. The predictability of bond investments also stabilizes earnings and cash flow. The expanded corporate debt capacity that results can then be used to fuel growth or reduce the firm's overall cost of capital. Even without an overhaul of today's misguided accounting rules, there's little reason for companies' pension funds to hold anything other than bonds.     

Conditional Cash Transfers, Schooling, and Child Labor: Micro-Simulating Brazil's Bolsa Escola Program

A growing number of developing economies are providing cashtransfers to poor people that require certain behaviors on theirpart, such as attending school or regularly visiting healthcare facilities. A simple ex ante methodology is proposed forevaluating such programs and used to assess the Bolsa Escolaprogram in Brazil. The results suggest that about 60 percentof poor 10- to 15-year-olds not in school enroll in responseto the program. The program reduces the incidence of povertyby only a little more than one percentage point, however, andthe Gini coefficient falls just half a point. Results are betterfor measures more sensitive to the bottom of the distribution,but the effect is never large.     

Editorial

Original Papers

Editorial