Uncertainty, real options, and cost behavior: Evidence from Washington state hospitals

Kallapur, S and Eldenburg, L (2005) Uncertainty, real options, and cost behavior: Evidence from Washington state hospitals. Journal of Accounting Research, 43 (5). pp. 735-752.

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Abstract

This study tests an implication of the real-options theory of investment, that uncertainty leads firms to prefer technologies with low fixed and high variable costs. In 1983, a change in Medicare reimbursement increased the uncertainty of revenues for hospitals. Using a sample of 831 departments in 59 Washington State hospitals over the 1977-1994 period, we find that the ratio of variable to total costs increased after 1983. This increase is not attributable to a gradual increase in the ratio over time: We estimate a significant increase after 1983 even after controlling for a time trend. Further, we find a greater increase in the variable-to-total cost ratio for hospitals that had higher percentages of Medicare patients, increasing our confidence in the conclusion that the change in cost behavior is attributable to Medicare's change in reimbursement. Copyright ©, University of Chicago on behalf of the Institute of Professional Accounting, 2005.

Affiliation: Indian School of Business
ISB Creiators:
ISB Creators
ORCiD
Kallapur, S
https://orcid.org/0000-0003-2920-6144
Item Type: Article
Uncontrolled Keywords: irreversible investment, State hospital
Subjects: Health care and delivery
Depositing User: LRC ISB
Date Deposited: 24 Oct 2014 11:11
Last Modified: 07 Mar 2019 11:23
URI: http://eprints.exchange.isb.edu/id/eprint/23
Publisher URL: http://dx.doi.org/10.1111/j.1475-679X.2005.00188.x
Publisher OA policy: http://www.sherpa.ac.uk/romeo/issn/0021-8456/
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