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Understanding the low cost business model in healthcare service provision: A comparative case study in Italy

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  • Cicellin, Mariavittoria
  • Adriana Scuotto,
  • Canonico, Paolo
  • Consiglio, Stefano
  • Mercurio, Lorenzo

Abstract

The cost of medical treatments may undermine timely and effective access to healthcare. We believe it is useful to examine innovative business models recently introduced in European countries, borrowing from less developed economies. This paper aims to analyze new business models of healthcare service provision that have recently been introduced in Italy, and its social component. In particular, we analyze the low cost business model in Italian healthcare. We carried out a comparative case study of three Italian low-cost organizations. The cases were selected using four social criteria: start-up capital; social value proposition; social value equation; and social profit equation. From the comparative case study, six main themes emerged: 1. Social relationships; 2. recruiting and engagement of medical and nursing personnel; 3. economies of scale; 4. cross subsidization; 5. management of financial surpluses; 6. patient involvement and participation. The cases reveal new ways of healthcare service provision and unravel innovative organizational dimensions falling into the low cost business model. The organizations both maximize profit and respond to the social need for healthcare at relatively low costs. The low cost business model is therefore able to respond to the demand for affordable healthcare, while providing social innovation.

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  • Cicellin, Mariavittoria & Adriana Scuotto, & Canonico, Paolo & Consiglio, Stefano & Mercurio, Lorenzo, 2019. "Understanding the low cost business model in healthcare service provision: A comparative case study in Italy," Social Science & Medicine, Elsevier, vol. 240(C).
  • Handle: RePEc:eee:socmed:v:240:y:2019:i:c:s0277953619305660
    DOI: 10.1016/j.socscimed.2019.112572
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    References listed on IDEAS

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    1. Bertrand Moingeon & Muhammad Yunus & Laurence Lehmann-Ortega, 2010. "Building Social Business Models: Lessons from the Grameen Experience," Post-Print hal-00528385, HAL.
    2. Agarwal, Nivedita & Chakrabarti, Ronika & Brem, Alexander & Bocken, Nancy, 2018. "Market driving at Bottom of the Pyramid (BoP): An analysis of social enterprises from the healthcare sector," Journal of Business Research, Elsevier, vol. 86(C), pages 234-244.
    3. Christoph Zott & Raphael Amit, 2008. "The fit between product market strategy and business model: implications for firm performance," Strategic Management Journal, Wiley Blackwell, vol. 29(1), pages 1-26, January.
    4. Gerard George & Rekha Rao-Nicholson & Christopher Corbishley & Rahul Bansal, 2015. "Institutional entrepreneurship, governance, and poverty: Insights from emergency medical response servicesin India," Asia Pacific Journal of Management, Springer, vol. 32(1), pages 39-65, March.
    5. Roy, Michael J. & Baker, Rachel & Kerr, Susan, 2017. "Conceptualising the public health role of actors operating outside of formal health systems: The case of social enterprise," Social Science & Medicine, Elsevier, vol. 172(C), pages 144-152.
    6. Laura Michelini & Daniela Fiorentino, 2012. "New business models for creating shared value," Social Responsibility Journal, Emerald Group Publishing Limited, vol. 8(4), pages 561-577, September.
    7. Rago, Sara, 2012. "Italian mutual benefit societies: an organizational social innovation in health and healthcare system," AICCON Working Papers 113-2012, Associazione Italiana per la Cultura della Cooperazione e del Non Profit.
    8. Stadhouders, Niek & Kruse, Florien & Tanke, Marit & Koolman, Xander & Jeurissen, Patrick, 2019. "Effective healthcare cost-containment policies: A systematic review," Health Policy, Elsevier, vol. 123(1), pages 71-79.
    9. Hoogendoorn, B. & Pennings, H.P.G. & Thurik, A.R., 2010. "What do We Know about Social Entrepreneurship: An Analysis of Empirical Research," ERIM Report Series Research in Management ERS-2009-044-ORG, Erasmus Research Institute of Management (ERIM), ERIM is the joint research institute of the Rotterdam School of Management, Erasmus University and the Erasmus School of Economics (ESE) at Erasmus University Rotterdam.
    10. Sarti, Simone & Terraneo, Marco & Tognetti Bordogna, Mara, 2017. "Poverty and private health expenditures in Italian households during the recent crisis," Health Policy, Elsevier, vol. 121(3), pages 307-314.
    11. Roy, Michael J. & Donaldson, Cam & Baker, Rachel & Kerr, Susan, 2014. "The potential of social enterprise to enhance health and well-being: A model and systematic review," Social Science & Medicine, Elsevier, vol. 123(C), pages 182-193.
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    1. Sarkar, Soumodip & Mateus, Sara, 2022. "Doing more with less - How frugal innovations can contribute to improving healthcare systems," Social Science & Medicine, Elsevier, vol. 306(C).

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