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Is this really the ‘most dangerous man in Germany’?IWHThe Spectator, August 23, 2026
We examine the survival prospects, employment profiles, and patient outcomes at private equity (PE)-acquired hospitals. Target hospitals maintain their survival rates while significantly reducing employment and wage expenditures. The number of core medical workers drops temporarily, but returns to its pre-acquisition level in the long run. However, administrative job and wage cuts persist over the long term, particularly at previously nonprofit hospitals. Using proprietary insurance claims data, we find no significant changes in patient demographics or inpatient prices at PE-acquired hospitals. While patient satisfaction declines, there is no evidence of increased patient mortality or readmission rates at PE-acquired hospitals.
We compare the effects of external financing shocks on patient mortality at nonprofit and for-profit hospitals. Using confidential patient-level data, we find that patient mortality increases to a lesser extent at nonprofit hospitals than at for-profit ones facing exogenous, negative shocks to debt capacity. Such an effect is not driven by patient characteristics or their choices of hospitals. It is concentrated among patients without private insurance and patients with higher-risk diagnoses. Potential economic mechanisms include nonprofit hospitals' having deeper cash reserves and greater ability to maintain spending on medical staff and equipment, even at the expense of lower profitability. Overall, our evidence suggests that nonprofit organizations can better serve social interests during financially challenging times.
We exploit an information shock related to the German Supply Chain Due Diligence Act and use detailed customs data to analyze how smaller, non-listed firms respond when expecting accountability for externalities beyond their organizational boundaries. Product-level regressions reveal a substantial reduction in imports from high ESG-risk production sectors. Adjustments occur mainly at the extensive margin, indicating that firms cut ties with high-risk suppliers. The product-level results translate into meaningful changes in overall international procurement for firms with Big Four auditors. Our findings suggest potential limits to mandates requiring firms to integrate broad sustainability considerations into operational decisions.
We provide evidence for a psychological component of inflation concerns. Higher inflation concerns relate in a positive and significant way to respondents’ reported levels of concerns about their financial situation. Results hold when controlling for income and financial constraints.
We study the corporate-loan pricing decisions of a major, systemic bank during the Greek financial crisis. A unique aspect of our data set is that we observe both the actual interest rate and the “break-even rate” (BE rate) of each loan, as computed by the bank’s own loan-pricing department (in effect, the loan’s marginal cost). We document that low-BE-rate (safer) borrowers are charged significant markups, whereas high-BE-rate (riskier) borrowers are charged smaller and even negative markups. We rationalize this de facto cross-subsidization through the lens of a dynamic model featuring depressed collateral values, impaired capital-market access, and limit pricing.
Der Klimawandel und die übermäßige Nutzung natürlicher Ressourcen stellen große Herausforderungen für eine nachhaltige Entwicklung auf der Erde dar. Auf Seite der Unternehmen besteht die Herausforderung darin, Wege zu finden, wie sie Ressourcen schonen und Emissionen senken können. Die Verbraucher wiederum haben über ihr Konsumverhalten Einfluss darauf, welche Produkte Unternehmen überhaupt absetzen können. Nachhaltiger Konsum ist somit ein wichtiger Baustein in der grünen Transformation. In einer jüngst als IWH-Diskussionspapier erschienenen Studie wird untersucht, inwiefern Inflationssorgen den Kauf von Bio-Produkten beeinflussen. Gerade in Zeiten stark steigender Preise könnte die Sorge über das eigene Budget die Sorgen über Klimawandel und Nachhaltigkeit in den Hintergrund treten lassen und sich somit negativ auf den Konsum von oft relativ teuren Bio-Produkten auswirken. Die Ergebnisse der Studie basieren auf einer Befragung von rund 1 200 Teilnehmenden sowie einem Feldexperiment zum tatsächlichen Einkaufsverhalten mit circa 500 Teilnehmenden. Die Ergebnisse zeigen, dass gerade Teilnehmende mit vergleichsweise geringerem Umweltbewusstsein und, damit einhergehend, sowieso schon niedrigerem Anteil an nachhaltigen Produkten nochmals erheblich weniger nachhaltige Produkte konsumieren, sobald sie mit Inflationssorgen konfrontiert werden.
The chief human resource officer (CHRO) role elevates people-related matters to the apex of the firm. Why do some companies’ leading management teams place so much emphasis on human resources while others do not? The present study argues that CHROs’ presence in the C-suite is driven by firms’ imitation of industry peers’ leadership structures as a response to uncertainty. The investigation also sheds light on the moderating role of environmental factors that can influence mimetic isomorphism in HR leadership. Through a longitudinal analysis of large listed firms between 2006 and 2020, the study shows a positive relationship between the prevalence of the CHRO position among firms’ peers and a focal firm having a CHRO in its top management. The results demonstrate that certain types of uncertainty serve as boundary conditions for such copying actions: Industry growth strengthens mimicking behavior while industry dynamism weakens it. There is no clear evidence for the moderating role of industry competition. The findings contribute a neo-institutional view of human resource structures in the top management and strengthen the bond between the strategy and human resource literature.
We review an empirical literature that studies how political polarization affects financial decisions. We first discuss the degree of partisan segregation in finance and corporate America, the mechanisms through which partisanship may influence financial decisions, and the available data sources used to infer individuals’ partisan leanings. We then describe and discuss the empirical evidence. Our review suggests an economically large and often growing partisan gap in the financial decisions of households, corporate executives, and financial intermediaries. Partisan alignment between individuals explains team and financial relationship formation, with initial evidence suggesting that high levels of partisan homogeneity may be associated with economic costs. We conclude by proposing several promising directions for future research.
Why do cities differ so much in productivity? A long literature has sought out systematic sources, such as inherent productivity advantages, market access, agglomeration forces, or sorting. We document that up to three quarters of the measured regional productivity dispersion is spurious, reflecting the “luck of the draw” of finite counts of idiosyncratically heterogeneous plants that happen to operate in a given location. The patterns are even more pronounced for new plants, hold for alternative productivity measures, and broadly extend to European countries. This large role for individual plants suggests a smaller role for places in driving regional differences.