Variance Analysis: New Insights from Health Care Applications

Author:

Kaplan Robert S.1ORCID,Gallani Susanna1ORCID

Affiliation:

1. Harvard University

Abstract

ABSTRACT We use a health care application to illustrate how variance analysis can be used to benchmark costs across similar service delivery sites. Variances for personnel costs, typically the largest cost component in service organizations, are calculated for price, quantity, and skill mix components. Skill mix is important since employees with different compensation often work together to produce service outputs. We find that the joint variance, which arises when both prices and quantities differ, has more managerial implications when assigned to the quantity variance, rather than its traditional allocation to the price variance. Using time-driven activity-based costing also leads to a new variance that reflects the impact of personnel capacity differences between sites. Finally, we introduce two new visualization tools to display the variances. Educators can teach students how variance analysis reveals opportunities to reduce personnel costs by identifying and transferring best practices across sites.

Publisher

American Accounting Association

Subject

Education,Accounting

Reference8 articles.

1. Anderson, G. F. , ReinhardtU. E., HusseyP. S., and PetrosyanV.. 2003. It's the prices, stupid: Why the United States is so different from other countries. Health Affairs (Project Hope)22 ( 3): 89– 105. https://doi.org/10.1377/hlthaff.22.3.89

2. Erhun, F. , KaplanR. S., NarayananV. G., BraytonK., KalaniM., MazzaM. C., NguyenC., PlatchekT., MistryB., MannR., KaziD., PinnockC., SchulmanK. A., XueJ., BallardD., MackM., JamesB., PoulsenG., PunnenJ., ShettyD., and MilsteinA.. 2020. Are cost advantages from a modern Indian hospital transferable to the United States?American Heart Journal224: 148– 155. https://doi.org/10.1016/j.ahj.2020.04.009

3. Gallani, S. , and KaplanR. S.. 2018. Springfield Hospital. Cambridge, MA: Harvard Business Publishing.

4. Kaplan, R. S. , and AndersonS. P.. 2007. Time-Driven Activity-Based Costing: A Simpler and More Powerful Path to Higher Profits. Cambridge, MA:Harvard Business Press.

5. Kaplan, R. S. , and PorterM. E.. 2011. How to solve the cost crisis in health care. Harvard Business Review89(2): 47– 64.

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