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Owens & Minor (a)

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15.963 Management Accounting and Control
Spring 2007

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15.963 Managerial Accounting and Control Spring 2007

Prof. Mozaffar Khan

MIT Sloan School of Management

Owens & Minor A

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What external pressures does O&M face?
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U.S. healthcare expenditures are rising due to demographic trends and technological advances, so medical supply is growing sector. However, insurance companies and government agencies have changed from cost-plus to fixed rate reimbursement for hospitals. Hospitals are passing along cost pressures to distributors.
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Stockless and JIT systems at hospitals require smaller, more frequent deliveries

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Customer consolidations have increased customer power, and in turn led to distributor consolidations. Competition from manufacturer-owned distributors.

15.963 [Spring 2007]

Managerial Accounting & Control

2

Owens & Minor A
What is O&M’s role in the supply chain?
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Primarily to break bulk, own, hold and manage inventory. Provide credit to hospitals. Transmit sales information to manufacturers. Monitor compliance with pricing contracts.

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How has this role evolved? It now includes:
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making smaller, more frequent deliveries to stockless and JIT customers; providing end-user kits –
O&M no longer just wholesale, but also retail, source;

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providing hospitals with usage information and material management support –
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hospitals can lower their own storage costs and identify outsourcing opportunities.

15.963 [Spring 2007]

Managerial Accounting & Control

3

Owens & Minor A

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What behavioral distortions did cost-plus pricing create?
Customers could demand enhanced

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