The population perspective on organizational change downplays the consequences of managerial action and focuses on populations rather than on single organizations as evolving units. The population perspective is useful in suggesting broad classes of design strategies. Using this perspective, we...

This paper studies acquisitions of nursing home facilities by chains. We first test alternative ‘cream-skimming’ and ‘turn-around’ arguments concerning nursing home acquisitions. We then consider post-acquisition changes in nursing home health performance, differentiating effects of the...