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Deliver Big Impact on a Small Budget

Harvard Business Review

Or can social entrepreneurs use the same techniques that for profit startup entrepreneurs use, and still make a big impact on a smaller budget? We didn't want to burden the organization with fixed costs. This removed the biggest bottleneck to innovation — us. But does helping people really need to be so expensive?

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Constraints on Health Care Budgets Can Drive Quality

Harvard Business Review

From my experience heading Scotland’s National Health Service from 2010 until last August (and before as its director of health care policy and strategy), I know that such constraints can unleash innovations that will lead to better care — and better health — for communities. Working under a fixed-cost ceiling was, of course, difficult.

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America's Cities Need to Get Smarter

Harvard Business Review

Budget cuts simply can't derail efforts to make our cities smarter. For many cities, their populations are growing at the same time that their budgets are shrinking. Meanwhile, declines in revenue and escalating fixed costs for things like public employee pensions and health care are crippling our cities budgets.

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Aligning Your Organization with an Agile Workforce

Harvard Business Review

Managers in these companies understand that agile, fast, and lean strategies require that they think in new ways about accessing and leveraging key strategic talent and filling critical gaps in strategic capabilities. ” Most managers would never dream of treating externals like internals. Internal-external competition.