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INFORMS Nashville – 2016

52

SB27

201A-MCC

Diagnosis Under Uncertainty

Sponsored: Manufacturing & Service Oper Mgmt

Sponsored Session

Chair: Sarang Deo, Indian School of Business, Hyderabad, India,

sarang_deo@isb.edu

Co-Chair: Tinglong Dai, Johns Hopkins University, Baltimore, MD,

United States,

dai@jhu.edu

1 - False Diagnosis And Overtreatment In Services

Senthil Veeraraghavan, University of Pennsylvania,

senthilv@wharton.upenn.edu

In many services, consumers must rely on experts to identify the type of service

they need. In such service, diagnosis is a crucial step in which the expert identifies

the problem and provides the corresponding treatment. The information

asymmetry leads to inefficiencies in the form of overtreatment. Overtreatments

are expensive but also require more service capacity and time, and thus result in

longer delays and higher waiting costs for services. However, we find that such

delays act as a natural “fraud cost” and mitigates expert cheating and induce

honesty. Experts high capacity utilization are less prone to overtreat.

2 - Conspicuous By Its Absence: Diagnostic Expert Testing

Under Uncertainty

Tinglong Dai, Assistant Professor, Johns Hopkins University,

100 International Drive, Baltimore, MD, 21202, United States,

dai@jhu.edu

, Shubhranshu Singh

Diagnostic experts, such as medical doctors, are crucial for evaluating the state of

the world. All diagnostic experts are not equally competent, and even the best

experts are imperfect. We model the decision-making process of a diagnostic

expert, who is altruistic but concerned about reputation. Our paper presents

interesting insights about the expert’s test-ordering behavior primarily driven by

reputation concerns.

3 - Incentizing Less-than-Fully-Qualified Providers For Early

Diagnosis Of Tuberculosis In India

Sarang Deo, Indian School of Business,

sarang_deo@isb.edu

Milind Sohoni, Neha Jha

A major driver of TB epidemic in India is delay in diagnosis by less-than-fully-

qualified providers (LTFQs), who are typically the first point of contact for

patients. This work is motivated by pilots funded by international donors to

provide monetary incentives to LTFQs to induce earlier referral and diagnosis.

Using a game-theoretic model, we show that the optimal structure of the

incentive referral contract (whether to pay for all referrals or only for confirmed

referrals) depends on the quality of diagnosis of the provider. We calibrate our

model results using realistic parameter estimates obtained from primary and

secondary data sources.

4 - Medical Guideline Making When Litigation Is A Concern:

The Role Of Ubiquitous Health Information

Mehmet U Ayvaci, University of Texas-Dallas,

800 W. Campbell Rd. SM33, Richardson, TX, 75080, United States,

Mehmet.Ayvaci@utdallas.edu

, Yeong In Kim,

Srinivasan Raghunathan, Turgay Ayer

We examine the optimal formulation of guidelines in a generic health screening

with consideration for the physician’s increased liability risk under ubiquitous

health information and information technologies. We find that under the

litigation concern, the social planner strategically provides imprecise guidelines

with vague recommendations regarding which patients should undergo the test

while providing precise guidelines regarding the physician’s decisions based on

test results. Strategic vagueness in guidelines balances the trade-off between the

reduction of defensive medicine and supply of the health service.

SB28

201B-MCC

MSOM Student Paper Competition Finalists – II

Sponsored: Manufacturing & Service Oper Mgmt

Sponsored Session

Chair: Sameer Hasija, Insead, 1 Ayer Rajah Avenue, Singapore, 138676,

Singapore,

sameer.hasija@insead.edu

Co-Chair: Tolga Tezcan, London Business School, Regent’s Park,

London, NW1 4SA, United Kingdom,

ttezcan@london.edu

Co-Chair: Nicos Savva, London Business School, Regent’s Park,

London, NW1 4SA, United Kingdom,

nsavva@london.edu

- Economies of Scale and Scope in Hospitals

Michael Freeman, University of Cambridge, Cambridge, United

Kingdom.

mef35@cam.ac.uk

Abstract to come

3 - Online Decision-Making with High-Dimensional Covariates

Hamsa Bastani, Stanford University, Stanford, CA,

bayati@stanford.edu

Big data has enabled decision-makers to tailor decisions at the individual-level in

a variety of domains such as personalized medicine and online advertising. This

involves learning a model of decision rewards conditional on individual-specific

covariates. In many practical settings, these covariates are high-dimensional;

typically only a small subset of the observed features are predictive of a decision’s

success. We formulate this problem as a multi-armed bandit with high-

dimensional covariates, and present a new efficient bandit algorithm based on the

LASSO estimator. Our regret analysis establishes that our algorithm achieves

near-optimal performance in comparison to an oracle that knows all the problem

parameters. The key step in our analysis is proving a new oracle inequality that

guarantees the convergence of the LASSO estimator despite the non-i.i.d. data

induced by the bandit policy. Furthermore, we illustrate the practical relevance of

our algorithm by evaluating it on a real-world clinical problem of warfarin dosing.

4 - Real-time Optimization of Personalized Assortments

Negin Golrezaei, USC Marshall School of Business, Los Angeles,

CA,

golrezae@usc.edu

Abstract to come

SB29

202A-MCC

Innovations in the Operations-Marketing Interface

Sponsored: Manufacturing & Service Oper Mgmt

Sponsored Session

Chair: Jose A Guajardo, University of California-Berkeley, Berkeley,

CA, United States,

jguajardo@berkeley.edu

1 - Does Online Learning Work In Retail?

Serguei Netessine, INSEAD,

serguei.netessine@insead.edu

Marshall L Fisher, Santiago Gallino

We partnered with Experticity, a firm that provides online training modules for

retail Store Associates, and Dillard’s, a leading department store chain whose

more than 50,000 Store Associates had access to the Experticity product training

modules. We found that as Store Associates engaged in training over time, their

sales rate increased by 1.8 percent for every module taken. We also found that

willingness to engage in voluntary training was an indicator of raw talent; those

Store Associates who engaged in training were 20 percent more productive prior

to any training, and 46 percent more productive after training, than those who

took no training.

2 - Business Models In The Sharing Economy: Manufacturing

Durable Goods In The Presence Of Peer-to-peer Rental Markets

Zhe Zhang, Carnegie Mellon University, 4800 Forbes Avenue,

Pittsburgh, PA, 15213, United States,

zhezhang@cmu.edu

Vibhanshu Abhishek, Jose A Guajardo

Business models focusing on providing access to assets rather than on transferring

ownership of goods have become an important recent industry trend. Motivated

by this trend, this research analyzes the interaction between a manufacturer of

durable goods and a peer-to-peer marketplace, characterizing market outcomes

under alternative market structures.

SB27

2