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The aim of the paper is to analyze how socially responsible behaviors can be considered as risk management tools. In particular, the underlying objective is to highlight the existence of a link between CSR and risk management within the healthcare sector of the Lombardy Region (Italy). The research is divided into two sections and the approach used combines both descriptive analysis and quantitative analysis methods: in the first part will be analyzed the concept of corporate social responsibility and risk management, describing the same concepts in the healthcare sector. In the second part, in order to highlight the CSR-risk management link, the paper analyses the web sites of the 8 health protection agencies of the Lombardy Region, created following the reform of the social and health system in Lombardy (Regional Law 23/2015). In our paper we demonstrate how a double bond (a double relationship) between CSR and RM exists. The first link classifies the CSR as an RM tool. At the same time, the RM can be considered a tool to demonstrate the social responsibility of the institution (or as a tool to prove that an institution is socially responsible).

The aim of the paper is analyzing the phenomenon of low cost high value in healthcare, understanding its organizational paradigm, the motivations, the services offered and placement. Over the past years, we have questioned the possibility of creating new models of health care organization, able to respond to the demand for health care with new management tools to develop, implement and spread both the public and private healthcare system. The model focused on public control of health over the years has always been more trouble in responding to the demand for health care in increasingly complex social contexts. There is a need to innovate with new management tools to be disseminated both the public health and the private sector. The ways to contain health care expenditure, normally involve a decrease in the quality of services. Some of the measures are commonly adopted patient co-pay schemes, or practicing de-facto rationing, either by limiting the number of actual treatments provided in combination with long waiting lists, or carrying out consumer health campaigns focused on prevention, all with the aim of limiting the demand for public health services. The low cost high value in health care can be an answer at this stage of welfare change. In the research the case study method is used and it’s focused on two low cost high value medical centers: Centro Medico Santagostino and OdontoSalute, located in Northern Italy. The “cross-case analysis” is used to identify the specific features of the low cost high value business model and the contribution to the health system. This study demonstrated that the low cost high value business model in health care system is a solution to the welfare change. The need of more systematic studies in this area is highlighted.