A key reform goal of the 2010 Affordable Care Act was to create a healthcare system that rewards providers for achieving optimal care outcomes at a sustainable cost.
A key reform goal of the 2010 Affordable Care Act was to create a healthcare system that rewards providers for achieving optimal care outcomes at a sustainable cost. As part of the law, the federal government has tested and implemented several new payment models designed to achieve this goal for the Medicare program; Such payments are presented to a great extent in the Medicare Cost Report (MCR). For this week, your assignment is to explore the role the MCR plays in a value – based health care system. Specifically, address issues included in the report like facility characteristics, utilization data, cost and charges by cost center. Furthermore, choose a couple of utilization metrics (data) and address how it is computed. Please assume a hospital setting.
To prepare for this Discussion:
Review the following website for more help in starting your paper: https://www.cms.gov/Medicare/Medicare
Analyze the current economic shift from volume-based health care to value-based health care. What economic principles (macro and micro) are driving this shift? What role does the Medicare Cost Report play in this shift?
Evaluate implications of this volume to value shift. How has this shift affected how you work or how you or a family member has been treated for a medical condition?
By Day 3
Post a cohesive response to the following:
Analyze economic principles that are driving the shift from volume-based health care to value-based health care. Then, evaluate implications of this volume to value shift. Provide an example of how this shift has affected how you work or how you or a family member has been treated for a medical condition.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
By Day 5
Respond to at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by describing challenges associated with the shift from volume-based to value-based health care. Include how you might approach this challenge in a health care organization.
MMHA6400 Healthcare Financial Management and Economics
Week 3 Discussion
Design of Health Insurance Policies
Health insurance is designed to protect patients from the risk of expensive medical services. The cost of insurance, however, is steadily rising. When costs are too high, healthier individuals tend to not purchase insurance coverage, resulting in a lower percentage of healthy individuals to pool with those who have health issues. This poses a challenge for employers and the government, as they are tasked with designing viable policies that balance cost and generosity of benefits. For this Discussion, examine the following scenario and consider the type of insurance policy the employer should design and provide for employees.
Scenario:
You are the employee benefits manager for a mid-sized construction company with 50 employees. You are responsible for working with insurance companies to design a health insurance policy to meet your company’s needs. An analysis of the health risks of your company’s employees indicated that there are two populations of typical individuals: 20- to 30-year-old workers with no known health issues and 40- to 50-year-old workers with chronic diabetes. Assume that 40% of the employees fall into the second category of workers with chronic diabetes.
To prepare for this Discussion:
Analyze the provided scenario. What is the obligation of the employer and the government in insuring these two populations of individuals? How do moral hazard and adverse selection impact these insurance provisions?
Consider the type of insurance policy the employer should design and provide for its employees. Be sure to consider type and generosity of coverage, premiums, deductibles, and cost-sharing.
By Day 3
Post a cohesive response to the following:
Analyze obligations of the employer and the government in insuring the two populations of individuals described in the scenario. Evaluate the impact of moral hazard and adverse selection on these insurance provisions. Then, recommend the type of health insurance policy the employer should design and provide for its employees. Defend your recommendations.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
By Day 5
Respond to at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by highlighting differences between your own posting and your colleagues’ postings. Provide additional insights or alternative perspectives.
MMHA6400 Healthcare Financial Management and Economics
Week 4 Discussion
Health Care Reimbursement and Utilization Management
Accountable care organizations (ACOs) are designed to promote value and quality in health care. They use new payment and delivery models that include incentives to improve care coordination and utilization management. With these models, ACOs contract with private insurers and/or Medicare to receive reimbursement, and then the ACO determines how to contract with physicians and other medical providers to provide health care services to patients. Since not all providers are direct employees of ACOs, there are potential challenges with reimbursing the affiliated providers in a way to maximize efficiency, increase quality, and lower utilization. For this Discussion, examine the following scenario and recommend strategies for reimbursement and utilization management.
Scenario:
Medicare and private payers have expanded reimbursement under Accountable care organizations (ACO). You are the chief financial officer (CFO) of a hospital system that is forming an ACO to participate in these payment models. The ACO seeks to improve care coordination for its patients with chronic conditions. To provide better care management, the ACO is interested in investing in primary care physicians and physician’s assistants to provide more intensive care management services. After formation, the ACO will enter contracts with Medicare and private insurers under alternative payment models, including shared savings, bundled payments, and global capitation. The ACO will need to determine how to set up reimbursement payments to ACO providers and consider whether financial incentives are required to ensure ACO providers deliver efficient care.
To prepare for this Discussion:
Read the provided scenario.
Consider strategies for reimbursement and utilization management, including financial incentives.
How might you set up the reimbursement payments to ACO providers, considering the alternative payment models (i.e., fee for service, shared savings, bundled payments, or global capitations)?
What utilization management controls might you add to align the interests of ACO providers?
By Day 3
Post a cohesive response to the following:
As the CFO of the ACO in the provided scenario, recommend strategies for reimbursement and utilization management. Defend your recommendations.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
By Day 5
Respond to at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by contrasting your colleagues’ recommendations with your own. Provide alternative perspectives.
MMHA6400 Healthcare Financial Management and Economics
Week 5 Discussion
Health Care Organizational and Market Structures
In an industry as complex as health care, organizational and market structures must be carefully considered. To participate in accountable care organizations (ACOs) and other value-based care initiatives, for example, hospitals need to have a coordinated care organization model across ambulatory care, acute care, and other settings. Developing these coordinated relationships may require vertical integration to ensure efficient utilization. Although there are many advantages to this integration of organizational and market structures, there are some disadvantages for both the hospital and the providers. For this Discussion, examine the following scenario and recommend strategies for the organizational integration of the hospital and practice.
Scanario:
You are the chief financial officer (CFO) of a hospital located in a highly competitive, urban market split with two competing hospitals. The hospital is considering purchasing or affiliating with a large physicians’ practice. Your hospital has 30% market share, but does not currently have any owned/employed physicians. Private insurers and Medicare are aggressively pushing value-based reimbursement under ACO contracts, and the one competing hospital has already acquired a large physicians’ practice.
To prepare for this Discussion:
Analyze the provided scenario. What are the advantages and disadvantages of the vertical integration of the hospital and physicians’ practice? What economic factors should be considered?
Consider strategies for the organizational integration of the hospital and physicians’ practice. Be sure to address the economic factors you identified.
By Day 3
Post a cohesive response to the following:
Compare advantages and disadvantages of the vertical integration of the hospital and physicians’ practice, including economic factors that should be considered. Then, recommend strategies for the organizational integration of the hospital and practice. Defend or argue your recommendations using economic principles.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
By Day 5
Respond to at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by providing additional insights or alternative perspectives.
MMHA6400 Healthcare Financial Management and Economics
Week 6 Discussion
Regulation, Policy, and Economic Efficiency
One of the assumptions of value-based care is that if consumers are aware of price, then they can make better decisions about the health care services they receive. In an effort to encourage this efficiency in health care, government regulation and policy has been designed to promote transparency of quality and cost information. For this Discussion, examine the following scenario and consider how regulation and policy on hospital cost transparency might improve economic efficiency.
Scenario:
On behalf of consumers, employers and local purchasers in your market are committed to slowing health care costs by improving visibility on hospital prices. A recent media story revealed that prices in your local market were the highest in the state. You are a member of a private sector consulting service that has been hired to help a hospital address transparency issues. The hospital would like to be more transparent in their cost and fee relationships with providers.
To prepare for this Discussion:
Review the provided scenario. What are the advantages of transparency for both the hospital and the consumer? How might hospital cost transparency improve economic efficiency?
Consider current (last 5 years) regulation and policy to compare hospitals based on their costs. Locate and review literature to support your recommendations.
By Day 3
Post a cohesive response to the following:
Analyze advantages of transparency for both the hospital and the consumer. Include how hospital cost transparency might improve economic efficiency. Then, recommend regulation and policy to compare hospitals based on their costs. Defend your recommendations.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
By Day 5
Respond to at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by provided additional insights or alternative perspectives.
MMHA6400 Healthcare Financial Management and Economics
Week 9 Discussion
Working Capital
Working capital, or actual cash available for spending, is the key to a successful organization. In a health care organization, it is important to determine how much cash is available to run the day-to-day operations. For this Discussion, you analyze the working capital of a health care organization of your choice.
To prepare for this Discussion:
Locate and select financial statements for a particular health care organization. Analyze the working capital of the organization.
Consider the impact of regulations, business plans, and economic dynamics on the working capital requirements of the business. Is there sufficient working capital for business operations of the organization you selected?
By Day 3
Post a cohesive response to the following:
Analyze the working capital of the health care organization you selected. Evaluate the impact of regulations, business plans, and economic dynamics on the working capital requirements of the business. Include whether or not there is sufficient working capital for business operations and explain why.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
By Day 5
Respondto at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by providing additional insights or alternative perspectives to your colleagues’ postings.
MMHA6400 Healthcare Financial Management and Economics
Week 11 Discussion
Ethics in Health Care Finance
As a health care administrator, you will undoubtedly be faced with the responsibility of making decisions that may be impacted by ethics. Sometimes, the best approach to a given situation is clear, whereas others require you to carefully consider laws, regulations, and the impact of potential outcomes. How do you ensure you will make the best decision for your health care organization? For this Discussion, you examine the following scenario and consider whether there is a breach of ethics.
Scenario:An organization is developing a business plan. The intent of the organization is to provide a service for a community in need, but it appears they might have trouble obtaining financing. The board is trying to decide whether to be transparent in their financials or over-predict so they can properly finance their venture.
To prepare for this Discussion:
Read the provided scenario.
Given the mission of the organization in the scenario, consider whether over-predicting financials would be a breach of ethics.
By Day 3
Post a cohesive response to the following:
Evaluate whether overstating financials would be a breach of ethics for the organization in the scenario. Why or why not?
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
By Day 5
Respond to at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by providing additional insights or alternative perspectives.
MMHA6400 Healthcare Financial Management and Economics
Week 2 Assignment
Economic Policies for Health Promotion, Wellness, and Prevention
In the United States, the health care system emphasizes health promotion, wellness, and prevention as a strategy to improve population health and lower per capita spending. Around the world, however, health care systems vary considerably in terms of cost, quality, and provisions. For this Assignment, you explore the World Health Organization website and research health care in the United States and another country of your choice.
To prepare for this Assignment:
Review the World Health Organization (WHO), National Institutes of Health (NIH), and the Health System Tracker websites in this week’s Learning Resources. Research health care disparities between the United States and another country of your choice.
Compare economic policies for health promotion, wellness, and prevention programs in the United States and the country you selected. How are they different? What is the economic motivation for each?
Analyze implications of these economic policies and disparities. How does this relate to volume-based versus value-based health care?
Analyze how you might implement the policies from the country you selected in the United States (macro) and your own state (micro). Evaluate the influence of U.S. market conditions on the provision of health care.
Note: If you are an international student, reflect on how you might implement the policies from the country you selected into your own country and/or region.
The Assignment
In a 4- to 6-page paper, address the following:
Compare the economic policies for health promotion, wellness, and prevention programs in the United States and the country you selected. Include differences in approaches to wellness and prevention.
Analyze implications of these policies and disparities.
Analyze how you might implement the policies from the country you selected in the United States and your own state. Evaluate the influence of U.S. market conditions on the provision of health care.
Note: The paper should be 4–6 pages, not including the title and reference pages. Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources, as appropriate. See the rubric for additional requirements related to research and scholarly writing.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.
Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 4 Assignment
Supply of Primary Care Workforce
To deliver health care services, an ACO needs to create a competent workforce that can provide health care to the patients that are in the ACO. Some integrated ACO entities already have employed physicians and mid-level providers that receive salaries from the organization, whereas other non-integrated ACO entities need to invest in external relationships with independent physicians and other providers. Since ACOs do not have managerial control over non-employed providers, additional controls and incentives may be necessary to ensure that efficiency is maximized. ACOs also need to consider the number and mix of specialists (e.g., family practice vs internal medicine) and mid-level providers (e.g., physician assistants and nurse practitioners) in delivering primary care services that can promote value. Maximizing value requires appropriate workforce decisions on supply and incentives to encourage providers to minimize costs. For this Assignment, examine the Week 4 Assignment document and consider the efficiency in the supply of health services.
To prepare for this Assignment:
Review the scenario and Week 4 Assignment document provided to you by the Instructor. Based on the financial data, conduct a financial projection (revenues, expenses, and profit) that analyzes the efficiency of the supply of health services.
The Assignment:
In a 2- to 3-page Word document that includes tables and/or calculations, make recommendations on the following: 1) number of physicians and nurse practitioners needed; 2) reimbursement method: salary or fee-for-service; 3) recommendations for financial incentives to address the challenges of supplier-induced demand and how to ensure efficiency. Interpret the net profit from the ACO contract based on your recommendations. Explain the rationale behind your recommendations, including the impact made by your financial calculations.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 6 Assignment
Health Insurance Expansion
Health care market failures, such as adverse selection, can be addressed through government policy and regulation. By limiting barriers and providing access to health care through policy such as the health insurance expansion under the Affordable Care Act, policy makers can address failures and ensure adequate insurance coverage for healthy, unhealthy, and at-risk populations. For this Assignment, you examine the health insurance expansion policy and evaluate economic implications.
To prepare for this Assignment:
Analyze the rationale for health insurance expansion under the Affordable Care Act. How does health insurance expansion relate to the problem of adverse selection?
Consider the economic implications of health insurance expansion in the United States. What are the economic implications of health insurance expansions for health care organizations in your own state or region?
The Assignment:
In a 4- to 6-page paper, address the following:
Analyze the rationale for health insurance expansion. Include how health insurance expansion relates to the problem of adverse selection.
Evaluate economic implications of health insurance expansion in the United States. Include, specifically, how health insurance expansions might impact health care organizations in your own state or region.
Note: The paper should be 4–6 pages, not including the title and reference pages. Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources, as appropriate. See the rubric for additional requirements related to research and scholarly writing.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.
Click the Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 6 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 7 Assignment
Developing Financial Statements
All organizations, including those in the health care industry, need to make money to be profitable and survive. Financial statements, such as balance sheets, profit and loss statements, and cash flow statements summarize an organization’s profitability and overall financial status. For this Assignment, you practice developing three key financial statements using data from a medical center.
To prepare for this Assignment:
Review the Week 7 Assignment document provided to you by the Instructor. Examine the data from the medical center described in the document. Reflect on how you will use this data to develop a balance sheet, profit and loss statement (statement of operations), and cash flow statement (statement of changes in net assets). Refer to the course text for additional guidance.
The Assignment:
Complete a balance sheet, profit and loss statement (statement of operations), and cash flow statement (statement of changes in net assets) using the “Week 7 Financial Statement Excel Template”.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.
Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 8 Assignment 1
Ratio Analysis
It is important to understand that when interpreting financial statements, the numbers alone may not provide the whole financial picture of an organization. Instead, you must analyze the statements using ratios, which are then compared to benchmarks across the health care industry. For this Assignment, examine the financial health of a community hospital.
To prepare for this Assignment:
Review the Week 8 Assignment 1 document provided to you by the Instructor. Examine the financial statements from the community hospital. Reflect on how you will use this financial data to calculate and analyze the organization’s financial ratios. Refer to Chapter 13 of Gapinski’s Understanding Healthcare Financial Management.
The Assignment:
Using the statement of operations and balance sheet for the community hospital, complete the “Week 8 Ratio Excel Template”.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK8Assgn1+last name+first initial.(extension)” as the name.
Click the Week 8 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
Click the Week 8 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Assgn1+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 8 Assignment 2
Break-Even Point Formulas
Before making hiring or purchasing decisions, health care organizations must consider whether the decision is financially profitable. By calculating break-even points, organizations are able to examine actual costs and make more sound financial decisions. For this Assignment, you use data from an imaging center and calculate break-even points.
To prepare for this Assignment:
Review the Week 8 Assignment 2 document provided to you by the Instructor. Examine the imaging center scenario. Reflect on how you will use the provided financial data to calculate break-even points. Refer to Chapter 11 of Gapinski’s Understanding Healthcare Financial Management.
The Assignment:
Given the imaging center scenario and financial data, complete the “Week 8 Assignment 2 Break Even Excel Template”.
To assist with your work related to Week 8 and Assignment #2 specifically, an Excel Tutorial has been provided which is intended to help you navigate the important skill (please check your volume settings). Breakeven Excel Tutorial:
https://mym.cdn.laureate-media.com/2dett4d/Walden/MMHA/6400/CH/mm/excel_tutorials/be.html
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK8Assgn2+last name+first initial.(extension)” as the name.
Click the Week 8 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 8 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Assgn2+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 9 Assignment
Budgeting and Variance Analysis
Budgeting is an important activity within every health care organization. The particular challenges encountered, however, can vary depending on the type of organization. A state or federally funded organization, for example, will likely have a budget that is allocated to it, and it needs to follow specific guidelines on how the money can be used. A for-profit organization, by contrast, will typically have more influence and flexibility in setting up its budget and making choices on matters such as how much to spend on marketing, patient care, or incentives for employees.
In addition to preparing budgets, as a health care administrator, you must also be able to evaluate whether or not you have achieved your budget using variance analysis. This is important because variance analysis measures the differences between the budget and actual results, and provides administrators with a starting point for correcting financial performance. For this Assignment, you conduct a variance analysis for a health care organization.
To prepare for this Assignment:
Review the Week 9 Assignment document provided to you by the Instructor. Examine the budgeted and actual revenues and expenses for a hospital. Reflect on concepts of budgeting and variance. Refer to Chapter 5, Chapter 11, and Chapter 14 of Gapinski’s Understanding Healthcare Financial Management.
The Assignment:
Using the “Week 9 Assignment Budget and Variance Excel Template” address the following:
Determine the total variance between the planned and actual budgets for Surgical Volume. Is the variance favorable or unfavorable?
Determine the total variance between the planned and actual budgets for Patient Days. Is the variance favorable or unfavorable?
Determine the service-related variance for Surgical Volume.
Determine the service-related variance for Patient Days.
Prepare a flexible budget estimate. Present a side-by-side budget, flexible budget estimate, and the actual Surgical Revenues.
Prepare a flexible budget estimate. Present a side-by-side budget, flexible budget estimate, and the actual Patient Expenses.
Determine what variances are due to change in volume and what variances are due to change in rates.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.
Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 10 Assignment
Capital Budgeting
There are many options to buy capital, including cash purchases, loans, leasing, and other forms of payment. Your goal as a health care manager is to determine which method is best for your organization, given its financial and organizational structure (i.e., for-profit or not-for-profit). Time value of money and net present value are two techniques that may help you determine how and when to invest in new capital. For this Assignment, you examine these concepts as they pertain to the health care industry.
To prepare for this Assignment:
Review the Week 10 Assignment document provided to you by the Instructor. Reflect on concepts of time value of money, net present value, internal rate of return, and purchasing options.
The Assignment:
Using the “Week 10 Assignment Capital Budget Excel Template” answer the questions provided in the week 10 assignment document.
To assist you with this task a Present and Future Values Excel Tutorial has been created (please check your volume settings) https://mym.cdn.laureate-media.com/2dett4d/Walden/MMHA/6400/CH/mm/excel_tutorials/pf.html
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.
Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6400 Healthcare Financial Management and Economics
Week 11 Project
Final Project – Business Plan
Business planning is a mapping of your vision for the future of an organization. As a health care administrator, it is important that you are able to create an effective business plan. For this Assignment, you examine the following scenario and develop a business plan for the organization.
Scenario:
St. Anne Hospital, a city-based non-profit community hospital, is looking at adding a diabetes treatment center (DTC) which will provide comprehensive diabetes care and education. This is in response to a population health needs assessment which identified a high rate of diabetes in the population surrounding the hospital. The population consists of 50% Hispanics, 25% Caucasians, 12% African American, and 13% recent immigrants from Northern Africa. Over 50% of the population is living within 200% or below of the poverty level. You have been asked to develop a business plan for the DTC which will be presented to St. Anne’s Board of Trustees.
The Final Project Assignment:
Using the “Week 11 Project Business Plan Template”, create a business plan (8–10 pages) that includes the following:
Executive summary
Program Overview
Location
Services
Other professional offerings
Staffing needs
Operating model
Market Profile
Market overview
Demand forecasting
Financial analysis
Capital requirements
Reimbursement model
Cost per patient visit
Pro forma (See Assumptions for Diabetes Treatment Center and Diabetes Treatment Center Business Plan Excel Template. )
Patient revenue
Operating expenses
Income from operations
Total expenses
Net cash flow
Note: The 8- to 10-page paper requirement, submitted as a Word document, does not include the title or reference pages. The pro forma should be included in the document by transferring the information from the Excel spreadsheet to the Word document. Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. See the rubric for additional requirements related to research and scholarly writing.
By Day 7
Submit your Project.
Note: Submit your Word document to the Week 11 Project Part 1 submission link. Submit your Excel spreadsheet to the Week 11 Project Part 2 submission link.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Project using the naming convention “WK11ProjP1+last name+first initial.(extension)” or “WK11ProjP2+last name+first initial.(extension)” as the name.
Click the Week 11 Project Rubric to review the Grading Criteria for the Project.
Click the Week 11 Project link. You will also be able to “View Rubric” for grading criteria from this area.
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MMHA6400 Healthcare Financial Management and Economics
Week 7 Quiz
QUESTION 1The HITECH Act (2009) was enacted with the goal of:
a.Creating and expanding the current health care IT infrastructure
b.Promoting electronic data exchange
c.Substantially and rapidly increasing EHR adoption
d.All of the above
QUESTION 2The balance sheet for a non-profit contains all of the following except:
a. Organization’s assets
b. Organizations liabilities
c. Net assets
d. Cash flow
QUESTION 3Which of the following is a basic financial statement?
a.Balance sheet
b.Statement of operations
c.Statement of cash flows
d.All of the above
QUESTION 4Accountable care organizations (ACO) as part of ACA are:
a.Mandatory
b.Exclusive
c.Voluntary
d.State organizations
QUESTION 5Value Based Payment has been a part of Medicare since its inception.
True
False
QUESTION 6All of the following factors contribute to the rising cost of health care except:
aAging population
b.New and returning consumers in the marketplace
c.Chronic disease
d.Providers embracing lean Six Sigma and other techniques to deliver better care with less resources
QUESTION 7ACA is the abbreviation for what legislation?
a.Accountable Care Organizations
b.Patient Protection and Affordable Care Act
c.Activity Based Costing
d.Administrative Cost Accounting
QUESTION 8The number of uninsured U.S. citizens rose between 2001 and 2010 from:
a.5 million to 15 million
b.20 million to 32 million
c.36 million to 50 million
d.55 million to 65 million
QUESTION 9Providers spend a significant amount of time and expense addressing compliance.
True
False
QUESTION 10The body of the statement of cash flows does not include:
a.Cash flows from operating activities
b.Cash flows from investing activities
c.Cash flows from financing activities
d.Current liabilities
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