Health Care Revenue
Part 1
Third-Party Reimbursement
Discuss the history of third-party reimbursement. Describe the most common reimbursement methodologies used in the past, and then discuss the methodologies that are most common today. Explain the long-term implications for the health care provider, the payer, and the patient, as the method for reimbursement continues to evolve.Address similarities and differences of ideas concerning long-term implications for the health care provider, the payer, and the patient, as the method for reimbursement continues to evolve.
Remember to use citations and references as appropriate.You must follow APA sixth edition style and formatting guidelines.
Part 2
Medicare and Medicaid Programs
Research the following:
- Accountable care organizations.
- Value-based purchasing.
- Never events.
A) Explain how Centers for Medicare and Medicaid Services (CMS) is trying to improve health care quality with each of these programs.
B) in addition to answering the above how would you respond from the perspective of the hospital president, Then, from the perspective of a nurse, how the effects would be different for a larger urban hospital.
Remember to use citations and references as appropriate. You must follow APA sixth edition style and formatting guidelines.
Part 3
Health Care Cost Accounting
What are three different methods of estimating costs in a health care organization and provide the pros and cons of each.
Remember to use citations and references as appropriate.You must follow APA sixth edition style and formatting guidelines.
Part 4
Cost Allocation
Complete problem 11a concerning cost allocation of Financial Management of Health Care Organizations.Show all your calculations in an Excel spreadsheet. Post your spreadsheet and ask related questions or offer comments about it.
Remember to use citations and references as appropriate. You must follow current APA style and formatting guidelines.
Part 5
System Implementation
You are the CFO of a large academic medical center and your organization is in the process of implementing a new electronic health record (EHR) and practice management (PM) system. Several of your providers are complaining about conversion to the new EHR and PM system and are resisting change.
Review “Perspective 13.5: Financial Benefits From IT,” of your Financial Management of Health Care Organizations text by Zelman, McCue, Glick, and Thomas. This section discusses the benefits realized by Banner Health System when they invested in IT.
Conduct additional research on the benefits of IT and develop a presentation that you will give to all internal stakeholders to convince them to embrace the conversion. Complete the following:
- Apply a cost-benefit analysis to consider potential profit and risks to your organization based on the experience of Banner Health System. Use Plowman’s spreadsheet “Cost Benefit Analysis Template” to display your data.
- Utilize professional research to analyze opportunities for your organization based on potential profits and risks. Include a discussion on improved quality of care that may be realized.
- Devise a strategy to influence multiple levels of your organization, especially providers. Describe at least two steps you would take to influence others and enlist endorsements for the conversion.
- Identify the key stakeholders to gain support for this initiative and explain how you will gain their support.
- Evaluate two state-of-the-art systems currently being used in other organizations that your organization may consider for this conversion.
- Evaluate the strategic position of your organization after this IT implementation in relation to the use of technology such as hand-held devices, patient portals, et cetera.
- Evaluate the probable expectations of your providers and patients surrounding this conversion.
- Develop a strategic plan for this implementation based on the expectations of providers and patients.
Create a 15–20 slide PowerPoint presentation that includes the above points.
Submission Requirements
Your paper should meet the following requirements:
- Written communication: Create a PowerPoint presentation of 15–20 slides, not including the title or reference slides. Be sure to include detailed speaking notes. Your writing needs to communicate professionally, with correct English usage. Your points need to be logical, substantive, and relevant based on the evidence presented. Your document should clearly identify where each grading criteria or parts of the assignment are addressed by using APA-formatted headings and subheadings. In addition, your communication needs to be free of errors that detract from the overall message.
- Parts of document: Your presentation should include the following:
- Title slide.
- Slides that contain the main body of the presentation with APA-formatted headings and subheadings.
- Reference slides.
- APA formatting: Resources and citations are formatted according to current edition APA style and formatting.
- Font and font size: Arial, 10 point.
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