Financial Management in Managed Care
If you are hired as a consultant to a major health insurance company or a medical service company, what are the ways to reduce payments for healthcare benefits?
If you are hired as a consultant to a major health insurance company or a medical service company, what are the ways to reduce payments for healthcare benefits?
Why is it so important for healthcare organizations to budget in a strategic manner? As a hospital CFO, what would be some of your most important considerations as you prepare your organizationâ??s operating budget for the fiscal year?
Use the following article and address the questions below: Interview with Ronald G. Spaeth, FACHE, president, Evanston Northwestern Healthcare Foundation, Northbrook, Illinois, which can be found online at: http://www.ache.org/pubs/jhm503.cfm 1. Summarize Spaeth's work and educational background and the award highlighted
Is government regulation necessary for the effective delivery of health care in the U.S.?
One of the aspects of being visionary is looking at trends and being able to project your organization into the future. As a leader in health administration, how do you keep track of current (and future) trends affecting your organization? List three sources of such information and for each, identify one item of information ac
List and describe four provider obligations commonly included in managed care contracts. Please cite resources.
You are a provider relation's director of an MCO. Prepare a contract proposal outline for a large medical group to consider. Be as specific as possible. Please cite resources.
This solution comments on strategies that could be implemented where cultural nursing standards are not being met.
1)What portion of the bill would Medicare cover for a participating 69 year old stroke patient who was 1) admitted to an acute facility for 10 days, transferred to a sub-acute rehabilitation facility for 30 days, then discharged to home with a prescription for Visiting Nurse (Home Health) Services 3 times a week for 30 days? 2)
What are the strengths and weaknesses of the public/private eyes�� thinking about women's and men's roles and power across cultures? What can you say about the roles and relative power of men and women in families and households? A global perspective on how women are treated both in the workplace, and in their own
What indicators would warn you that the team that is planning a transition to an electronic health information management system is not functioning well?
What is the purpose of the health care reform act? What are your thoughts about this act? Do you think it will solve the health care crisis or will it create more problems? What needs to change in order to make this act an success?
1) How much will the The Affordable Care Act cost? How will cost be covered? What argument is made that this reform will reduce health care spending? 2) What are the current eligibility requirements for Medicaid in your home state? What will be the impact of The Affordable Care Act on your home stateâ??s Medicaid provisions
Medicare and Medicaid are two of the most commonly used government health insurance programs. Your boss has asked you to do some research on both programs so the information you compile can be used to help train new hires in your department. details the basic information on Medicare and Medicaid programs in the United Stat
Many changes have occurred within the health care system over the past 10-15 years. Discuss how these changes have influenced the nature of nursing practice and the development of nursing theory.
When we see all of the evidence on how healthcare is not working with the IOM reports and OIG report, what does that say about our accreditation processes? Is the accreditation process working? Accreditation is supposed to assure quality. Is it? If yes, how do you explain the IOM reports? If no, what do we need to do differ
There are many influences that take part in a medical assistant's decisions. Describes three situations where the actions of a medical assistant were influenced by laws and regulations related to the release of personal and medical information of a patient. Describes the relevant components of the medical record you expect th
In line with the demographic trend, Advantage home Health decides to offer adult daycare services. How might Advantage Home Health formulate a prestige pricing strategy and a price bundling strategy targeted to customers who do not have an insurance plan?
Executive Summary should address the following: â?¢ What is the problem or issue that necessitates that such an article be written? â?¢ What strategies or techniques are used to solve the problem or address the issue? â?¢ Your conclusions and recommendations from the article. â?¢ Your assessment of how the artic
While working as a coding specialist at the local hospital, you overhear another coding specialist say that she often skips a step or two when locating and recording diagnostic codes. She feels that as long as she gets close to the correct code, it will not create any problems. â?¢Do you agree with the specialist's approac
Health information systems can be divided into 4 categories: clinical information systems, management, strategic decision support, and e-health applications. Instructions Explain the following References are also infused to validate the findings.s: * Clinical * Management * Strategic decision support * Health applicat
Explain the purpose of an organizational chart and what it accomplishes for a healthcare organization.
Evaluate the economics of healthcare in Canada! if you see u.s. healthcare as being better than canada's, how can you make canada healthcare better?
Why Remove the "care" from Health care?" When we discuss health care what are we discussing? Does it refer to illness or health? If we removed the care would be people take more responsibility for their own health?
You work for the local hospital. In a meeting, your boss mentioned that profit margins were declining. The hospital's board of directors' future vision is to raise the target profit, expand the facility size, and increase the amount of beds and emergency room spaces offered by the hospital. You are a staff member in the finan
I need assistance with answering the following questions regarding the Patient Protection and Affordable Care Act (PPACA). 1. Why is it important and why was it passed. 2. How this changed health care policy in the United States. 3. Choose two different items included in the act and why they were included. Did these items
Health leadership is different from other industries. Expand on this statement, explaining how and why it is different.
Is the individual patient the priority for health care providers while society is the priority for public health workers?
What is the general policy of British healthcare? How is healthcare financed in Britain? What are some of their strengths and weaknesses? Is there anything the US could learn from the British Health Care System?
A. More than one member of the same medical practice treat the same hospitalized patient on the same day for different reasons resulting in different code modifiers. B. Members of the same practice treat the same patient on consecutive days. C Two emergency room physicians treat the same patient who had to be readmitted