financial managemt
Identify 6 major third-party payers who provide revenue to healthcare providers. Analyze at least 2 provider incentives and risks under each of the following reimbursement methods:
· Cost based
· Charge based
· Per procedure
· Per diagnosis
· Per diem
· Bundled payment
· Capitation
· Fee for service
As in all assignments, cite your sources in your work and provide references for the citations in APA format. Your assignment should be addressed in a 2- to 3-page document.
ASSINMENT 2
· Review the following balance sheet:
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Best Care Health Maintenance Organization (HMO) |
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Balance Sheet |
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June 30, 2011 (in thousands) |
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Assets |
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Current assets: Cash Net premiums receivable Supplies |
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$2,737 |
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$821 |
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$387 |
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Total current assets |
$3,945 |
$3,945 |
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Net property and equipment |
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$5,924 |
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Total assets |
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$9,869 |
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Liabilities and Net Assets |
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Accounts payable—medical services |
$2,145 |
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Accrued expenses |
$929 |
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Notes payable |
$382 |
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Total current liabilities |
$3,456 |
$3,456 |
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Long-term debt |
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$4,295 |
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Total liabilities |
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$7,751 |
$7,751 |
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Total assets |
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$9,869 |
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Net assets-unrestricted (equity) |
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$2,118 |
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Total liabilities and net assets |
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$9,869 |
· Answer the following questions after your analysis:
· What is Best Care’s net working capital for 2011? Show your work.
· What is Best Care’s debt ratio? Show your work.
· Your assignment should be addressed in a 2- to 3-page document.
file:///C:/Users/Lesha/Desktop/BALANCE%20SHEET%20ANALYSIS%20.pdf
https://www.youtube.com/watch?v=qDeTl6hos08
https://www.youtube.com/watch?v=YHjlySvGiNY
Assignment 3
Consider the following data and make your best analysis of per member per month (PMPM) rates, considering reductions in utilization or pricing. Bay Pines Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics:
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Service Category |
Inpatient Days per 1,000 Enrollees |
Average Cost per Day |
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General |
150 |
$1,500 |
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Surgical |
125 |
$1,800 |
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Psychiatric |
70 |
$700 |
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Alcohol/Drug Abuse |
38 |
$500 |
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Maternity |
42 |
$1,500 |
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Total |
425 |
$1,367 |
In addition to medical costs, Bay Pines allocates 10 percent of the total premium for administration/reserves.
On the basis of your data analysis, respond to the following:
· What is the PMPM rate that Bay Pines must set to cover medical costs plus administrative expenses?
· What would be the rate if a utilization management program were to reduce utilization within each patient service category by 10 percent? And by 20 percent?
· Consider the initial base case utilization assumption. What rate would be set if the average cost on each service were reduced by 10 percent?
· Assume that both utilization and cost reductions were made. What would the premium be?
· Your assignment should be addressed in an 8- to 10-page document.
https://pocketsense.com/how-to-calculate-pmpm-12205153.html
assignment 4
Review Understanding The Time Value of Money to attain more information on how the value of money is based on time.
Find the following values for a lump sum assuming annual compounding:
· The future value of $500 invested at 8 percent for 1 year
· The future value of $500 invested at 8 percent for 5 years
· The present value of $500 to be received in 1 year when the opportunity cost rate is 8 percent
· The present value of $500 to be received in 5 years when the opportunity cost rate is 8 percent
· Analyze present and future values and their implications for the balance sheet and the budget of an organization.
· Your assignment should be addressed in a 2- to 3-page document.
https://www.investopedia.com/articles/03/082703.asp
Assignment 5
· Describe the three types of project risks and detail the situation in which each type is most relevant when making a capital budgeting decision. Be sure to include the effect of correlation.
· Compare and contrast cash accounting methodology and accrual accounting methodology in order to illustrate how each works best for different types of companies.
· As in all assignments, cite your sources in your work and provide references for the citations in APA format.
· Your assignment should be addressed in an 8- to 10-page document.