HCA 340 Final Paper
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b_rouse_week_3_assignment.docxRunning Head: FINANCE IN HEALTHCARE DELIVERY 1
FINANCE IN HEALTHCARE DELIVERY 2
FINANCE IN HEALTHCARE DELIVERY
Brenda Rouse
HCA340: Managing in Health & Human Services
Instructor: Susan Vellek
November 2, 2016
FINANCE IN HEALTHCARE DELIVERY - OUTLINE
I. Thesis
There are various elements that influence the financial characteristics of health care delivery systems. Issues on the management of costs, revenues, and human resource management are critical to the effective application of healthcare throughout the country. Understanding the role of financial characteristics in healthcare is relevant establishing better health care delivery.
II. Healthcare costs in Healthcare Organizations
Health care costs in health care organizations are closely related to the prevalence of common diseases in the country. Chronic diseases have been identified as the primary source of healthcare outlays and an understanding of dynamics in provision of health care towards treating chronic diseases would help in the analysis of health care costs in regards to the same. Further, the role of the health care providers in the respective institutions about healthcare services to the patients is also a pertinent issue that influences the revenues, costs, and resources allocated towards alleviating the health status among the individuals in healthcare platforms (Ozawa et al., 2016).
III. Elements of financial management
Besides, the financial characteristics of health care delivery systems cannot be better analyzed without understanding the financial processes involved in the provision of health care through health care financial management. Elements of development, directing, forming and decision making by financial managers are crucial in the effective regulation of financial services for better health care delivery systems in the health care department. These key issues are analyzed to determine the functional relationships between the different elements of financial services in the health care sector.
IV. Role of healthcare insurance schemes
As the costs of health care services continue to rise at exponential rates, there have been several established systems that help the health care seekers to access the much-needed health care services in the respective health care institutions. An analysis of the health care insurance plans as it relates to the Accountable Care organizations and other insurance schemes such as the Affordable Care Act, Medicare, and Medicaid services is pertinent to understanding the financial workings of various financial elements in the provision of healthcare services to the patients (Epstein et al., 2014). These insurance schemes have become a big part of health care delivery for sustainable health care provision among the various stakeholders in the country.
V. Healthcare cost reduction strategies
With the increased health care costs in the health sector, the different stakeholders in respective health care departments incur a lot of expenses on account of the health care expenditure. These costs can be minimized by engaging in financial prospects like public and private health care insurance so as to alleviate the high investment levels. Further, the government has also instituted various prevention methods through the introduction of adult vaccination that could prevent approximately eighty percent of the total health care costs among patients (Claxton et al., 2016). Adult vaccinations would foster lower health care costs as they have relatively small engagement procedures while preventing the prevalence of much complicated and costly treatment procedures associated with the illnesses.
VI. Conclusion
Understanding the different elements of the health care delivery systems as they relate to the financial characteristics; costs, revenues, and human resources, within the health sector, helps analyze the management procedures that can be applied in order to ensure effective health care service delivery (Johnson, Figueroa, Zhou, Orav, & Jha, 2016).
FINANCE IN HEALTHCARE DELIVERY
Financial composites of health care delivery systems have long been discussed in various health care platforms due to increased costs in the provision of health care services to the respective stakeholders. A detailed analysis of these financial elements as they relate to the expenses, revenues, and human resources is essential to understanding the dynamics involved in the provision of healthcare.
Annotated Bibliography
Claxton, G., Rae, M., Long, M., Damico, A., Whitmore, H., & Foster, G. (2016). Health Benefits In 2016: Family Premiums Rose Modestly, And Offer Rates Remained Stable. Health Affairs, 35(10), 1908-1917. http://dx.doi.org/10.1377/hlthaff.2016.0951
The Authors of the Health Benefits in 2016 are critical research experts at the Health Research and Educational Trust, in Chicago, Illinois as well as the health policy and evaluation at NORC at the University of Chicago in Bethesda, Maryland. The authors also incorporate various stakeholders of the Kaiser Family Foundation, and their article highlights the single and family premiums paid to health care in 2016 in comparison to earlier years. Further, it elaborates on the employer and firm’s plans in supporting health care schemes. This article is relevant to the study as it highlights the various costs and distribution of resources in the financial sector of the health care industry.
Epstein, A., Jha, A., Orav, E., Liebman, D., Audet, A., Zezza, M., & Guterman, S. (2014). Analysis of Early Accountable Care Organizations Defines Patient, Structural, Cost, And Quality-Of-Care Characteristics. Health Affairs, 33(1), 95-102. http://dx.doi.org/10.1377/hlthaff.2013.1063
The article on Accountable Care Organizations from the Health Affairs Journal is a credible article with authors from Harvard School of Public Health and Common Wealth Fund who offer pertinent facts and data that highlight the situation in the health care sector. The article focuses on relevant costs and quality of Accountable Care Organizations (ACO) about non – ACOs to analyze the structural and market characteristics of these organizations in the provision of health care. The article is relevant o the study as it offers crucial financial information that helps analyze the costs and application of resources in the health sector.
Johnson, G., Figueroa, J., Zhou, X., Orav, E., & Jha, A. (2016). Recent Growth In Medicare Advantage Enrollment Associated With Decreased Fee-For-Service Spending In Certain US Counties. Health Affairs, 35(9), 1707-1715. http://dx.doi.org/10.1377/hlthaff.2015.1468
The authors of the article, offer reliable information as to the statistics in Medicare insurance. The article elaborates on the recent increment on the Medicare advantage on account of the enrollment by individuals which have in turn instigated a lower spending growth in the Fee-For-Service among the Medicare population. The article is relevant to the study as it reflects on the financial aspects involved with the involvement of public health insurance in health care delivery systems.
Mas, N. (2015). Hospital Financial Pressures and the Health of the Uninsured: Who Gets Hurt? International Journal of Health Services. 45(1), 53-71.
Nuria Mas is a respected Associate Professor in the Economics Department of the IESE Business School and highlights in his article, Hospital Financial Pressures, the relation between the financial burdens and the particular health of uninsured individuals. The article points out that stronger financial pressure among people reflects negatively on the value of health care by the uninsured individuals in the health sector. This article is relevant to the study in that it outlines the particular relationship between financial aspects and the quality of health care in the health care department.
Ozawa, S., Portnoy, A., Getaneh, H., Clark, S., Knoll, M., & Bishai, D. et al. (2016). Modeling The Economic Burden of Adult Vaccine-Preventable Diseases In The United States. Health Affairs. http://dx.doi.org/10.1377/hlthaff.2016.0462
