This is for my Health care Finance class.
List and explain one policy, process, or program that may insulate management somewhat from the financial results of poor financial planning.
Ans) Capitated rate:
- Capitation rate means the fee the department pays monthly to the contractor for each enrolled Medicaid member for the provision of covered, required, and optional services, whether or not the enrollee received services during the month for which the fee is paid.
- Capitation payments are payments agreed upon in a capitated contract by a health insurance company and a medical provider. They are fixed, pre-arranged monthly payments received by a physician, clinic or hospital per patient enrolled in a health plan, or per capita. The monthly payment is calculated one year in advance and remains fixed for that year, regardless of how often the patient needs services.
- Rates for capitation payments are developed using local costs and average utilization of services, and therefore, can vary from one region of the country to another. Many plans establish risk pools as a percentage of the capitation payment. Money in this risk pool is withheld from the physician until the end of the fiscal year. If the health plan does well financially, the medical provider receives this money; if the health plan does poorly, the money is kept to pay the deficit expenses.
This is for my Health care Finance class. List and explain one policy, process, or program...
List and explain one policy, process, or program that may insulate management somewhat from the financial results of poor financial planning.
True/False 1. Health care delivery is the delivery of care for maintaining health. 2. Quality of life, in terms of health care, depends on daily functioning of the patient before the onset of ilness. 3. Lifestyle/behavioral factors that may contribute to poor health include abundant exercise. 4. OSHA's Injury and Illness Prevention Program is an example of a policy intervention. 5. Market justice and social justice are concepts that contrast with one another like two sides of a coin.
List 4 health care laws we discussed in class AND select one law to elaborate on WHY it was established.
Need help making a report for my stats in health care management class for the following question. Compare and contrast the two branches of statistics ( descriptive and inferential ) in the health care system. Give an example on each branch Submit a report on how the two branches are used in healthcare.
Explain the needed balance in health care security. Give an example on the congruency between IT strategy and the organization strategy. You may list one goal from each side. Many IT initiatives in the health sector have failed due to managerial issues. Give an example on one of these initiatives and explain the managerial issue that caused the failure It will be about "Health care standards"
Explain the needed balance in health care security Give an example on the congruency between IT strategy and the organization strategy. You may list one goal from each side. Many IT initiatives in the health sector have failed due to managerial issues. Give an example on one of these initiatives and explain the managerial issue that caused the failure.
7 Test Your Knowledge What are the primary goals of financial management for not-for-profit health care organizations? What are the uses of profit for health care organizations? Finance Provision of analyses, concerning the acquisition and disposition of the organi- zations resources Goals of Financial Management 3. 4. Profitability-A trade-off always exists between maximization of expected profits and the acceptable level of risk Undertaking greater risk requires greater anticipated returns. Viability-A trade-off always exists between viability and profitability. Greater liquidity results...
Analyze the process for developing an IT budget within a health care organization, and select one (1) aspect of the budgeting process which is the most difficult to execute. Next, suggest one (1) technique which you could use to overcome the difficulty that you selected. Provide a rationale to support your response. Determine the key reasons why change management in health care IT is a hot-button issue. Next, among the eight (8) fundamental stages for the process of change described...
Consider that the Commonwealth Government of Australia is planning to launch ‘My Health Record’ a secure online summary of an individual’s health information. The system is available to all Australians, My Health Record is an electronic summary of an individual’s key health information, drawn from their existing records and is designed to be integrated into existing local clinical systems. The ‘My Health Record’ is driven by the need for the Health Industry to continue a process of reform to drive...
Using class terms and ideas (patient care, healthcare systems, and public health), describe how ONE of the following topics could be a part of your career. You need to use a pharmaceutical care perspective, a systems management perspective, and a public health perspective as you discuss ONE of these topics: 1) Health promotion and disease prevention 2) Patient Safety 3) Pharmacy/pharmacist regulation issues 4) Social determinants of health 5) A global health issue 6) Advocacy in pharmacy 7) Health literacy...