You are the CEO of Kind Heart Hospital, which is in a low-income area and has spent millions of dollars over the years on charity care for patients. Unfortunately, this has placed your hospital in a tough financial position, because Medicare and Medicaid continue to reduce reimbursements for their patients and your percentage of commercial insurance patients (or patients who pay more than your cost) continues to decline. What can you do to continue to provide quality care to the needy but reduce the amount of the loss?
Answer:The healthcare organization needs to implement some of the strategies to provide high quality of care and services such as:
You are the CEO of Kind Heart Hospital, which is in a low-income area and has...
You are the CEO of a local hospital, which is located within a suburban location in a large metropolitan area. Though it neighbors million-dollar homes, the hospital’s mission includes providing care to underserved and indigent populations in the local area. In fact, one of the signature programs in this hospital is a prenatal care program provided for Medicaid beneficiaries. This hospitals goal is to increase the number of Medicaid beneficiaries that participate in prenatal care. It knows that only 40%...
You are a business office manager of a small rural hospital. The chair of your board of directors, who has been in that role for many years, is discussing how you might be able to improve the financial position of the hospital. He asks why you cannot simply increase charges to Blue Cross to cover losses to Medicare, Medicaid, and charity care. As he states, this mechanism of ‘cost shifting’ was used in the 70s and 80s and was effective. ...
An area hospital adopted a commercial Electronic Health Record and plans on adopting and integrating a Personal Health Record (PHR). The hospital CEO drafts the following vision statement “By using the latest technology, our hospital will improve how our patients experiences and engagement in their healthcare. Instead of patients coming to us for help, we will be there wherever and whenever they need us, asking, “How can we help you?” This initiative will make healthcare easier to access and more...
I need help with this. which are the medicare and medicaid reimbursement rates? You’ve been asked to help a group of local primary care practice make a decision about the future of their practice. This group of six Family Practitioners has been making ends meet, but they feel that challenges are coming that may force them to rethink the structure of their practice. They have a normal mix of Medicare, Medicaid and Commercial patients. Their revenue comes mainly from direct...
your hospital has learned that patients with a diagnosis of congestive heart failure are being re admitted 28 percent others the time. You have received notification that CMS is no longer going to reimburse hospitals of readmissions within thirty days. one out a strategy to tackle this quality program.
n your new role as a data analyst for a large hospital chain, the CEO has asked you to explore patient outcomes at a newly built hospital (“Mountain View”) versus an existing hospital (“Greenside”). She is specifically interested in seeing whether patients who are seen for heart attacks are being readmitted to the hospital more often in the new facility. You looked at data from a random sample of visits to the two hospitals during the last year. Use the...
Background or Scenario: Sisters Charity Hospital (SCH) is located in a diverse and highly-populated area. The patients are disproportionately lower-income, many eligible for state public aid and Medicaid healthcare insurance. In addition to this population, the hospital serves a high number of poor and elderly patients, many of whom are covered under the Medicare program, and some of those who also have Medicaid insurance, being dually eligible for both government health insurance programs. SCH is a tax-exempt, charitable organization formed...
As a new hired budget analyst, you were selected to work at the Swedish Hospital’s finance department. Currently the Hospital is planning its operating budget for the coming year. The budget will include operating, cash and flexible budget components. Capital budget was passed last year and needs not to be revisited. The hospital is noted for its three fine programs: oncology (cancer), cardiac (heart) and rhinoplastyRevenueThe hospital managers have projected that next year they will have 200 patients. They expect...
Question 1. As a newly hired budget analyst, you were assigned to the Swedish Hospital’s finance department. Currently the Hospital is planning its master budget for the coming year. The budget will include operating, cash and flexible budgets. Capital budget was passed last year and needs not to be revisited. The hospital is noted for its three fine programs: oncology (cancer), cardiac (heart) and rhinoplasty (nose jobs). Revenue The hospital managers have projected that next year they will have 303...
Sabrina Hoffman is founder and CEO of Golden Care, Inc., which owns and operates several assisted-living facilities. The facilities are apartment-style buildings with 25 to 30 one- or two-bedroom apartments. While each apartment has its own complete kitchen, in every building Golden Care offers communal dining options and an on-site nurse who is available 24 hours a day. Residents can choose monthly meal options that include one or two meals per day in the dining room. Residents who require nursing...