Describe at least two advantages and disadvantages of the different payment systems from a healthcare administrator's perspective, and explain how these models influence organizations' strategic plans.
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Describe at least two advantages and disadvantages of the different payment systems from a healthcare administrator's perspective, and explain how these models influence organizations' strategic plans.
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- Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. Please identify some reasons why attempts at cost control have not succeededHealthcare administrators should be well versed on policies affecting healthcare financing at the federal and state levels. Healthcare organizations need to assess the financial impact that a volume-to-value transition (VVT) will cause to their facility, the staff, and the patients. Who benefits from moving healthcare from volume to value? What are the factors a healthcare administrator must take into consideration when deciding to transition to a volume-to-value model? How are the financial impacts HCOs face who are currently using this model?Using examples from successful healthcare organizations, describe some strategies and approaches that can be implemented to avoid managerial incompetence in healthcare management.
- briefly describe a strategic planning, staffing impact, reimbursement compliance and revenue cycle process in healthcare reimbursementhow can laws and regulations help a healthcare organization reduce fraud, waste, and abuse and thereby manage risk to the revenue cycle and reimbursementwhat are advantages and disadvanteges of fee-for service model when it comes to reimbursement
- Describe the phases of the revenue cycle for healthcare billing.One of the key elements to organizational design is the establishment of an organization chart. Consequently, the organizational chart establishes the chain of command. Why is the chain of command so important in healthcare?in regards to Costing and Strategy: Explain why healthcare administrators need to consider cost when strategically planning for Medicare and Medicaid population growth
- Hospitals and other health care institutions, whether voluntary or for-profit, need to be financially solvent to survive growing market pressures. Describe how this "bottom line" focus has changed the nature of the US health care system.Explain why valued-based payment for healthcare trend is an important trend to monitor and how it relates to reimbursement.Analyze the revenue-cycle errors that may occur in internal and external workflows that can impact a healthcare organization’s cash flow and financial strength.