Assignment Details in Discussion Board (TOPIC: Financial Management in Healthcare) (250 WORDS) (1) There are several advantages and disadvantages of various revenue sources as payment for services...

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Assignment Details in Discussion Board (TOPIC: Financial Management in Healthcare) (250 WORDS)


(1) There are several advantages and disadvantages of various revenue sources as payment for services rendered in health care (e.g., managed care, prospective, retrospective).



  • What do you believe are the primary advantages and disadvantages of having multiple revenue sources for health care services offered by an organization for planning and reporting purposes?




Assignment Description for INDIVIDUAL PROJECT (1250 WORDS)


This assignment will require you to consider several influences to the budgeting process of a health care institution.Here, you will review payer mix and other influences to revenue as you consider revenue factors for the budget. Complete the following for this assignment:



  • For a health care organization of your choice (real or hypothetical), describe the type of organization, and determine the payer mix of patients served (percentage of Medicare, Medicaid, private insurance, managed care, and private pay).

  • Take into consideration that reimbursement can be affected by the claims process, out-of-network payments, denials, audits, and legislation.

  • Assess the differences in health care budgeting as a result of these potential changes in the payer mix and payment methodologies as an outcome of the Affordable Care Act.

  • Take into consideration that while more patients may have insurance coverage, the out-of-pocket expenses will continue to create a potential uncollectable liability.

  • Evaluate how you would strategize to keep a balanced budget for all 12 months in a year using a flexible budget rather than a static budget, and provide rationale and justification.


Kindly please this project should include at least 5 relevant academic or professionals references published in the past 5 years. You also could use the AIU library thanks

Answered 3 days AfterJan 25, 2021

Answer To: Assignment Details in Discussion Board (TOPIC: Financial Management in Healthcare) (250 WORDS) (1)...

Parul answered on Jan 27 2021
155 Votes
Part I-
By the virtue of this assignment, I have researched on various parameters that impacts the entire process of budgeting and controlling the health care service provider and institution. Comprehending blend, the payer mixes as well as other areas that can influence the revenues in terms of controlling the capital, forecasting the expenses and projec
ting the investment as per the revenues. I believe ther are more advantageous than disadvantage of leveraging various forms of revenue and harnessing different sources in the domain of healthcare. However, like everything there are advantage and disadvantage of everything. As we witness lot of revolutions and reforms in healthcare harnessing different sources of payment method from organisation becomes very essential. The ultimate aim is to embrace the dynamics of the change and approach the concept of payment to the customers. On the basis of variety of parameters like community requirements, geographical inclination, regulations of the state and law of the land, various payment methods are taken into consideration. This provides lot of ease and flexibility to various stakeholder involved as one can opt the method that fits their requirement and one that is more effective to them. Well, the primary advantage of the having multiple revenues sources for the health care service offered by the organisation since it encourages the delivery of care as well as valuable experience thereby maximizing the number of patient visits. Having various payment methods makes it relatively flexible thereby employing many organisation structures and maximizing on scale. Furthermore, this initiative supports accountability for delivering value to the patient. Cons or disadvantage of having multiple payment method is that it limits exclusive focus provided to one method this also reduces consistency in experience. Second disadvantage that this method offers is that different stakeholders have to deal with different logistics that are associated with the different methods of payment.
References
Durgun, H., & Kaya, H. (2018). The attitudes of emergency department nurses towards patient safety. International emergency nursing, 40, 29-32.
Gapenski, L., 2012. Healthcare finance. Chicago, Ill.: Health Administration Press.
Gapenski, L., 2012. Introduction to Healthcare Financial Management. In: L. Gapenski, ed., Healthcare Finance: An Introduction to Accounting and Financial Management, 5th ed. [online] Chicago: Health Administration Press. Available at: [Accessed 28th January, 2021].
Part II
Healthcare system in India is highly developed and considered to be one of the best all across the world that offers affordable as well as safer healthcare for all the people. This domain has multiple health care stakeholders who collectively run at the various levels of the government whether is state, federal, local or at territory level.
By the virtue of this report, I have performed extensive and detailed research on Apollo which is a leading private sector health care provider and offers services not only in India but also various other countries all across the world. Overall mission of the organisation is to offer high standards of healthcare services that every person can avail. With dedicated commitment to attain the healthcare standards as well as maintain excellence in research and development for the upliftment as well as betterment of the humanity. Apollo health care provider serves both upper income group as well as middle income group...
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