Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services

Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services, the cost of implementing new technology and professionals to comply with federal requirements for electronic health records, and the increasing numbers of individuals who cannot pay for their healthcare represent only one issue for healthcare executives in the healthcare delivery system. But it has significant consequences for the viability and solvency of healthcare organizations. Healthcare executives don’t have a crystal ball; however, they do engage in forecasting the future based on what is currently known and examination of trends (Lee, 2015). To do this type of forecasting, healthcare executives are demonstrating techniques found in anticipatory management. According to their seminal research, Ashley and Morrison (1997) reported there are severe consequences for not anticipating future trends in a rapidly changing and complex society. The anticipatory management process they describe begins with scanning the environment to identify issues; creating issues briefs to inform stakeholders; prioritizing issues; assembling the team of experts; creating, implementing, and evaluating action plans and outcomes; and adjusting the course when necessary.

Last week, you compared healthcare delivery and costs in the United States with those in developed countries. This week, you will focus U.S. healthcare executives and how they prioritize the challenges confronting them to minimize the impact to their organizations.

Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services,

Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services, the cost of implementing new technology and professionals to comply with federal requirements for electronic health records, and the increasing numbers of individuals who cannot pay for their healthcare represent only one issue for healthcare executives in the healthcare delivery system. But it has significant consequences for the viability and solvency of healthcare organizations. Healthcare executives don’t have a crystal ball; however, they do engage in forecasting the future based on what is currently known and examination of trends (Lee, 2015). To do this type of forecasting, healthcare executives are demonstrating techniques found in anticipatory management. According to their seminal research, Ashley and Morrison (1997) reported there are severe consequences for not anticipating future trends in a rapidly changing and complex society. The anticipatory management process they describe begins with scanning the environment to identify issues; creating issues briefs to inform stakeholders; prioritizing issues; assembling the team of experts; creating, implementing, and evaluating action plans and outcomes; and adjusting the course when necessary.

Last week, you compared healthcare delivery and costs in the United States with those in developed countries. This week, you will focus U.S. healthcare executives and how they prioritize the challenges confronting them to minimize the impact to their organizations.

Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services,

Week 2—Assignment: Prioritize the Operational Challenges, Trends, and Issues for U.S. Healthcare Executives

Instructions

Financial challenges associated with changes to how healthcare organizations are reimbursed

for healthcare services, the cost of implementing new technology and professionals to

comply with federal requirements for electronic health records, and the increasing numbers

of individuals who cannot pay for their healthcare represent only one issue for healthcare

executives in the healthcare delivery system. But it has significant consequences for the

viability and solvency of healthcare organizations. Healthcare executives don’t have a crystal

ball; however, they do engage in forecasting the future based on what is currently known and

examination of trends (Lee, 2015). To do this type of forecasting, healthcare executives are

demonstrating techniques found in anticipatory management. According to their seminal

research, Ashley and Morrison (1997) reported there are severe consequences for not

anticipating future trends in a rapidly changing and complex society. The anticipatory

management process they describe begins with scanning the environment to identify issues;

creating issues briefs to inform stakeholders; prioritizing issues; assembling the team of

experts; creating, implementing, and evaluating action plans and outcomes; and adjusting the

course when necessary.

Last week, you compared healthcare delivery and costs in the United States with those in

developed countries. This week, you will focus U.S. healthcare executives and how they

prioritize the challenges confronting them to minimize the impact to their organizations.

As you prepare your assignment, consider these questions:

What challenges you have experienced in the healthcare workplace or when you have

accessed your own healthcare provider?

Have you observed changes to how your personal health information is gathered and

documented?

What technology is now being used which may be new to your workplace? Were you required to take additional training in your current healthcare position due

 

 

8/13/2019

2/4

to the implementation of new technology?

Have you experienced a shortage of healthcare personnel in your workplace or at your

healthcare provider’s office?

What effect have these situations had on you as the employee and patient?

After your examination of current literature on the trends, issues, and challenges for

healthcare executives and their organization’s review Ashley and Morrison’s seminal article

(1997) on anticipatory management and utilize the sample chart shown for this assignment.

You may recreate this four-column table in a Word document and insert your issues/trends,

identify which organizational area is/will be impacted by each issue/trend, and provide your

rationale for the priority level you assigned each issue/trend. Be sure to use a title page for

this assignment and a reference page in APA format. You will add rows to your table as

needed to include all identified issues and trends.

Table 1. Sample Chart

Priority Issue/trend (write these as statements)

Organizational Area of Impact (indicate which department/division effected by the issue/trend (write these as department names)

Rationale for Priority Level (write these as verb phrases)

 

 

8/13/2019

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Submissions

Priority Issue/trend (write these as statements)

Organizational Area of Impact (indicate which department/division effected by the issue/trend (write these as department names)

Rationale for Priority Level (write these as verb phrases)

1. Ex.: Financial challenges— Medicare reimbursements —Value-based Payment Program

Ex.: Business Office— Finance; Accounting; Budget Office, Facilities Management, Purchasing, Human Resources, Patient Services

A decline and/or delay in revenue limits types of services provided, reduces purchasing power, delays vendor payments, halts capital improvements, freezes filling vacant nursing positions

2.

3.

4.

Length: The length of this document will vary based on your findings; include the table and a

summary of your findings using a minimum of 5 pages not including the title page and

reference page.

References: A minimum of 5 scholarly resources

Upload your document and click the Submit to Dropbox button.

Identify one recent article which addresses the contracting cost structure in your service area.

One-page, please cite/reference.

Select an article for Los Angeles, California.

Identify one recent article which addresses the contracting cost structure in your service area.

Based on the article that you have researched, identify the type of reimbursement model being used within the health care institution. Explain how you think this type of reimbursement has impacted the cost structure within the organization. If you do not currently work in a health care institution please research and select an organization to complete this assignment. Be sure to provide references.

Part 1  Disparities in Healthcare 

Part 1 

Disparities in Healthcare 

This is an individual activity and tests the students’ ability to consume, synthesize, and apply all they learned during the course in order to address specific disparities existing among several countries’ healthcare systems. These reports are in professional written report format, not PowerPoint.

  • Each student picks a geographic region with at least three countries (not in North America) and investigates health care in the context of:

o   Poverty

o   Public and professional education

o   Distribution of providers by specialties and educational levels

o   Allocation of resources (including locations of medical facilities and providers)

o   Overall management of the health care by government as well as other political, social, and economic factors.

It will be important to investigate and document links between poverty, education, and accessibility to the quality of health care and delivery.

Each student will write a report combining statistics and information from various reputable international sources with their own insights into an analysis of current strengths and weaknesses for each country. Each student will integrate the reports to create potentially workable solutions to the shortcomings and problems that are discovered.

The students must utilize primary sources, consulting the literature and works of known and well reputed organizations such World Health Organization (WHO) and/or National Institutes of Health in their research. The students must also follow scholarly methods of conducting research, organizing data, and citing references.

Minimum number of pages for this assignment is 5 detailed pages (double-spaced).  Five detailed pages do not include title and reference pages.  Please use APA formatting; you do not need to provide an abstract.  Abstract is not included in the 5 detailed pages either.

Part 2

Choose 2 out of the 3 questions and provide fact-based answers:

Chapter 12

1. How is health care cost defined and measured?

2. How is health care accessibility defined and measured?

3. How is health care quality defined and measured?

Expectation is that you write about 3-4 pages addressing these questions and post them prior to the deadline. Writing is expected to be in APA format.  The 3-4 pages do not include title page and reference page.

Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services,

Financial challenges associated with changes to how healthcare organizations are reimbursed for healthcare services, the cost of implementing new technology and professionals to comply with federal requirements for electronic health records, and the increasing numbers of individuals who cannot pay for their healthcare represent only one issue for healthcare executives in the healthcare delivery system. But it has significant consequences for the viability and solvency of healthcare organizations. Healthcare executives don’t have a crystal ball; however, they do engage in forecasting the future based on what is currently known and examination of trends (Lee, 2015). To do this type of forecasting, healthcare executives are demonstrating techniques found in anticipatory management. According to their seminal research, Ashley and Morrison (1997) reported there are severe consequences for not anticipating future trends in a rapidly changing and complex society. The anticipatory management process they describe begins with scanning the environment to identify issues; creating issues briefs to inform stakeholders; prioritizing issues; assembling the team of experts; creating, implementing, and evaluating action plans and outcomes; and adjusting the course when necessary.

Last week, you compared healthcare delivery and costs in the United States with those in developed countries. This week, you will focus U.S. healthcare executives and how they prioritize the challenges confronting them to minimize the impact to their organizations.

Assignment: Prioritize the Operational Challenges, Trends, and Issues for U.S. Healthcare Executives

Assignment: Prioritize the Operational Challenges, Trends, and Issues for U.S. Healthcare Executives

Instructions

Financial challenges associated with changes to how healthcare organizations are reimbursed

for healthcare services, the cost of implementing new technology and professionals to

comply with federal requirements for electronic health records, and the increasing numbers

of individuals who cannot pay for their healthcare represent only one issue for healthcare

executives in the healthcare delivery system. But it has significant consequences for the

viability and solvency of healthcare organizations. Healthcare executives don’t have a crystal

ball; however, they do engage in forecasting the future based on what is currently known and

examination of trends (Lee, 2015). To do this type of forecasting, healthcare executives are

demonstrating techniques found in anticipatory management. According to their seminal

research, Ashley and Morrison (1997) reported there are severe consequences for not

anticipating future trends in a rapidly changing and complex society. The anticipatory

management process they describe begins with scanning the environment to identify issues;

creating issues briefs to inform stakeholders; prioritizing issues; assembling the team of

experts; creating, implementing, and evaluating action plans and outcomes; and adjusting the

course when necessary.

Last week, you compared healthcare delivery and costs in the United States with those in

developed countries. This week, you will focus U.S. healthcare executives and how they

prioritize the challenges confronting them to minimize the impact to their organizations.

As you prepare your assignment, consider these questions:

What challenges you have experienced in the healthcare workplace or when you have

accessed your own healthcare provider?

Have you observed changes to how your personal health information is gathered and

documented?

What technology is now being used which may be new to your workplace? Were you required to take additional training in your current healthcare position due

 

 

8/13/2019

2/4

to the implementation of new technology?

Have you experienced a shortage of healthcare personnel in your workplace or at your

healthcare provider’s office?

What effect have these situations had on you as the employee and patient?

After your examination of current literature on the trends, issues, and challenges for

healthcare executives and their organization’s review Ashley and Morrison’s seminal article

(1997) on anticipatory management and utilize the sample chart shown for this assignment.

You may recreate this four-column table in a Word document and insert your issues/trends,

identify which organizational area is/will be impacted by each issue/trend, and provide your

rationale for the priority level you assigned each issue/trend. Be sure to use a title page for

this assignment and a reference page in APA format. You will add rows to your table as

needed to include all identified issues and trends.

Table 1. Sample Chart

Priority Issue/trend (write these as statements)

Organizational Area of Impact (indicate which department/division effected by the issue/trend (write these as department names)

Rationale for Priority Level (write these as verb phrases)

 

 

8/13/2019

3/4

Submissions

Priority Issue/trend (write these as statements)

Organizational Area of Impact (indicate which department/division effected by the issue/trend (write these as department names)

Rationale for Priority Level (write these as verb phrases)

1. Ex.: Financial challenges— Medicare reimbursements —Value-based Payment Program

Ex.: Business Office— Finance; Accounting; Budget Office, Facilities Management, Purchasing, Human Resources, Patient Services

A decline and/or delay in revenue limits types of services provided, reduces purchasing power, delays vendor payments, halts capital improvements, freezes filling vacant nursing positions

2.

3.

4.

Length: The length of this document will vary based on your findings; include the table and a

summary of your findings using a minimum of 5 pages not including the title page and

reference page.

References: A minimum of 5 scholarly resources

Upload your document and click the Submit to Dropbox button.

Differentiate between the demands of legal policies, ethical issues with relevance to the needs of the provider and patient.

Review the Assignments for this course, accessed by clicking on the Assignment tab at the top of your screen, and then select each Unit# – Assignment, reviewing the description, type, and deliverables. What questions do you have about these assignments in Units 1–4? What questions do you have about the overarching Unit 5 assignment? Although it is not due until the end of the class, it is important that you begin planning for this project early in the course. What are your initial thoughts about how you will approach this assignment? Explain.

 

  • Differentiate between the demands of legal policies, ethical issues with relevance to the needs of the provider and patient.
  • Assess opposing views of current polices and the implications from both sides.
  • Compose a document to employees addressing recent legal and ethical issues which may require changes in how an organization operates.
  • Explain the value of various policies and procedures at the federal, state and local levels as they relate to the provision of healthcare and patient rights.
  • Plan an implementation process supporting recent policy changes.

Define and explain the concept of vicarious responsibility and the respondeat superior doctrine. 

Primary Task Response: Write 300-350 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

  • Define and explain the concept of vicarious responsibility and the respondeat superior doctrine. 
  • Conduct research and find a real-life example of how a health care organization has been found vicariously liable under the legal principles of the respondeat superior doctrine.
  • Explain how organizations can mitigate the chance of vicarious liability. 

Use APA formatting and citation standards. Use at least 2 scholarly references published within the last 5 years to substantiate your work.

Medicare is the most rapidly growing component of the federal budget

Medicare is the most rapidly growing component of the federal budget. Federal funding for Medicare comes from payroll taxes and income taxes, paid by individuals who are employed. Most Medicare beneficiaries are retired and/or earning minimal income. Further, only ¼ of the lifetime expenditures for Medicare beneficiaries are covered by the taxes they have paid into the system while working.

In combination, this means the Medicare is the program that is most responsible for wealth transfer from working adults to another generation. Even if Medicare seems unimportant to you now from the standpoint of your health care needs, it is critically important from the financial standpoint.

During your lifetime, you will vote for candidates proposing changes in the Medicare program, ranging from changes in the funding mechanism to “Medicare for All”.

1.) Write a three page paper on either of the following topics,

a.) Summarize projections for Medicare spending

b.) Summarize proposals for “Medicare for All” programs https://www.kff.org/interactive/compare-medicare-for-all-public-plan-proposals/

Watch three videos first!

Video: Medicare part A and B explained.

https://www.youtube.com/watch?v=o5L6QL2_TrY.

(First 2:30 of video only

Video: Understanding Healthcare Costs: Medicare Advantage.

Video: Medicare Part D Prescription Drug Plan basics.

https://www.youtube.com/watch?v=RqfAIftIQ3Y

(First 1:45 only