Competency
Apply principles of finance and accounting to healthcare outcomes, reimbursements, and business operations.
Scenario
After an evaluation of its current financial status and an assessment of future industry trends, the governing board for Metropolitan Memorial has approved its CEO’s request to expand operations into the rural areas of the state. Many of the rural residents rely upon Medicare and Medicaid for the financing of their healthcare needs. The hospital will offer satellite services including primary care, urgent care, telehealth, and emergent care services. The hospital is embracing the concept of value-based care given the economic make-up of the population within the rural community. Value-based care focuses on advancing the triple aim strategy of providing better care for individuals, improving population health management initiatives, and reducing overall health costs.
Instructions
The CEO has asked you to create a PowerPoint presentation (using speaker notes for each slide or voiceover narration) outlining the revenue cycle management process. Your presentation should include a discussion on value-based care models as introduced by the Centers for Medicare and Medicaid Services (CMS), such as ACOs and the Medicare Shared Savings Program. In addition, based on the research you’ve done, you will need to include a recommendation for a possible strategy to strengthen the organization’s financial operations in preparation for the transition to value-based care.
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CompetencyApply principles of finance and accounting to heal.docx
1. Competency
Apply principles of finance and accounting to healthcare
outcomes, reimbursements, and business operations.
Scenario
After an evaluation of its current financial status and an
assessment of future industry trends, the governing board for
Metropolitan Memorial has approved its CEO’s request to
expand operations into the rural areas of the state. Many of the
rural residents rely upon Medicare and Medicaid for the
financing of their healthcare needs. The hospital will offer
satellite services including primary care, urgent care, telehealth,
and emergent care services. The hospital is embracing the
concept of value-based care given the economic make-up of the
population within the rural community. Value-based care
focuses on advancing the triple aim strategy of providing better
care for individuals, improving population health management
initiatives, and reducing overall health costs.
Instructions
The CEO has asked you to create a PowerPoint presentation
(using speaker notes for each slide or voiceover narration)
outlining the revenue cycle management process. Your
presentation should include a discussion on value-based care
models as introduced by the Centers for Medicare and Medicaid
Services (CMS), such as ACOs and the Medicare Shared
Savings Program. In addition, based on the research you’ve
done, you will need to include a recommendation for a possible
strategy to strengthen the organization’s financial operations in
preparation for the transition to value-based care.
