Competency
Evaluate the role and impact of financial principles on healthcare organizations.
Scenario
Metropolitan Memorial is seeking to expand its service offerings into underserved rural communities. The Board of Directors has expressed concerns given the emergence of new payment models, low reimbursement from Medicare and Medicaid, and uncertainty in terms of provider incentives offered through the Affordable Care Act. The Board of Directors has requested an executive summary outlining the organization’s financial viability given the challenges facing health organizations, particularly those operating in rural communities.
Instructions
The CEO has asked you to prepare an executive summary to present to the Board of Trustees, discussing the following information:
Identify the different types of healthcare payment models that could be utilized by Metropolitan Memorial.
Research the Triple AIM and discuss ways the organization can achieve the goals of the Triple AIM (improving the experience of care, improving the health of populations, and reducing per capital costs of health care ).
Discuss possible ways the payer mix may impact hospital revenue.
Explain how value-based healthcare delivery could be utilized to save money.
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CompetencyEvaluate the role and impact of financial principl.docx
1. Competency
Evaluate the role and impact of financial principles on
healthcare organizations.
Scenario
Metropolitan Memorial is seeking to expand its service
offerings into underserved rural communities. The Board of
Directors has expressed concerns given the emergence of new
payment models, low reimbursement from Medicare and
Medicaid, and uncertainty in terms of provider incentives
offered through the Affordable Care Act. The Board of
Directors has requested an executive summary outlining the
organization’s financial viability given the challenges facing
health organizations, particularly those operating in rural
communities.
Instructions
The CEO has asked you to prepare an executive summary to
present to the Board of Trustees, discussing the following
information:
Identify the different types of healthcare payment models that
could be utilized by Metropolitan Memorial.
Research the Triple AIM and discuss ways the organization can
achieve the goals of the Triple AIM (improving the experience
of care, improving the health of populations, and reducing per
capital costs of health care ).
2. Discuss possible ways the payer mix may impact hospital
revenue.
Explain how value-based healthcare delivery could be utilized
to save money.
