Health Care Spending No one is immune to the rising costs of health care. Consider the following news stories: “In 2008, the average premium for a family plan purchased through an employer was $12,680, nearly the annual earnings of a full-time minimum wage job” (Halle & Seshamani, 2009, Introduction, para. 1). “President Obama’s health care law is putting new strains on some of the nation’s most hard-pressed hospitals, by cutting aid they use to pay for emergency care for illegal immigrants, which they have long been required to provide” (Bernstein, 2012, para. 1). “Doctors in America are harboring an embarrassing secret: Many of them are going broke. This quiet reality, which is spreading nationwide, is claiming a wide range of casualties, including family physicians, cardiologists and oncologists…Doctors list shrinking insurance reimbursements, changing regulations, rising business and drug costs among the factors preventing them from keeping their practices afloat” (Kavilanz, 2012, para. 1, 2, 5). In this Discussion, you examine the overall state of health care costs in America, the different factors impacting the finances of health care organizations, and the effect of rising costs on all stakeholders. To prepare: Review the Learning Resources on the level of health care spending in the United States. Consider the ramifications of continuing at this level of spending as well as issues involved with reducing spending. Reflect on which stakeholders (payers, providers, and the general population) should be responsible for making decisions on health care spending. I need to Post an assessment of the consequences (on payers, providers, and the general population) of continuing current levels of health care spending in the United States as well as the potential consequences of reducing the level of spending. Explain which stakeholders should make health care spending decisions and why. And  Read a selection of my colleagues’ responses and Respond to at least two of your colleagues on two different days using one or more of the following approaches: Ask a probing question, substantiated with additional background information, and evidence. Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library. (I will send the responses soon) Validate an idea with your own experience and additional sources. Required Readings Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers (4th ed.). Burlington, MA: Jones and Bartlett Learning. Chapter 1, “Introduction to Health Care Finance” (pp. 3–10) In this chapter, you are introduced to the four key elements of financial management as well as the two types of accounting. These help set the stage for the weeks to come. Chapter 4, “Revenues (Inflow)” (pp. 31–40) This chapter focuses on how health organizations receive revenue for services and highlights the different sources of revenu.

1. Health Care Spending
No one is immune to the rising costs of health care. Consider
the following news stories:
“In 2008, the average premium for a family plan purchased
through an employer was $12,680, nearly the annual earnings of
a full-time minimum wage job” (Halle & Seshamani, 2009,
Introduction, para. 1).
“President Obama’s health care law is putting new strains on
some of the nation’s most hard-pressed hospitals, by cutting aid
they use to pay for emergency care for illegal immigrants,
which they have long been required to provide” (Bernstein,
2012, para. 1).
“Doctors in America are harboring an embarrassing secret:
Many of them are going broke. This quiet reality, which is
spreading nationwide, is claiming a wide range of casualties,
including family physicians, cardiologists and
oncologists…Doctors list shrinking insurance reimbursements,
changing regulations, rising business and drug costs among the
factors preventing them from keeping their practices afloat”
(Kavilanz, 2012, para. 1, 2, 5).
In this Discussion, you examine the overall state of health care
costs in America, the different factors impacting the finances of
health care organizations, and the effect of rising costs on all
stakeholders.
To prepare:
Review the Learning Resources on the level of health care
spending in the United States.
Consider the ramifications of continuing at this level of
spending as well as issues involved with reducing spending.
Reflect on which stakeholders (payers, providers, and the
general population) should be responsible for making decisions
on health care spending.

2. I need to Post an assessment of the consequences (on payers,
providers, and the general population) of continuing current
levels of health care spending in the United States as well as the
potential consequences of reducing the level of spending.
Explain which stakeholders should make health care spending
decisions and why.
And
Read a selection of my colleagues’ responses and Respond to at
least two of your colleagues on two different days using one or
more of the following approaches:
Ask a probing question, substantiated with additional
background information, and evidence.
Offer and support an alternative perspective using readings
from the classroom or from your own review of the literature in
the Walden Library. (I will send the responses soon)
Validate an idea with your own experience and additional
sources.
Required Readings
Baker, J., & Baker, R. W. (2014). Health care finance: Basic
tools for nonfinancial managers (4th ed.). Burlington, MA:
Jones and Bartlett Learning.
Chapter 1, “Introduction to Health Care Finance” (pp. 3–10)
In this chapter, you are introduced to the four key elements of
financial management as well as the two types of accounting.
These help set the stage for the weeks to come.
Chapter 4, “Revenues (Inflow)” (pp. 31–40)
This chapter focuses on how health organizations receive
revenue for services and highlights the different sources of

3. revenue.
McClellan, M. (2011). Reforming payments to healthcare
providers: The key to slowing health care cost growth while
improving quality? Journal of Economic Perspectives, 25(2),
69–92.
Copyright 2011 by American Economic Association. Reprinted
by permission of American Economic Association via the
Copyright Clearance Center.
This article discusses the need for cost control in health care
costs, as well as the impact for patients, providers, and
physicians. The author highlights provider payment reforms that
may be key to promoting quality and cutting costs.
Kaplan, R. S., Witkowski, M., Abbott, M., Barboza Guzman,
A., Higgins, L. D., Meara, J. G., & ... Feeley, T. W. (2014).
Using time-driven activity-based costing to identify value
improvement opportunities in healthcare. Journal Of Healthcare
Management, 59(6), 399–412.
Copyright 2014 by Health Administration Press. Reprinted by
permission of Health Administration Press via the Copyright
Clearance Center.
This article discusses the importance of better outcomes and
lower costs when delivering care to patients.
Miller, H. (2011). Transitioning to accountable care:
Incremental payment reforms to support higher quality, more
affordable health care. Pittsburg, PA: Center for Health care
Quality and Payment Reform. Retrieved from
http://www.chqpr.org/downloads/TransitioningtoAccountableCa
re.pdf
This report provides the myriad options for addressing the
growing problem of the cost vs. the quality of health care. The
paper presents “middle ground” possibilities as part of a
payment reform. These include such approaches as “bundling,”
“warranties,” and paying physicians based on an entire patient

4. stay.
Dickson, J. K., Bulley, S., & Oliver, D. (2014). Efficiency and
perceptions of cost in healthcare. British Journal Of Healthcare
Management, 20(5), 222–226.
Nickitas, D. (2013). Health care spending: the cold, hard facts
of cost, quality and care. Nursing Economics, 31(1).
This article discusses the high cost of health care in the United
States and how this spending is adding to the federal budget
deficit and impacting the finances of American families.
Alliance for Health Reform. (2013). Cost of health care. In
Covering health issues (6th ed.). Washington DC: Author.
Retrieved from
http://www.allhealth.org/sourcebooktoc.asp?SBID=5
This chapter discusses the background behind the rising health
care costs, the factors that increase costs, and the consequences
of attempting to bluntly cut costs. The chapter suggests some
solutions, such as increased cost sharing, changes in provider
reimbursement, and investing in health information technology.
Alliance for Health Reform. (2012). Medicare. In Covering
health issues (6th ed.). Washington DC: Author. Retrieved from
http://www.allhealth.org/sourcebooktoc.asp?SBID=5
This chapter provides facts on Medicare and offers some
background information on the issues surrounding this program.
The chapter also discusses current legislation affecting
Medicare and potential results on patients, providers, and
physicians.
Alliance for Health Reform. (2012). Medicaid. In Covering
health issues (6th ed.). Washington DC: Author. Retrieved from
http://www.allhealth.org/sourcebooktoc.asp?SBID=5
In addition to providing facts and background information on
Medicaid, this chapter discusses many facets of the system,
including the spending and “dual eligibles” component. The

5. chapter also includes a discussion of how recent legislation has
changed the program.
Required Media
Laureate Education (Producer). (2015). Introduction to NURS
6211. Baltimore, MD: Author.