Description
Week 1 Project
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Instructions
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
Identify 6 major third-party payers who provide revenue to healthcare providers. Analyze at least 2 provider incentives and risks under each of the following reimbursement methods:
Cost based
Charge based
Per procedure
Per diagnosis
Per diem
Bundled payment
Capitation
Fee for service
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details :
Your assignment should be addressed in a 2- to 3-page document.
Submit your document to this appropriate Submissions Area by the due date assigned.
Week 2 Project
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Instructions
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting. Review the following information on balance sheet analysis and business calculations:
Balance Sheet Analysis
Calculating Debt Ratio in Excel
Calculating Working Capital
Review the following balance sheet:
Best Care Health Maintenance Organization (HMO)
Balance Sheet
June 30, 2011 (in thousands)
Assets
Current assets: Cash
Net premiums receivable
Supplies
$2,737
$821
$387
Total current assets
$3,945
$3,945
Net property and equipment
$5,924
Total assets
$9,869
Liabilities and Net Assets
Accounts payableâ€â€medical services
$2,145
Accrued expenses
$929
Notes payable
$382
Total current liabilities
$3,456
$3,456
Long-term debt
$4,295
Total liabilities
$7,751
$7,751
Total assets
$9,869
Net assets-unrestricted (equity)
$2,118
Total liabilities and net assets
$9,869
Answer the following questions after your analysis:
What is Best Care’s net working capital for 2011? Show your work.
What is Best Care’s debt ratio? Show your work.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
Your assignment should be addressed in a 2- to 3-page document.
Submit your document to this appropriate Submissions Area by the due date assigned.
Week 3 Project
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Instructions
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.Consider the following data and make your best analysis of
per member per month
(PMPM) rates, considering reductions in utilization or pricing. Bay Pines Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics:
Service Category
Inpatient Days
per 1,000 Enrollees
Average Cost
per Day
General
150
$1,500
Surgical
125
$1,800
Psychiatric
70
$700
Alcohol/Drug Abuse
38
$500
Maternity
42
$1,500
Total
425
$1,367
In addition to medical costs, Bay Pines allocates 10 percent of the total premium for administration/reserves. On the basis of your data analysis, respond to the following:
What is the PMPM rate that Bay Pines must set to cover medical costs plus administrative expenses?
What would be the rate if a utilization management program were to reduce utilization within each patient service category by 10 percent? And by 20 percent?
Consider the initial base case utilization assumption. What rate would be set if the average cost on each service were reduced by 10 percent?
Assume that both utilization and cost reductions were made. What would the premium be?
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
Your assignment should be addressed in an 8- to 10-page document.
Submit your document to this appropriate Submissions Area by the due date assigned.
Week 4 Project
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Instructions
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.Money has different values based on time. Money in your pocket has a current value, but money owed to you has a varying value based on how sure it is that you will receive it and when. It is possible to estimate its value. In this assignment, you will analyze the value of money on the basis of this Week’s learning. Review
Understanding The Time Value of Money
to attain more information on how the value of money is based on time. Find the following values for a lump sum assuming annual compounding:
The future value of $500 invested at 8 percent for 1 year
The future value of $500 invested at 8 percent for 5 years
The present value of $500 to be received in 1 year when the opportunity cost rate is 8 percent
The present value of $500 to be received in 5 years when the opportunity cost rate is 8 percent
Analyze present and future values and their implications for the balance sheet and the budget of an organization.
Submission Details:
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Your assignment should be addressed in a 2- to 3-page document.
Submit your document to this appropriate Submissions Area by the due date assigned.
Week 5 Project
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Instructions
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
Describe the three types of project risks and detail the situation in which each type is most relevant when making a capital budgeting decision. Be sure to include the effect of correlation.
Compare and contrast cash accounting methodology and accrual accounting methodology in order to illustrate how each works best for different types of companies.
Submission Details:
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Your assignment should be addressed in an 8- to 10-page document.
Submit your document to this appropriate Submissions Area by the due date assigned.
