HSA5400 – Healthcare Financial Management and Economics
Also, keep in mind that citing your sources is a two-step process. You need to provide a matching in-text citation for all sources noted on the reference page.
Deliverable 1 – The Financial and Economic Impact of Expansion
Competency
Compare and contrast the role of finance and economics in the management of health systems in the U.S. and international markets.
Scenario
Metropolitan Memorial is a large healthcare organization in a major city. The hospital has been providing medical care to the patrons of the state for 10 years but recently has noticed that the competition has been affecting its financial growth. The board that governs the hospital has decided that they would like to expand their patient niche into the rural portions of the state. The CEO of Metropolitan Memorial has made you the team leader of the group in charge of analyzing the financial and economic impact of the expansion.
Instructions
Powerpoint – 14 slides
Please focus your research on one international market with a universal health care system), such as Canada, Japan or Switzerland, etc. You should also discuss the positive economic impact that universal health care has had on that country. It would be best if you used specific economic statistics to support your points.
Before initiating the plans for expansion, the CEO has requested you complete a project proposal using presentation software such as PowerPoint using speaker notes for each slide or voiceover narration. Your presentations shouldaddressesthe following key points:
Examine an international market in which expanding coverage of care yielded a positive economic impact.Identify an appropriate healthcare delivery model for the expansion of care.
Resources
Thislinkhas information for creating a PowerPoint presentation.Here is alinkto information about adding speaker notes.Here is alinkto information about creating a voiceover narration using Screencast-O-Matic.
HSA5400 – Healthcare Financial Management and Economics
Deliverable 2 – Budget Shortfalls
Competency
Employ contemporary economic principles that guide resource allocation decisions in health organizations.
Scenario
Upon reviewing the annual budget and fiscal standing of Metropolitan Memorial, the CFO has identified shortfalls that will impact the funding of its proposed expansion into rural communities. To secure adequate funding from the Board, the operational team must reduce the current operating budget by a million dollars.
Instructions
Memo – 6 pages
Be sure to discuss several examples of quality of care thoroughly. It may be beneficial to use specific quality of care measures, such as timeliness of care, mortality, or readmission rates, and explain how budget cuts might impact these. Be sure to select a specific service line, such as cardiology, rhinoplasty, oncology, orthopedics, etc. Once you identify a specific service line be sure to thoroughly address five possible ways in which the service line may maximize resource allocation.
The CFO requests that you draft a memo to the Board providing justification for the additional funding in light of the shortfall. You should review the current literature to support your justification. Your memo should include the following information based on the literature:
Explain the possible impact of resource allocation within rural communities.
Discuss the factors that may affect the quality of care by reducing healthcare resources to accommodate budgetary constraints.
Discuss a potential service line and five possible ways in which the service line may maximize resource allocation.
Resources
This link has information about writing a memo.
HSA5400 – Healthcare Financial Management and Economics
Deliverable 3 – Payment Models and Value-Based Care Delivery
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
Executive summary – 6 pages
Be sure to address reducing per capita costs of health care. When discussing payer mix, be sure to explain the impact of payer mix on revenue thoroughly. You may also want to add a discussion about the impact of revenue from Medicare and Medicaid patients.When discussing value-based healthcare delivery, be sure to thoroughly address how this methodology can be used to save cost. You should also include multiple examples to support your points.
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.
Resources
This link has information about creating an executive summary.
HSA5400 – Healthcare Financial Management and Economics
Deliverable 4 – Conducting a Comparative Financial Analysis
Competency
Analyze financial statements to assess performance and to ensure organizational improvement and long-term viability.
Scenario
In an ongoing effort to explore the feasibility of expanding services into rural areas of the state, leadership at Memorial Hospital has determined that conducting a review of its financial condition will be essential to ensuring the organization’s ability to successfully achieve its expansion goals.
Instructions
Executive summary – 6 pages
The CFO has provided you with a copy of the organization’s financial statements.
Metropolitan-Memorial-Hospital-Financial-Statements.docx – will post in the chat window
This information will be critical in evaluating the organization’s financial capacity to support the proposed expansion of services into the rural areas of the state.
You are asked to review these financial statements (which include the Income Statement, Statement of Cash Flows, and the Balance Sheet) and prepare an executive summary outlining the financial strength of the organization and evidence to support the expansion. Your executive summary should include the following:
An overview of the issue.
A review of critical financial ratios (Liquidity, Solvency, Profitability, and Efficiency) based on financial statements.
Inferences of forecasts, estimates, interpretations, and conclusions based on the key ratios.
Provide a recommendation based on ration analysis.
Resources
This link has information for creating an executive summary.
HSA5400 – Healthcare Financial Management and Economics
Deliverable 5 – Revenue Cycle Management and Reimbursement Models
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 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 makeup 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
Powerpoint – 14 slides
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.
Resources
This link has information for creating a PowerPoint presentation.
Here is a link to information about adding speaker notes.
Here is a link to information about creating a voiceover narration using Screencast-O-Matic.
HSA5400 – Healthcare Financial Management and Economics
Deliverable 6 – Preparing an Operating Budget
Competency
Prepare a financial budget that supports improved business and patient outcomes.
Scenario
One year ago, Metropolitan Memorial expanded its operations into a rural community located approximated a hundred miles from its main facility. The clinic offers a wide array of outpatient services. As the Senior Accountant, you are reviewing the clinic’s operating budget from the previous year. You have been asked by the hospital’s chief administrator to create a new six-month operations budget for the clinic.
Operating-Budget.xlsx – will post in the chat window
Instructions
Memo – 6 pages
Using an Excel spreadsheet, create a new six-month budget for the clinic that includes the following revenue and expense projections:
The clinic’s revenue is projected to grow by approximately 3% as a result of a new managed care contract.
The cost of expenses is expected to increase to 1.5%.
The clinic will also be adding a new roof to the facility at a projected cost of $50,000.
Then prepare a memo for the chief administrator. The memo should include a review of the previous year’s budget, an analysis of the upcoming changes (figures above), and a discussion about the impacts that these changes will have on the budget for the upcoming year.
Resources
You can find Excel resources at thislink.Thislinkhas information about writing a memo.
Metropolitan Memorial Hospital
(Balance Sheet)
(in thousands)
2018 2017
Current AssetsCash$124$280Temporary Investments4530Receivables, Net$1,536$1,340Inventory175140Prepaid Expenses3240Total Current AssetsLong-term Investments1,010600Plant and Equipment6,9806,580Less accumulated depreciation(1,730)(1,660)Plant and Equipment, net5,2504,920Total Assets$8,172$7,350Current LiabilitiesAccounts Payable$302$370Accrued Expense Payable208220Deferred Revenues7760Total Current Liabilities587650Long-term liabilities3,0002,400Total Liabilities3,5873,050Net AssetsUnrestricted3,2853,000Temporarily Restricted700700Permanently Restricted600600Total net assets4,5854,300Total liabilities and net assets$8,172$7,350
Metropolitan Memorial Hospital Statement of Operations
(Income Statement)
2018 2017
Gross patient services revenue (non-GAAP*)$9,490$8,870Less deductions from revenues (non-GAAP)(890)(780)Net patient services revenues8,6008,090Other operating revenues633519Total operating revenues9,2338,609Operating expensesSalaries and wages5,6785,497Supplies850823Utilities576558Insurance4644Depreciation173168Interest146142Bad Debts375363Other operating expenses1,299987Total operating expenses9,1438,582Operating Income9027Nonoperating Income195154Excess of revenues over expenses$285$181Changes in net assetsUnrestricted$285$181Temporarily restricted—Permanently restricted—Total changes in net assets285181
*GAAP = generally accepted accounting principles
Metropolitan Memorial Hospital
(Statement of Cash Flows)
Cash Flows from Operating ActivitiesCash received from patient and third-party payers$8,404Cash received from other operating revenue sources650Cash received from nonoperating revenue sources180Cash payments to employees(4,500)Cash payments to suppliers of goods and services(4203)Net cash flow from operating activities$ 531Cash Flows from Investing ActivitiesCash payments for the purchase of plant assets(940)Cash payments for purchase of long-term investments(450)Proceeds from sales of plant assets54Proceeds from sale of long-term investments49Net cash flow from investing activities(1,287)Cash Flows from Financing ActivitiesProceeds from Issuance of 6% bonds payable3,000Principal payments on long-term debt(400)Cash payments to retire 7% bonds payable(2,000)Net cash flow from financing activities600Net increase / (decrease) in cash$(156)
