Financial Management of Healthcare Organizations assignment help
Class: Financial Management of Healthcare Organizations
Text-book: Healthcare Finance: An Introduction to Accounting and Financial Management
This weeks readings:
· Cost Behavior & Profit Analysis
· Cost Allocation
· Pricing & Service Decisions
· Planning & Budgeting
Analyzing Bay Pines Medical Center’s Financial Statement
After gaining an understanding of the components of a financial statement, analyzing and applying what the components represent, in terms of future planning, are the most important aspects of working in healthcare finance. 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 |
Average Cost |
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.
Tasks:
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?
Submission Details:
- Present your analysis as a 3-page report in a Microsoft Word document formatted in APA style.
- On a separate page, cite all sources using APA format.
- Name your document SU_MHC6305_W3_A2_LastName_FirstInitial.doc.
- By Tuesday, June 9, 2015, submit your assignment to the W3 Assignment 2 Dropbox.
Assignment 2 Grading Criteria |
Maximum Points |
Calculated the PMPM rate to cover medical and administrative costs. |
40 |
Calculated utilization rates reduced by 10 percent. |
36 |
Calculated utilization rates reduced by 20 percent. |
36 |
Calculated the rate with the average service cost reduced by 10 percent. |
40 |
Calculated the PMPM premium after utilization and cost reductions. |
40 |
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and APA style attribution of sources; displayed accurate spelling, grammar, and punctuation. |
8 |
Total: |
200 |
Additional Rubric
Criteria
Unsatisfactory
Emerging
Proficient
Exemplary
Score
Assignment Components:
Calculated the PMPM rate to cover medical and administrative costs
0-14 Points
The calculation of the PMPM rate is unclear and inaccurate.
15-24 Points
The calculation of the PMPM rate is somewhat clear and accurate.
25-35 Points
The calculation of the PMPM rate is clear and mostly accurate.
36-40 Points
The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference.
__of 40
Calculated 10% reduced utilization rates
0-12 Points
The calculation of the PMPM rate is unclear and inaccurate.
13-25 Points
The calculation of the PMPM rate is somewhat clear and accurate.
26-32 Points
The calculation of the PMPM rate is clear and mostly accurate.
33-36 Points
The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference.
__of 36
Calculated 20% reduced utilization rates
0-12 Points
The calculation of the PMPM rate is unclear and inaccurate.
13-25 Points
The calculation of the PMPM rate is somewhat clear and accurate.
26-32 Points
The calculation of the PMPM rate is clear and mostly accurate.
33-36 Points
The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference.
__of 36
Calculated the rate with reduced average service cost by 10%.
0-14 Points
The calculation of the PMPM rate is unclear and inaccurate.
15-24 Points
The calculation of the PMPM rate is somewhat clear and accurate.
25-35 Points
The calculation of the PMPM rate is clear and mostly accurate.
36-40 Points
The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference.
__of 40
Calculated the PMPM premium after utilization and cost reductions
0-14 Points
The calculation of the PMPM rate is unclear and inaccurate.
15-24 Points
The calculation of the PMPM rate is somewhat clear and accurate.
25-35 Points
The calculation of the PMPM rate is clear and mostly accurate.
36-40 Points
The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference.
__of 40
Presentation and Writing Components:
Organization
Introduction
Transitions
Conclusion
0 Points
Introduction is limited or missing entirely.
Transitions between ideas are infrequent, illogical, or missing entirely.
Conclusion is limited or missing entirely.
0.5 Point
Introduction is present but incomplete or underdeveloped.
Transitions between ideas are sporadic.
Conclusion is recognizable, but incomplete or underdeveloped.
1 Point
Introduction has an opening, provides some background information, and states the topic.
Transitions between ideas are present.
Conclusion summarizes main argument and has a clear ending.
2 Points
Introduction catches the audiences’ attention, provides compelling and appropriate background information, and clearly states the topic.
Thoughtful transitions between ideas are appropriate and help the flow of ideas.
Conclusion leaves the audience with a sense of closure and provides concluding insights.
__of 2
Style
Tone
Audience
Word Choice
0 Points
Presentation (including background images, text, choice of words, and appropriateness of tone) is lacking or completely overpowers the presentation to the point of interfering with comprehension, or design is inappropriate for the assignment.
0.5 Point
Presentation (such as background images, text, choice of words, and appropriateness of tone) upstages the writing, or design is too understated at points, or design is inconsistent.
1 Point
Presentation (such as background images, text, choice of words, and appropriateness of tone) is clear, appropriate for the assignment, balanced, and compliments the writing.
2 Points
Presentation (such as background images, text, choice of words, and appropriateness of tone) is clear, appropriate for the assignment, balanced, and compliments the writing throughout the presentation. The design engages the audience and does not distract from information.
__of 2
Usage and Mechanics
Grammar
Spelling
Sentence structure
0 Points
Any written portion contains numerous errors in spelling, grammar, and/or has sentence structure that severely interferes with readability and comprehension.
0.5 Point
Any written portion contains errors in spelling and grammar that somewhat interfere with comprehension.
1 Point
Any written portion follows conventions of spelling and grammar throughout. Errors are infrequent and do not interfere with comprehension.
2 Points
The presentation is basically error free in terms of mechanics. In any written portion, grammar and mechanics help establish a clear idea and aid the reader in following the writer’s logic.
__of 2
APA Elements
Attribution
Paraphrasing
Quotations
When appropriate or assigned
0 Points
No attempt at APA formatting in presentation.
0.5 Point
APA format is attempted to paraphrase, quote, and cite, but errors are significant.
1 Point
Used APA format, accurately paraphrased, quoted, and cited in most areas throughout when appropriate or called for. Errors present are mostly minor.
2 Points
Used APA format, accurately paraphrased, quoted, and cited throughout when appropriate or called for. Only a few minor errors present.
__of 2
Comments Total Score ___200