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Annual Report

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Annual Report http://viewer.zmags.com/publication/71bd62a6#/71bd62a6/1 http://my.clevelandclinic.org/about-cleveland-clinic/overview/financial-information.aspx 1. As reimbursement is moving in the fee for service direction and patient satisfaction playing heavily in the reimbursement amount in the future, is the payer mix strong enough to survive the full enactment of the Affordable Care Act? The Cleveland Clinic has a mix of Medicare/Medicaid, private insurance, self-paying, and charity care currently. 2. Case mix management is based on the idea that protocols are set to treat certain illnesses to help with reducing the cost associated, therefore increasing profitability. The Cleveland Clinic has an international patient population and a physician base that is employed by the Clinic and draws a paycheck. The international patients are cash patients and the doctors are not trying to meet any quotas as they get paid the same regardless of what they order or how many patients they see. Is the Clinic strong enough to withstand the future as the physicians are already working together to only order what is necessary for patients, since the case mix management concept has been in place for several years? 3. The Cleveland Clinic has opened several locations within the United States, Canada, and Abu Dhabi. The return on investment has been there for the locations in the US and Canada. Even though the Abu Dhabi location is owned by someone else and managed by the Clinic using some else’s money, would it safe to say the Clinic is risk neutral or a risk...

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