...Summary According to Finkler & Ward (2006), “health care is an enormous part of the US economy, representing 17% of all personal consumption expenditures annually” (p. 7). The health care industry has multiple components, diverse types of providers, and many different types of health care organizations playing an integral part in the delivery of health care. Health care is provided by different health care financial environment namely for-profit organization (FP), not-for-profit organizations (NFP), and governmental organizations (Finkler & Ward, 2006). This paper will identify one entity from each health care financial environment identified from the previous week’s worksheet and will describe the financial structure of each financial environment. This paper will also address the policies that make this financial environment unique and identify which financial management practices are prevalent in the financial environment. This paper will also explain why effective financial management is more difficult in health care than in other industries. Entities FP, NFP, and government facilities exist throughout the country. This paper identifies the first entity FP healthcare organization JFK Medical Center. The second entity is Naples Community Hospital (NCH), a NFP healthcare organization, and the third entity is the Veterans Administration, a government funded facility. JFK Medical Center is a 460-bed acute care medical/ surgical hospital specializing in cardiovascular...
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...To: Mayor Eric Garcetti Date: November 19, 2015 Subject: Veteran Suicide Prevention in California (Nationwide) ______________________________________________________________________________ EXECUTIVE SUMMARY: “All I ever considered when I thought about suicide was the guilt I was feeling and just wanting a way out, wanting to not have those memories anymore,” said Clinton Hall, 35, who served in Iraq and Afghanistan as an infantryman and now lives in Portland, Ore. His friend and fellow soldier killed himself shortly after returning home. An epidemic is raging among us and some of us have no idea the problem sits next to the very flag of freedom we encounter throughout our day. Suicide is one of the many causes of death for American military forces. A research project in 2012 reported in Times Magazine regarding active duty members of the military, shows a surprising 349 veterans took their own lives; more than the death from combat operations that year. The Veteran Affairs Department estimates that 22 vets die by their own hand every day. For a veteran, the sound of a firework can spark a flashback of war; while shopping at the aisles of the super market, a veteran may suddenly feel the need to seek cover as it reminds him of being ambushed in Iraq or Afghanistan. The reality is that our patriots are leaving one battle and returning home to another. Some veterans feel ostracized, others are homelessness, have become drug addict,, and are unemployed. These problems relate to...
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... While of the entities have one singular purpose in mind, the delivery of quality health care services, the entities also are very different in many ways. In health care environments that are available for patients carry many financial requirements. The health care financial environment is the most common for-profit, non-profit and also the government. This paper will give a description of the financial structure is of each environment while looking at the policies are unique to each of the environments. This will be done while also looking at the dominant financial management practices are prevalent within the financial environments and why it is that effective financial management is so difficult inside the healthcare industry as opposed to other industries. Not for profit financial environment Not for profit financial environment can simply be identified by their name and that they have a no profit purpose. A prime example of a not for profit organization is St. Mary’s Hospital located in Wisconsin Serving South Central Wisconsin since 1912, St. Mary's Hospital offers a wide variety of health and wellness services ("St. Mary's Hospital", 2011). St. Mary's offers a full range of inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. However, dealing with the financial structure of a not for profit organization, there is no ownership interest that can be transferred. Keeping this fact...
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... While of the entities have one singular purpose in mind, the delivery of quality health care services, the entities also are very different in many ways. In health care environments that are available for patients carry many financial requirements. The health care financial environment is the most common for-profit, non-profit and also the government. This paper will give a description of the financial structure is of each environment while looking at the policies are unique to each of the environments. This will be done while also looking at the dominant financial management practices are prevalent within the financial environments and why it is that effective financial management is so difficult inside the healthcare industry as opposed to other industries. Not for profit financial environment Not for profit financial environment can simply be identified by their name and that they have a no profit purpose. A prime example of a not for profit organization is St. Mary’s Hospital located in Wisconsin Serving South Central Wisconsin since 1912, St. Mary's Hospital offers a wide variety of health and wellness services ("St. Mary's Hospital", 2011). St. Mary's offers a full range of inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. However, dealing with the financial structure of a not for profit organization, there is no ownership interest that can be transferred. Keeping this fact...
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...Policy Analysis Paper The fate of uninsured Veterans: A policy Analysis University of Mississippi Medical Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of...
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...management is so difficult inside the healthcare industry as opposed to other industries. Not for profit financial environment Not for profit financial environment can simply be identified by their name and that they have a no profit motive. A prime example of a not for profit organization could be a clinic that is located in Marlin, Texas called the Falls Community Hospital and Clinic. This organization offers a cost effective health service to the residents of their town and is mandated to not make a profit but to only make enough yearly revenue to keep things running and to sustain the delivery of its health services. When dealing with the financial structure of a not for profit organization it is key to understand that the ownership interest is not able to be transferred. Keeping this fact in mind, the most logical accounting for this type of financial environment would be fund accounting. With this case the main emphasis is put on resource accountability and according to Finkler (2006) when it comes to not for profits there is utilization of Differential GAAP, which stands for Generally Accepted Accounting Principles). In not for profit organizations they do not have to pay taxes but they do have to file for a tax exempt status. When dealing with the unique policies with a not for profit entity, it is...
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...management within health care organizations can be viewed in a lot of different ways. According to Siddhartha S. Syam & Murray J Cote (2010), “at the beginning of the 21st century, health remains one of the areas of crucial concern for millions of Americans” (p.158). With many changes done in health care legislation, it's giving health care organizations the opportunity to move in a different direction when it comes to reimbursement methods. The government will reimburse most health care organizations depending on the quality of care provided to the patient. The Affordable Care Act (ACA) is what stands out most when talking about reimbursement and the requirements needed when making a claim. For example they highlight operating rules for each HIPAA transaction, the new standards for electronic fund transfer and health care claims, and health plans to certify compliance with the standards and operating rules (Centers for Medicare & Medicaid Services, 2014). So as we all know there are many different types of healthcare organizations that provide medical services to patients in need. Throughout this paper, those kinds of organizations will be touched on along with their differences and similarities of the financial entities for-profit, non-for-profit, and government agencies. The examples I would like to highlight from each economic environment are (for-profit organizations: Private practices, group practices, and outpatient surgical centers), (not-for-profit organizations:...
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...BACKGROUND Despite the excellent quality of American medicine at its best, there are tremendous areas of concern over the quality of medical care as delivered in the United States. A substantial proportion of the American people remain uninsured. There is concern that many people—perhaps most—are not meeting guidelines for control of blood pressure, serum lipids, and diabetes. There is concern that we as a society have not done a good enough job at seeking value. We fail to provide adequate care in some areas while lavishing resources in others. Finally, there is concern over the ability of society to continue to afford the care that is being offered. The Institute of Medicine has called for a medical care system that offers care that is • Safe • Effective • Patient centered • Timely • Efficient • Equitable.1 PROBLEM DEFINITION There are significant problems in the way that medical care is reimbursed. In principal, all goods and services should be priced and paid for by the market mechanism of willingness to pay, governed by supply and demand. However medicine lacks this type of mechanism because the payers are disconnected from the consumers. We have come to see this as the way it should be for 2 interrelated reasons. The first is that very few in society could afford care for catastrophic conditions, such as bone marrow transplantation. The second is that many, perhaps most, people in our society view medicine as a right, much like grade school education or clean...
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...Face-off Anyone hoping for an outbreak of good government is likely to be disappointed Nov 15th 2014 | WASHINGTON, DC | From the print edition * * * SPEAKING at the White House after a stinging mid-term defeat, Barack Obama adopted a conciliatory tone. “Both parties,” he said, “are going to have to come together and compromise to get something done here.” Mitch McConnell, the Republican leader in the Senate, agreed, adding that he hoped the president would work with Republicans on spending, energy and trade agreements. “The question,” said Senator McConnell, “is how do we meet in the middle?” That was in November 2010. There followed a government shutdown, two flirtations with a sovereign default over the raising of the legal limit on government borrowing, and the least productive Congress since anyone began counting. The president and Mr McConnell once again made similar pronouncements about working together after another disastrous mid-term election for the Democrats on November 4th. Those who believe that this time will be different argue that divided government works better when Congress is wholly controlled by one party and the presidency by the other. When the House and the Senate are in the hands of different parties, according to this line of thinking, it is too easy for one to blame the other for intransigence and avoid governing. In this section * Face-off * From olive branch to big stick * Dealing with denial * Bush on Bush ...
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...Indian Health Services System Overview of Indian Health Service The Indian Health Service (IHS), a federal health system, cares for 2 million of the country's 5.2 million American Indian and Alaska Native people. This system has increasingly focused on innovative uses of health information technology and telemedicine, as well as comprehensive, locally tailored prevention and disease management programs, to promote health equity in a population facing multiple health disparities. Important recent achievements include a reduction in the life-expectancy gap between American Indian and Alaska Native people and whites (from eight years to five years) and improved measures of diabetes control (including 20 percent and 10 percent reductions in the levels of low-density lipoprotein cholesterol and hemoglobin A1C, respectively). However, disparities persist between American Indian and Alaska Native people and the overall US population. Continued innovation and increased funding are required to further improve health and achieve equity (Trujillo, 2002). In the 2010 census, 5.2 million people identified themselves as American Indian or Alaska Native, representing 1.7 percent of the US population. American Indian and Alaska Native people experience poor health outcomes and have an average life expectancy that is more than five years shorter than that of the overall US population. The causes of this disparity span the life spectrum, beginning with high infant mortality rates, and include...
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...Name: Course: College: Tutor: Date: To What Degree Did World War II Affect the American Society? World War II occurred between 1939 and 1945. It led to many developments, some of them positive, others negative. One of the effects of World War II in America is that it led to deaths of many Americans. Among these were soldiers and civilians. Some of them were shot while at the war front. Others died due to the harsh environment of the war. According to Somerville (2008) the war left about 418,500 Americans died. This was about 0.32% of the total population. World War II was the highest in position terms of cost in U.S. history with costs over $350 billion and more than 292,000 American military men killed in action. The war also led to the destruction of properties worth billions of shillings. It was an enormous blow to the American economy, although not as much as other countries suffered (Kenneth, 2007) World War II changed the American social structure in a number of ways which included the empowerment of women especially in the workforce. Also many minorities groups got more jobs beside the discrimination by the rich Americans. Also the divorce rate increased and many families were weakened. World War II did affect almost every sector and aspect of American life. The decade of economic hardship is clearly marked to be 1930's. In 1930, the Great Depression got deep, and millions of American citizens were forced out of their jobs. Americans had too little money to provide...
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...Although about half of current medical expenses in the United States are currently paid for through government programs such as Medicare (for the elderly), Medicaid (for the very poor and disabled), and the Children’s Health Insurance Program (CHIP)for children, the American health care system can best be described as a patchwork of public and private programs (such as employer-based coverage). A mixture of public programs and private programs is common among nations that essentially cover all residents, but the American system is unique — and often uniquely inefficient in economic terms. Keywords Accessibility; Adverse Selection; HMO (Health Maintenance Organization); Medicaid; Medicare; Medicare Modernization Act of 2003 (Part D); Managed Care; "Play or Pay" State Health Care Tax Policies; Rationing Health Care; Single-Payer Health Care System; CHIP (Children’s Health Insurance Program); Socialized Medicine; Two-Tiered Health Care System; VA (United States Department of Veterans Affairs) The US Health Care System Social Issues Overview Health Care Systems The medical business defies the normal laws of economics in at least three important ways: * Government-run programs are often cheaper, more administratively efficient, and even of superior quality than privately-run programs at the national level. * Medical insurance functions poorly by market principles unless potential policy holders most in need of health insurance are either denied coverage or are denied...
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...10:00 a.m. EDT Thursday, May 26, 2005 Testimony Before the Committee on Ways and Means, House of Representatives NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Statement of David M. Walker Comptroller General of the United States GAO-05-743T May 26, 2005 Highlights Highlights of GAO-05-743T, a testimony before the Committee on Ways and Means, House of Representatives Accountability Integrity Reliability NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Why GAO Did This Study Before 1969, IRS required hospitals to provide charity care to qualify for tax-exempt status. Since then, however, IRS has not specifically required such care, as long as the hospital provides benefits to the community in other ways. Seeking a better understanding of the benefits provided by nonprofit hospitals, this Committee requested that GAO examine whether nonprofit hospitals provide levels of uncompensated care and other community benefits that are different from other hospitals. This statement focuses on, by ownership group, hospitals’ (1) provision of uncompensated care, which consists of charity care and bad debt, and (2) reporting of other community benefits. The hospital ownership groups were (nonfederal) government, nonprofit, and for-profit. To compare the three hospital ownership groups, GAO obtained 2003 data from five geographically diverse states with substantial representation...
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...Economics of Health Care Quality and Medical Errors Charles Andel, Stephen L. Davidow, Mark Hollander, and David A. Moreno Charles Andel, MBA, BSRT, is Manager of Radiology Quality and Compliance at Loyola University Medical Center and a graduate of Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at cjandel@lumc.edu. Stephen L. Davidow, MBA, APR, is a health care marketing and communications professional with a strong focus on quality and patient safety. He is a graduate of Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at stephen@davidowcommunciations.com or 708-284-2300. Mark Hollander, MBA, is a financial manager at the Department of Veterans Affairs and graduate of Loyola University Chicago ’s Quinlan School of Business MBA in Healthcare Management program. David A. Moreno, MBA, is a biotechnology business analyst and graduate of the Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at dmoreno1@gmail.com. Hospitals have been looking for ways to improve quality and operational efficiency and cut costs for nearly three decades, using a variety of quality improvement strategies. However, based on recent reports, approximately 200,000 Americans die from preventable medical errors including facility-acquired conditions and millions may experience errors. In 2008, medical errors cost...
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...AFGE 2013 Issue Papers Table of Contents Another Manufactured Crisis: What’s Next in the Fiscal Showdown………1 Federal Pay……………………………………………………………….…..…..4 Federal Employees’ Health Benefits Program……………………………….15 Official Time for Federal Employee Union Representatives………….........22 Arbitrary Cuts in Civil Servants………………………………………………..26 Sourcing: Complying with the Law……………………………………….......31 Capping Taxpayer-Funded Service Contractor Compensation……………43 Transportation Security Administration and TSOs…………………………..46 Domestic Partnership Benefits……………………………..………………….49 Employment Non-Discrimination Act……………………………………..…..55 Paid Parental Leave………………………………………………..…………..57 One America, Many Voices Act………………………………………….…....60 Department of Veterans Affairs…………………………………..……………62 Department of Defense……………………………...……….………………...71 Federal Prisons………………………………………………………………….90 Social Security Administration ……………………………………….…...…103 National Guard/Reserve Technicians ………………………...……….……108 D.C. Workers’ Issues …………………...……………………………..…..…117 Equal Employment Opportunity Commission. ……………………..……...120 Another Manufactured Crisis: What’s Next in the Fiscal Showdown? Background At the beginning of January, President Obama signed a tax deal that restored higher Clinton-era rates to those making over $450,000, and funded an extension of unemployment insurance benefits to the long-term unemployed, extended for another year the $240 monthly transit subsidy, but did not...
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