this is multiple assignmetns,
this is multiple assignments, for each assignment
ASSIGMENT 1
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
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.
ASSINMENT 2
· 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 payable—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.
· Your assignment should be addressed in a 2- to 3-page document.
file:///C:/Users/Lesha/Desktop/BALANCE%20SHEET%20ANALYSIS%20
Assignment 3
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 |
||
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?
· Your assignment should be addressed in an 8- to 10-page document.
https://pocketsense.com/how-to-calculate-pmpm-12205153.html
assignment 4
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.
· Your assignment should be addressed in a 2- to 3-page document.
https://www.investopedia.com/articles/03/082703.asp
Assignment 5
· 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.
· 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.