Report Issue

The Director of Oncology Nursing has asked you to speak to the nursing staff and some of their patients about the potential value of marijuana use in relieving some of the side effects of chemotherapy. The nursing staff has received many questions about this subject from a number of patients. The staff wants to be able to provide accurate information to them. You have agreed to meet with them. In preparing for this meeting, you are to complete two (2) tasks.(25 points) (A 1½-page response for the combination of Parts A and B is required.)

1st Assignment

What do you believe are the primary advantages and disadvantages of having multiple revenue sources for health care services offered by an organization for planning and reporting purposes?

2nd assignment 

This assignment will require you to consider several influences to the budgeting process of a health care institution. Here, you will review payer mix and other influences to revenue as you consider revenue factors for the budget. Complete the following for this assignment:

• For a health care organization of your choice (real or hypothetical), describe the type of organization, and determine the payer mix of patients served (percentage of Medicare, Medicaid, private insurance, managed care, and private pay).
• Take into consideration that reimbursement can be affected by the claims process, out-of-network payments, denials, audits, and legislation.
• Assess the differences in health care budgeting as a result of these potential changes in the payer mix and payment methodologies as an outcome of the Affordable Care Act.
• Take into consideration that while more patients may have insurance coverage, the out-of-pocket expenses will continue to create a potential uncollectable liability.
• Evaluate how you would strategize to keep a balanced budget for all 12 months in a year using a flexible budget rather than a static budget, and provide rationale and justification.

The body of the resultant paper should be (5) pages and include at least 5 relevant academic or professional references published in the past 5 years.

1. The Internet publishes many examples of health “report cards.” For example, look at material on the website www.opa.ca.gov/Pages/Home.aspx, which was compiled by the State of California’s Office of the Patient Advocate. To what extent do you think consumers can use this information to make effective choices regarding health plans, hospitals, and medical groups? What sorts of individuals will be the most likely to be successful at making these choices?

2. View the You Tube video Pareto Optimality and Pecan Pie.  If various assumptions are met, market competition results in Pareto optimality. What are the advantages of an economy being in a Pareto optimal state? What shortcomings are there to the concept? Argue for or against the following statement: “If we can improve the health of a wealthy person while keeping a poor person’s health the same, we should do so.”

3.  How is the concept of diminishing marginal utility relevant to healthcare? Demonstrate your point with an example.

4.  Suppose a person is considering the purchase of a health insurance policy with a premium of $4,000 per year. For simplicity, assume that it covers all costs (i.e., there are no patient cost-sharing requirements). Further assume that he does not have any coverage options from his employer or spouse. After conducting some research, he finds that a person of his age and health status spends, on average, $3,500 on healthcare services. Explain why such a purchase might be economically rational. Can you think of an instance where it might not be rational for him to purchase the coverage?

5.  Health savings accounts (HSAs) are often touted as a way in which health expenditures can be lowered. Suppose that an individual is given a $1,500 account and a health insurance plan with a $1,500 annual deductible, but that covers all expenses thereafter. The person can use the account toward meeting the deductible, and any money not spent is transferred into the person’s account the following year. Advocates say that such a system would provide coverage for catastrophic losses but make people think twice before using services of marginal benefit. Critics believe that such a system would be harmful to those with chronic illnesses and would not save much money. Do you favor such a system over the status quo? Why?

6.  It is sometimes contended that people are better off if they face more choices in the Marketplace. This issue has been raised in the context of the US Medicare program, where seniors often face 50 or more different health plan choices (in Medicare Advantage and Part D, combined). Provide and discuss two reasons why more choice might be advantageous to seniors and two reasons why it might be detrimental.

Use the Internet or Strayer online database to research the current health care delivery structures—both private and public—within your state(Georgia)
Write a 6-8 page paper in which you:
Analyze the current health care delivery structure in your state. Compare and contrast the major determinants of healthcare market power.
Analyze the main competitive forces in the your healthcare delivery system in your state, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.
Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider’s point of view—i.e., a physician and a healthcare facility—and from a patient’s point of view. Provide a rationale for your response.
Assess the efficiency of the types of economic incentives available to providers in the delivery of healthcare services in your own state.
Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself.
Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives. 
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. 
The specific course learning outcomes associated with this assignment are:
Explain how selected economic principles apply to the health care market and the provision of health care services.
Analyze the factors that are influencing the demand and supply of health care services in the U.S.
Assess current economic trends that influence the cost, quality, and access to care.
Use technology and information resources to research issues in health economics.
Write clearly and concisely about health economics using proper writing mechanics.View less »

The e-business’s board of trustees wants Will Learner to provide assurances that the e-business’s health
institute’s traditional customer constituents are served well by its e-marketing process.
Mr. Learner has turned to your team to provide current information on the ability of online portals, such
as the e-business health institute Web site, to facilitate more adaptable links among the e-business
customer types.
You will draw on your e-marketing expertise to compose a team, a presentation analyzing the following
4 key strategic connections availed by the e-business’s health institute Web site portal:
Business-to-business customer exchanges among the e-business’s business/organizational customers
Business-to-customer exchanges between the e-business’s business/organizational customers and its
individual consumer network of online users and visitors
Customer-to-business exchanges between the e-business’s individual consumer students/users and
business/organizational customers
Customer-to-customer exchanges among the e-business’s constituents
In addition, President Learner has made you aware of the extreme concern among powerful members
on the Med Ed board of trustees regarding ethical and cross-cultural considerations associated with an
online learning platform. Your team’s presentation should also propose policies for ethical safeguards
related to online privacy and guidelines for embracing cross-cultural ethnic health care education
diversity considerations.
Research and complete the e-business presentation slides for
B2B-pattern e-marketing processes that entail exchanges among business/organization customers (e.g.,
financial donors supporting suppliers/vendors, or advertisers promoting educational involvement of
health care organizations): 2 slides
B2C-pattern e-marketing processes that entail exchanges between business/organization customers and
individual consumer students/users (e.g., health care organizations and practical student learning, or
government agencies and student financial aid): 2 slides
C2B-pattern e-marketing processes that entail exchanges between individual consumer students/users
and business/organizational customers (e.g., administrative records management for health care
organizations, or online advertising graphics for advertising sponsors): 2 slides
C2C-pattern e-marketing processes that entail exchanges among individual consumers (e.g., providing
health care education webzine/blog subscriptions, or selling health care education merchandise such as
electronic textbooks and virtual lab programs): 2 slides
Ethical and cross-cultural considerations related to the e-business’s online safeguards for health care
education and student ethnic diversity: 2 slides.
The final product should include an overview and introduction to the e-business customer exchange
patterns as target markets in the e-marketing process strategy at the beginning (1–2 slides) and a
summary of the e-business e-marketing process implementation strategy for the 4 key customer
exchange patterns at the end (1–2 slides).
This is a two part assignment. Do you understand it and can you do it? Remember it is POWERPOINT!