Sustainable health care organizations today need to balance the clinical and fiscal facets of the operation. People at all levels in a health care organization need to understand how the organization makes money (accounts receivable) and how it chooses to allocate or spend these resources (accounts payable).
Early careerists in a health care organization may participate in any or all of the following financial activities:
Evaluate existing and new health care service lines.
Develop a departmental budget.
Provide input to strategic planning or finance department meetings.
Mid-level or advanced careerists may be asked to:
Evaluate higher-level organization financing options.
Anticipate cash flow needs.
Present financial information to the CEO and board.
For the purpose of this assignment, assume you are a manager in a health care organization. Your organization likes to educate employees about the organization’s fiscal operations from the very start—at new hire orientation. You have been asked to conduct a 30-minute presentation at new hire orientation that addresses the organization’s three types of revenue sources: Medicaid, Medicare, and managed care.
Instructions
The PowerPoint presentation you create will contain between 15–20 slides. For one of the studies for this assignment, you conducted independent research on Medicare, Medicaid, and managed care. You will be incorporating this information into your presentation. You will also be expected to record your presentation using Kaltura media or your own device.
Please be sure to address all of the following headings and answer all of the questions underneath each heading in your presentation:
Introduction: Health Care Revenue Sources—Medicare, Medicaid, and Managed Care (2–3 slides)
What are the three main types of health care revenue sources?
Note: Find ways to engage your audience in the first few minutes of your presentation. Can you open with a startling statistic or a compelling quote or question? Feel free to be creative when labeling your slides.
Medicare (3–4 slides)
What is Medicare’s purpose?
What benefits do Medicare program participants receive?
What steps do health care organizations take to be reimbursed for the Medicare services they provide?
Consider creating a flow chart to illustrate the major steps in the process.
What challenges do health care organizations face in terms of reimbursement?
What data and/or quality metrics does the organization need to provide for reimbursement?
How long does it take to receive reimbursement?
Medicaid (3–4 slides)
What is Medicaid’s purpose?
What benefits do Medicaid program participants receive?
What steps do health care organizations take to be reimbursed for the Medicaid services they provide?
Consider creating a flow chart to illustrate the major steps in the process.
What challenges do health care organizations face in terms of reimbursement?
What data and/or quality metrics does the organization need to provide to be reimbursed?
How long does it take to receive reimbursement?
Managed Care (3–4 slides)
What is managed care’s purpose?
What benefits do managed care program participants receive?
What steps do health care organizations take to be reimbursed for the managed care services they provide?
Consider creating a flow chart to illustrate the major steps in the process.
What challenges do health care organizations face in terms of reimbursement?
What data and/or quality metrics does the organization need to provide for reimbursement?
How long does it take to receive reimbursement?
