There is a recent trend among charitable clinics to move from a free service model to one that is fee-based. Organizations are motivated to make this kind of transition because of the extra revenue that fees bring in, beliefs about the ways that a person behaves when they pay for a treatment, and the social stigma associated with no-cost services. There are several factors that an organization like the Georgia Lions Lighthouse Foundation (GLLF) should consider when contemplating transitioning away from a free clinic. This memo serves as a guideline for how the GLLF should analyze what this transition would change within the organization. An organization might choose to implement one of the following fee models (for any of these models, it is advisable for the organization to stipulate a policy for if and when a fee might be waived or reduced): • A sliding scale, based on household income. • Appointment or administrative fees, full or partial. • Charge fees for goods but not for services. For example, the GLLF would charge for a pair of eyeglasses or a hearing aid but not for the examinations. The most obvious benefit of instating fees is financial. Formerly free services and goods will generate revenue that will go towards continued funding. The other suggested benefits of re-branding are dependent on …show more content…
The GLLF must be aware of what it could be sacrificing by making this change. When goods or services are no longer free, it would be logical to see a decrease in the number of recipients, because at any given rate some individuals will be prevented from opting-in (unless a policy is established that waives fees for those individuals). An additional concern is that moving away from a free clinic will render the organization ineligible for state Sovereign Immunity protection against issues of liability. Therefore, the GLLF would need to secure its own protection against lawsuits with professional liability
This case study looks at the challenges faced by Matt Hayes, executive director of Riverview Regional Medical Center (RRMC). Previously named as “The Holy Name of Jesus Hospital”, the facility was owned and operated by Catholic nuns. The Hospital Management Associates (HMA) bought the facility in August 1991 and modify the name to Riverview Regional Medical Center. Hospitals that were taken over by HMA upgraded to state-of-the-art facilities that provided high quality medical care. RRMC run numerous private practices throughout the city and shared common medical staff with their chief opponent, Gadsden Regional Medical Center (GRMC). However, the common staff from the Emergency and Radiology department were not shared. Over the past years, RRMC has been facing multiple challenges concerning the different services provided by the facility (Swayne, Duncan, & Ginter, 2013).
The purpose of this paper is to conduct a comparative analysis between for-profit hospitals and not-for-profit hospital. It will discuss the characteristics of each as well as factors affecting the operations of both systems. Additionally, it discusses potential areas of improvement and some of the challenges associated with each relative to finance and operations.
Prices of the different products and services of the organization should be market specific. The economic capability and disposable income of clients should be put into consideration in setting prices for the products and services offered by the organization. By matching prices with the economic capability of a people, it would be much easier to for customers to access the products and services without straining or having to compromise and going for other products of lower quality (Donna, 2012).
The debate over non-profit versus for-profit healthcare organization has been ongoing, does one provide better care than the other? Do the operations of for profit perform better than the non-profit organizations? Are the criticisms about for-profit organization validated and is there proof? The goal is to examine those questions as well as offer options to improve the financial and operational performance of non-profit and for-profit organizations criticisms.
It is essential to have 501 © 3’s. 501 © 3’S play an important role within society today. When the U.S. government is not able to satisfy the needs of their people, for profit and nonprofit organizations come in to meet these needs of society so that they are content. One nonprofit organization that has helped people all throughout the world is the Goodwill of North Georgia. Before every for profit or nonprofit organization started, needs within society needed to be taken care of. This paper will be discussing the history, social problem, background of director, successes and challenges, and the effectiveness of the nonprofit organization the Goodwill of North Georgia.
Nonprofit hospitals have become a common characteristic of the hospital sector because they can be found across the country because of their presence in almost every corner, they never decline to provide treatment, and offer several community-based health programs. On the contrary, the for-profit health facilities are regarded as the corporate model of health care services as they seek to make profit first. They enjoy huge capital that enables them to develop state-of-the-art facilities and purchase the latest clinical technologies.
If I were to give each of you $100 right now, wouldn’t you be happy? (Attention) Well I can’t do that. This is because even when something seems free, there is always a net financial investment. This is clearly seen through the volunteers of the hospital. Today I will show you the financial impact that a volunteer has on the hospital and patient experience. (General Purpose) We will look at the costs of running a volunteer program, the financial return volunteers provide, and the invaluable impact on the patient experience in a hospital. (Preview)
Due to the lack of affordable healthcare now available I propose setting up free clinics in areas where most of the population is living below the poverty line. While this is a preferable situation the fact of the matter is that it takes money to run these types of establishments and the funds must come from somewhere to keep the doors open. Therefore I believe the best solution to the matter is to have the free clinic be a branch of a main, clientele paying, hospital and that it should be staffed by medical school students and residents to keep the cost of paying the doctors
When the organisations are pricing each item they allow for a reasonable amount of work to be required.
Duke University Children's Hospital was facing a financial crisis in 1996 that required turnaround and transformation in order for the hospital to survive (Spector, 2013). On top of the financial crisis, caused by decreased Medicaid allowances and an increase in capitated reimbursement patients, patient and staff satisfaction had reached an all-time low (Spector, 2013). The hospital's chief medical director, Jon Meliones, understood that the hospital could only do so much to control their financial outcomes and a united front would be needed to bring about effective and impactful change (Spector, 2013).
Though they are not entirely comprehensive tools, a great deal can be learned about a hospital or other healthcare organization for-profit or not-for-profit from an examination of their annual financial documents (Finkler & Ward, 2006). The balance sheet and statement of revenue and expense can both yield valuable clues even in the absence of other evidence about changes that might be occurring in the organization, a definition of the type and degree of certain problems that it might be facing, and potential opportunities for improvement in performance that might exist (Finkler & Ward, 2006). Comparing two or more years' worth of financial information yields even more valuable insights, tracking movement in the hospital or other organization's ability to finance its activities and thus continue providing services at the same level, quantity, and scope as current operation.
Next, we studied the financial structures of health care organizations. Specifically, we examined the structure of nonprofit healthcare organizations. I remember spending a good amount of time debating whether or not nonprofits should maintain their tax exempt status. As someone who had spent their entire professional career working for a nonprofit organization, I often viewed myself as the sole champion for these organizations. In sessions and on the discussion boards, I advocated that nonprofit healthcare organizations in most situation function as a safe net of the community and that the level of community benefits these organizations provide do justify the lost revenue for state and federal agencies.
8. Establishes community support and involvement. "Any hospital that develops a free clinic in conjunction with local businesses, governmental units and, in some cases, religious organizations, realizes significant new community support and involvement," he
Hospitals and health systems in the U.S. are experiencing a remarkable transformation in their business models directed from numerous influences that are projected to ultimately turn the industry around. Pressures include providers troubled with the quantity of services they are responsible for, to providers who concentrate on presenting high-cost services that give emphasis to sustaining healthy populations (Dunn & Becker, 2013).
This rewards quantity over quality. Fee for service does nothing to promote low cost, high value services, such as preventive care or patient education even if they could considerably enhance patients’ physical condition and reduce health care costs through the system. 78% of employer sponsored health insurance is was fee for service. Reimbursement is the form of payment for services provided. The most common practice is the insurance company pays to the provider directly. Under the MCO when receiving care the patient is usually required to pay a small amount out of pocket such as 15 or 20 dollars and the rest is picked up by the managed care plan.