Based on my understanding facilities have fixed expenses like their utilities, rent, malpractice insurance and the list can go on of the things that will remain the same every month despite the volume in patients. They also have variable expenses like payroll, marketing, supplies and the list can also go on in expenses that can vary each month depending of the volume of business the department is doing. I think no one is exempt of change so I will choose the variable expense department. A fixed expense departments might not change in production because everything stays the same and their job is not directly involved with situations that can make a budget vary. Variable expense departments, are usually the ones in direct contact with the patients
You have been asked by a health care magazine to write a series of articles focusing on health care financial concepts. The articles will be included in five consecutive issues and will be geared towards readers with little knowledge of finance. You must ensure that the articles are both informative and engaging to your audience. You must also ensure that your articles relate financial principles to the health care industry.
One of the major functions of a nurse manager is managing a budget and allocating resources necessary to manage the unit or facility effectively. “Major steps in the budgeting process include gathering information and planning, developing unit budgets, developing cash budgets, negotiating and revising, and using feedback to control budget results and improve future plans”(Yoder-Wise, 2012, p. 244). The nurse manager must be able to accommodate variances and acclimate the budget in both the projections and up-to-date expenditures. Proficiency in managing a unit level budget is essential for both a favorable variance and optimal patient outcomes. Budgeting entails reviewing revenues and expenses, staffing costs, supplies, and capital equipment costs (Contino, 2001). This case study examines personnel, overtime (OT), supplies, travel, equipment, and staff education and the manner in which management can address these factors.
I really enjoyed this article, as it went into effective financial planning. The 2 major categories of cost are total charges (the patient's bill) and the cost of providing services. These 2 costs can be defined mathematically in the following indices: average revenue per patient day and the cost per patient day.
Today, health care issues within the United States are still a major concern in regards to where people of our communities do not always agree with what is being done and what is not being done. The three major issues with health care spending is how much is it going to cost and where is the money going to come from? The amount of per-patient costs have doubled more in the United States than other nations around us. The last issue is the amount of Americans that has no health care at all. This paper will discuss the healthcare expenditures that is necessary for our entire population.
Medicare is another section that will feel some relieve from practices brought from the Act. As mentioned before, the cost of health care is expensive, therefore making it difficult for those under the Medicare plan to seek preventive services. Before moving forward on the effects of the Act on Medicare, one must first explain some of the benefits of Medicare. Medicare is the nation’s largest health insurance program, it serves more than forty-two million enrollees, and it was originally established to provide access to health services for the elderly (Carroll, 2009). One can grasp the idea that the nation, along with its government, has made constant efforts to support the health of all Americans. This especially true for the ever growing
It is no secret that the US healthcare has many issues in its system. Especially, when you compare it to other countries like: Great Britain, Japan, France, Canada etc. According to Sultz and Young states that “The United States ranks eighth behind all of these nations in life expectancy at birth, highest in infant mortality rate, and highest in the probability of people dying between the age of 15 and 60 years.” The US healthcare system has many issues like a large number of uninsured According to Sara R. Collins, Munira Gunja and Sophie Beutel in the 2014 census 33 million people were uninsured. Other issues are medical professional shortage, medical error or infection, people using apps to diagnose themselves, and rising cost of care. The main focus in these paper will be the rising of cost. The cost of current health care explains for most of the issues that is happening in this country.
The nation health care system is facing significant challenges that requiring immediate major reforms. Lately close attention is drawn to the uninsured Americans, such as the most painful dilemmas of health care system. The problem of uninsured and uncompensated care continues significantly contribute to the rise of the health care cost and has been a chief topic for public debates and political campaigns for a long time. The purpose of this paper is to describe the current extent of uninsured care and provide the strategies from the nursing point of view how to change the trajectory of this prevalent issue in the USA health care system.
Health care costs have become a major issue in the United States, both socially and politically. According to the U.S. Census Bureau, 50.7 million people, or nearly one in six U.S. residents, were uninsured in 2009 (Kaiser Health News, 2010).This is because the high cost of health care has driven the cost of insurance out of the reach of many Americans.
When you think about health care cost and what was done in the past to help people who could not afford it to be able to get coverage now. Many people will not be able to afford to get the mandatory coverage and if they do, they will not be able to afford to see the physician or take the medication that they needed. Some of the plans worked and others helped for short periods. With other countries, finding ways to make it work for them and stakeholders more worried in the U.S.A. over their assets. With the rise of the older generation living longer but having more health issues is a reason to look into getting better coverage that is affordable for all for health care.
The cost of health explains almost half of the budgets of the state from financing the Medicaid program to providing health care for the employees of the state and other less qualified population like the prisoners (Vanderbeaux, 2014). In America, thousands upon thousands of decisions concerning health care are made by State legislatures every year (Vanderbeaux, 2014). Some of those decisions involve how best to provide appropriate care more efficiently, and deciding on what age group of patients needs to be immunized (Vanderbeaux, 2014).
There have been several failed attempts over the years to control the costs of healthcare. Consequently, a major change in government policy took effect in 2010, with additional implementation in 2014, which is known as Obamacare. Furthermore, there are three main problems with the healthcare system in the United States that need reform, which include increasing costs and unaffordability of healthcare, restricted access to care, and poor quality of care (Geyman, 2012). The purpose of this paper is to investigate the costs of healthcare.
My position on national health care spending is way too much monies is going out and not enough people supporting the problem. A universal health care plan for every man, woman, and child who resides in the United States is the most economical way to achieve this goal. All working citizens must have monies automatically taken out of their paychecks and if you can afford more than the basic plan, then there will be plans available that you can upgrade to like Aflac. No matter how poor or how rich you are, everyone has the basic plan and everyone contributes to that plan. In this paper we will discuss the current level of national health care expenditures, the level of spending, where the nation should cut, and how the
Jose Samudio Oppe Fixed Expenses Period 2 10/20/17 Fixed Expenses Rent $800 Car Insurance $106.20 Telephone $125.00 Internet $84.99 -Total of fixes expenses $1,116.19 for each month. Variable Expenses Gas -Repairs (House, Car)
The reality is cost controls in the health care industry are complicated; regardless, efforts like, creating a competitive insurance market for the consumers is needed, instead of insurance companies avoiding the sickest individuals and encouraging enrollment of well individuals. Consumers should be demanding the best coverage for the lowest cost, but sadly, they don’t know any better and those that do are most likely too frail to fight on capitol hill. Employer-provided insurance plans that do not control cost should be taxed. Think about it, the average employer, like Genesis Health Care offers health insurance, paying more than 70% of our premiums; it’s all tax free, but employees do not know what the insurance really costs and so don’t
The personnel budget, being the largest part of the operating budget, consists of multiple factors such as the average daily census, patient acuity, personnel required relating to full-time equivalents (FTEs), as well as productive and non-productive hours. The supplies include medical and office supplies, minor equipment, orientation and training, and travel expenses. Although budgets are based on assumptions, using the previous year’s expenses for personnel and supplies, helps the nurse manager/leader to accurately predict the next year’s budget.