Medi-Share Analysis

After reading the case study it seems that one problem between the hospitals and upper management seems to be lack of communication. It seems that Singh and Mrs. Manzoni have not affectively communicated to the hospital administrators what the goals of the company are and what is best for the company. I believe that Mrs. Singh and the hospital administrators value the importance of two different things. Mrs. Singh values the importance of correct data entry into the firm’s management information system. While, the hospital administrators seem to be placing more value on the importance of patient services. In addition, it seems Mrs. Singh does not know what

The five most important characteristics for a healthcare provider is honesty, patience, empathy, responsibility, and a team player. I picked honesty because for me honesty is important because if I was the patient I would like for the nurses and doctors be completely honest with me. To be honest you have trustful. Patients should be able to always have faith in you. You always have to be honest with the patients no matter what. Honesty has a lot to do with the healthcare industry.

Patient Accounting and Practice Management systems are designed to help health care medical practices are to improve the quality of care, cut cost, reduce risk, and increase revenues. When it comes to the size of a medical practice from small, or to a large medical practice, multi-location group this will feather the system to allow in creating and maintaining a patient billing information much faster and more efficiently then it was ever before. Medical Assistants are able to enter a patient information and post any changes much faster and more accurately with the use of a simplified medical billing software that promotes physician acceptance and much greater investment protection that provides faster insurance reimbursement and to improve

Therefore the annual interest rate is 8% and the effective annual rate compounded quarterly is 8.24%

The Medicaid program is jointly financed by the federal government and states. The federal government pays states for a specific proportion of program expenses, called the Federal Medical Assistance Percentage (FMAP). FMAP varies by state based upon criteria such as per capita income. There are no intermediary like Medicare’s HMO and PPO, so payments are made directly to providers. Medicaid covers health insurance up to 400% of Federal Poverty Line for those who are under age 65 and poor and/or disabled through income and excise taxes. Elderly over age 65 who are poor are dual eligible for Medicare and Medicaid. There is an employer-based insurance (EBI) and cost share is between employees and employers.

The Regulation at 42 CFR §407.1(a) states the Supplementary Medical Insurance program (also known as SMI or Part B Medicare) was authorized by Part B of Title XVIII of the Social Security Act. The Regulation at 42 CFR §407.40(a) states that Section 1843 of the Social Security Act provides for State Buy-In Agreements that allow the States to enroll and pay the Part B premiums for eligible individuals. Buy-in is also known as the Medicare Savings Programs (MSP).

Medicaid is a jointly funded, Federal-State health insurance program for individuals who require and are eligible to receive financial assistance. The Federal Medicaid Assistance Percentage (FMAP) is a percentage that the federal government pays the states to provide the necessary coverage for the health needs of the residents; FMAP varies state by state and it is based on capita income which ranges from 50 percent for wealthier states to 75 percent for the states with lower per capita incomes (Medicaid, 2017).

Since 1988, Medicaid has been authorized to reimburse local school districts for related medically necessary services for eligible children before using any IDEA funds. Congress enacted this to ensure Medicaid would cover health-related services under IDEA. Medicaid can pay for some of the health related services required by Part B of IDEA in an IEP, if they are among the services specified. Examples of such services include speech-language pathology services, physical therapy, psychological services, occupational therapy, personal care, special transportation, and medical screening and assessment services. Medicaid also covers many of the health-related services included in

Intermountain Healthcare ("Intermountain" or "IHC") is widely regarded as a successful model of low cost, high quality delivery. The Midwest-based integrated delivery system achieved this reputation by adopting an approach that emphasizes reducing healthcare costs through process-driven delivery quality improvement. The three most important elements of this approach are: 1) the focus on minimizing variation in key processes to enhance treatment quality; 2) a robust clinical information management system which enabled measurement for improvement; and 3) a responsive management structure that effectively seized improvement opportunities.

The Christian worldview holds that one is to honor God by serving others. The scriptures in the Bible teach Christians to act out of kindness, to give unto others, and to treat others as they would like to be treated. Acts 20:35 “In everything I did, I showed you that by this kind of hard work we must help the weak, remembering the words the Lord Jesus himself said: ‘It is more blessed to give than to receive’”

Thought Medicare and Medicaid are both government created and government funded programs they are very different and have very distinct requirements for eligibility. Medicare is designed to help the elderly and disabled get treatment through a long period of time. It consists of four parts: Part A: Hospital coverage, Part B: Medical coverage, Part C: Private coverage, Part D: Prescription drug coverage. Medicaid is very strict on regulations for benefits eligibility. This is a coverage help from the government that is designed to help cover medically necessary treatments/checkups for individuals that have low income. There are certain requirements to this specific plan and there can be many different companies that are Medicaid affiliated.

The Medifast program is a scientifically backed weight loss program. This program consists of nutrient dense meals and vitamins (Medifast Inc., 2016). Medifast‘s most popular meal plan is five Medifast meals and one lean and green meal. Each Medifast meal has the same amount of calories and nutrients, meals are 100 calories each, the lean and green meal consists of 7oz of lean protein and endless amount of greens in the form of veggies or salad. The reason why this plan works is individuals are only consuming less than 1000 calories a day. This helps individuals with portion control and gives them the daily requirements of vitamins and minerals. The basic nature of the Medifast diet it to restrict the caloric intake of obese individuals and supplement with Medifast prepared meals, this ensures optimal weight loss, medical monitoring comes along with this diet, individuals will need to get blood work and routine physician visits, this ensures that individuals are following the meal plan.

President Donald Trump announced last week that his administration will no longer make cost-sharing reduction payments, which have helped nearly 6 million low- and moderate-income Americans afford the health care services and medicines they need. The Affordable Health Care Act requires health insurers to reduce consumer cost-sharing requirements, such as deductibles and co-payments for enrollees who earn between 100 percent and 250 percent of the federal poverty level. The administration's decision to end the cost-sharing reduction payments not only disrupts the health insurance market, but contradicts many of the health reform priorities expressed this year by both the president and members of Congress.

Because mankind was made in God’s image, Christians aspire to follow the footsteps of Jesus as he leads the pathway to the Kingdom of God. So just as Jesus, “healed the leper, the paralyzed, the blind, the deaf, and many who suffer from many diseases,” followers of the gospel are called to “pass through this world doing good.” Not only did Jesus heal, but he turned it around and allowed the once sick to heal. They became “agents of healing and invited to be agents of their own destiny” (Saying and Showing, pg. 31). And as Christians, the gospel calls them to do the same, focusing their attention to the “most abandoned and mistreated” and help bring them to be a part of society.

The intention of this research paper is to further understand the financial statement of four distinct hospitals located in the San Diego, California County. An analysis of the financial report for Sharp HealthCare, Scripps Health, Tri-City HealthCare, and Palomar Health will be briefly discussed individually on each important financial outcome’s Such as: assets, liabilities, revenue, expenses, hospital debt, and investments. To analyze further, a break down between the hospitals assets, liabilities, and revenue will be compared in the paper.