Yale New Haven Hospital: Demand Analysis

This paper will look at the impact of Affordable Care Act on supply and demand in healthcare. The goal is to show if there is equilibrium of supply and demand since the Affordable Care Act was enacted. This has been done by looking at a variety of articles such as The Impact of the Affordable Care Act on the Health Care Workforce. The Affordable Care Act has created provisions to address some of the supply shortages. Through the provision it will take time for the full effects to come to light. This paper will provide valuable information regarding the Affordable Care Act impact on supply and demand.

Baby boomer aging is one of the large causative factors of this increase in demand (Glicken & Miller, 2013, p.1883-1889). According to Glicken & Miller (2013), the elderly population will nearly double in the next fifteen years putting a strain on the healthcare workforce. Also, more than half of physicians have intentions on limiting care access with regards to Medicare patients. Many medical doctors are refusing to care for Medicaid patients. This is a result of the growing number of individuals now with the means to afford healthcare due to the

According to the American Hospital Association the cost of equipment, services, and information services has risen drastically. A huge problem for hospitals now is that there has been an enormous increase in patients who have Medicare or Medicaid. The Hospital Association states that “60% of all admissions. Neither program fully reimburses the cost of hospital care.” Not only is the hospital not getting paid the full amount through the health insurance, but they have also seen a jump in people who do not have insurance and cannot pay for their hospital expenses this averages out to about six percent of hospital expenses. Hospitals must assume these costs as a part of their charity pay. These costs are then calculated and increase the costs of health care for people who pay for it, in order to cover these costs.

As discussed previously, the Affordable Care Act of 2010 passed by the legislature, drastically changed the entire healthcare economy. In fact, ever since the ACA was passed it was required by law for hospitals to increase the amount of attention given to the individuals of the community in order to meet their needs. Also, the ACA allowed close to 10 million individuals to have health insurance through Medicaid and private health insurances, which has a high impact on all the hospitals, such as Yale New Haven. For example, since millions of Americans can now afford health insurance, there is a large influx of patients who can go to hospitals and actually afford the overall cost. The non-profit hospital of Yale New Haven is benefiting in two ways. First, they are achieving their mission by caring for the individuals of their community who now have insurance and secondly, they are being compensated in terms of revenue to improve their organization in regards to hiring the greatest physicians and having the best technology and supplies to treat their large influx of patients (Cunningham, 2015). The rise in health insurances increases the total amount of money earned by that non-profit organization and the amount of patients receiving great quality of care.

Demand is simply defined as goods and services that people are willing and have the ability to buy during a certain time at various prices. Demand in this study will be the request of the patient for medical services. The physicians demand estimates are focused on the recent utilization of healthcare and the delivery patterns. A current pattern of the utilization of physician services is observed as the level of services for what the U.S is willing and able to pay. The demand determinants are based on future demand trends in one of the

On March 23, 2010, President Barack Obama signed the Affordable Healthcare bill into law. There has been much controversy over this Affordable Healthcare Act before and since it was signed into law. It was estimated that 30 million people would sign up for the new healthcare and that the healthcare industry would need a bigger workforce. Within hospitals across the United States there is already a shortage of nursing and medical staff. What will this new law mean for hospitals in their declining health care professionals? In what other ways will this healthcare law impact hospitals across the United States? This paper will attempt to explore some of the realities and possibilities in greater depth.

The health care reform of 2010, Patient Protection and Affordable Care Act (PPACA), signed by the President Barrack Obama marked a significant landmark on the health care system that needed to be changed in order to provide health to the millions of uninsured in the United States. Nurses play an important role in the Affordable Care Act. According to Nickitas (2015), “nurses need deep understanding of the cost of care, health economics, and policy. Understanding the impact of the cost of care on society at large is an ethical imperative, particularly because nurses are consistently rated by society as the most trusted professionals” (p.158). The purpose of this paper is to discuss the financial factors that influence the health care today. Topics like cost containment, reimbursement methods, economic factors, funding sources, and business influences will also be explored.

In review of the balance sheet, appears a significant difference in liabilities and equity. Shown is a drastic increase (248%) in long term debt. The possible explanation for this change may have been the result of the hospital acquiring a loan for a new treatment center on campus (property, plant and equipment). With this being the case, explains the increase in inventories that are up 118% from 2008 to 2009.

Since the implementation of the Affordable Care Act, emergency department (ED) volume has increased exceeding 15% over budget in our facility in approximately one-year. This phenomenon is not isolated to our facility, it is a nationwide issue (American College of Emergency Physicians, 2014). In addition, ED lobby wait time has increased and the left without being seen (LWBS) numbers have climbed to over 6%. Furthermore, the ED was increasingly boarding admitted patients.

Health care in America has been a challenging topic to address, dating back to the 1900s. Politicians, businesses and citizens of this country all differ in their perception of how health care in America should operate. In 2010 the Affordable Care Act was passed to help set the foundation for a comprehensive health care system aiming to provide insurance to those in need. In this article we will briefly digest through the history of the American health care system, the rising of the Affordable Care Act, its pros, its cons and the impacts, the Act, has had on large corporations and employees.

“Demand for urgent care will be strongly affected by healthcare reform and alternate payment initiatives, whose impact on the market is still a partial unknown. It is estimated that there will be an increase of 26 million nonelderly insured by 2017, while demand for primary care physicians is expected to exceed supply by 53,000. An aging population will also increase demand” (Kaplan, Marc). Between 2010 and 2012 three urgent care chains were opened by private organizations. In 2012 hospitals and health care systems also started purchasing urgent care centers. Organizations are identifying the advantage of urgent care centers (Kaplan,

Financial issues in the healthcare industry are a significant problem, and there is a need for organizations to take the appropriate approach in resolving their financial status. One problem that smaller organizations face is the limitation in the budget, which restricts their ability to invest in a large range of resources. Additionally, the problem further enhances by the preference of patients to visit bigger institutions that have different benefits, numerous services, and higher quality services. In essence, larger organizations have an advantage of a larger budget that allows investment in the service provision. Hence, there is a need for an accounting department that analyzes the expenditure of the

Principals to the workings of any economy are the laws of supply and demand. When the supply, price, quality and demand for a service are in line with the market it can potentially work to its optimum. The laws of supply and demand trigger’s the nation’s economy which also applies to the delivery of health care services. The health care market is notably full of distortion. One reason for this distortion is a separation between the supply and demand of services. This, in turn or in part by the fact that consumers are not aggressively involved and appropriately educated as partners in the consumption of health care services. “Demand” strategies are fixated on just that issue: shifting how health care services and products are used by consumers,

Feather River Hospital is a 100+ bed facility with a primary focus on servicing the undeserved. This case study will flesh out the hospital’s financial potential for 2014 and 2015. First, a base analysis will be calculated which represents the organizations ability to operate with an excess of revenue over expenses. Second, the use of trend analysis will used to track data for all years (2011-2013) to assess the achieved annual net revenue. Lastly, I will create a forecast to predict the organizations profitability for 2014 and 2015.

The statements made in the CEO’s report to the board prove to be incorrect. Although the cash and cash equivalents plus net receivables were a higher dollar value in 2009, the liabilities were also higher in 2009. More inflow of revenue is good but does not necessarily mean the hospital was more profitable. Both the unaudited and audited statements show PFCH had a higher dollar value of liabilities in 2009 than in 2008. The ratio of cash and cash equivalents plus net receivables versus current liabilities in 2009 was only 3 to 1. In 2008, it was a whopping 9 to 1. Again, this shows the hospital was more profitable in 2008.