MHC6305 WEEK 3 DISCUSSION AND PROJECT INSTRUCTIONS

Week 3 will focus on managerial accounting, which is the development and use of information designed to help health services managers perform management and control functions in their organizations. It will cover cost behavior and profit analysis—topics that many consider to be the cornerstones of managerial accounting. The unit’s lectures will discuss cost allocation, pricing, planning, budgeting, and the mechanics of managerial accounting and its value to health services managers.

Your Learning Objectives for the Week:

• Develop, analyze, and draw conclusions from a healthcare organization’s (HCOs) budget.
• Analyze and recommend pricing and negotiation strategies under various models of reimbursement.

MHC6305 WEEK 3 DISCUSSION AND PROJECT INSTRUCTIONS

· Week 3 Discussion

Discussion Topic

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 Due June 17 at 11:59 PM

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Before beginning work on this discussion forum, please review the link “ Doing Discussion Questions Right ,” the expanded grading rubric for the forum, and any specific instructions for this topic.

Before the end of the Week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.

Review the  CVP-graph PDF  for more information on CVP graphs and how to read them. Assuming the graphs are drawn to the same scale, consider the break-even charts—cost-volume-profit (CVP) graphs—below for two competing providers operating in a fee-for-service environment. On the basis of your understanding of variable cost rate, per-unit revenue, contribution margin, fixed costs, and the CVP graphs above, answer the following questions:

· Explain how the CVP graphs would change if the providers were operating in a discounted fee-for-service environment.

· Explain how the CVP graphs would change in a capitated environment. Evaluate which provider is in the best position to grow its business.

· Provide reasons for and evidence in support of your responses.

To support your work, use your course and textbook readings and also use the  South University Online Library . As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your initial posting should be addressed at 300-500 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.

Respond to your peers throughout the unit. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of the week.

Use the following rubric as a guide to complete your discussion responses.

· Week 3 Project

Assignment

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 Due June 21 at 11:59 PM

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Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.

Consider the following data and make your best analysis of  per member per month  (PMPM) rates, considering reductions in utilization or pricing. Bay Pines Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics:

Service Category	Inpatient Days  per 1,000 Enrollees	Average Cost  per Day
General	150	$1,500
Surgical	125	$1,800
Psychiatric	70	$700
Alcohol/Drug Abuse	38	$500
Maternity	42	$1,500
Total	425	$1,367

In addition to medical costs, Bay Pines allocates 10 percent of the total premium for administration/reserves.

 On the basis of your data analysis, respond to the following:

· What is the PMPM rate that Bay Pines must set to cover medical costs plus administrative expenses?

· What would be the rate if a utilization management program were to reduce utilization within each patient service category by 10 percent? And by 20 percent?

· Consider the initial base case utilization assumption. What rate would be set if the average cost on each service were reduced by 10 percent?

· Assume that both utilization and cost reductions were made. What would the premium be?

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Details:

·  Your assignment should be addressed in an 8- to 10-page document.

·  Submit your document to this appropriate Submissions Area by the due date assigned.

6/14/2021 Rubric Assessment – MHC6305-Financial Management of Healthcare Organizations SU01 – South University

https://myclasses.southuniversity.edu/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=78100&evalObjectId=394546&evalObjectType=1&userId=4901&viewTypeId=3&rubricId=237557&… 1/2

Close

Print Rubric MHC6305 Week 3 Project Rubric Course: MHC6305-Financial Management of Healthcare Organizations SU01

/ 60

Criteria No Submission 0 points

Emerging (F through D range) (1–41) 41 points

Satisfactory (C range) (42–47) 47 points

Proficient (B range) (48–53) 53 points

Exemplary (A range) (54–60) 60 points

Criterion Score

Includes all

assignment

components and

meets graduate

level critical

thinking. A purpose

statement is

identified for the

response.

Student did not submit

assignment

Work minimally meets

assignment

expectations. No

purpose statement is

provided.

Assignment meets

some expectations with

minimal depth and

breath. Purpose

statement is vague

Assignment meets

most of expectations

with all components

being addressed in

good depth and

breadth. Purpose

statement is present

and appropriate for the

assignment.

Assignment meets all

expectations with

exceptional depth and

breath. A

comprehensive

purpose statement

delineates all

requirements of the

assignment.

/ 55

Criteria No Submission 0 points

Emerging (F through D range) (1–37) 37 points

Satisfactory (C range) (38–43) 43 points

Proficient (B range) (44–48) 48 points

Exemplary (A range) (49–55) 55 points

Criterion Score

Integrates and

understands

assignments

concepts and

topics.

Student did not submit

assignment

Shows some degree of

understanding of

assignment concepts

Demonstrates a clear

understanding of

assignment concepts

Demonstrates the

ability to evaluate and

apply key assignment

concepts.

Demonstrates the

ability to evaluate,

apply and integrate key

assignment concepts.

Criteria No Submission 0 points

Emerging (F through D range) (1–34) 34 points

Satisfactory (C range) (35–39) 39 points

Proficient (B range) (40–44) 44 points

Exemplary (A range) (45–50) 50 points

Criterion Score

6/14/2021 Rubric Assessment – MHC6305-Financial Management of Healthcare Organizations SU01 – South University

https://myclasses.southuniversity.edu/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=78100&evalObjectId=394546&evalObjectType=1&userId=4901&viewTypeId=3&rubricId=237557&… 2/2

Total / 175

Overall Score

/ 50

Criteria No Submission 0 points

Emerging (F through D range) (1–34) 34 points

Satisfactory (C range) (35–39) 39 points

Proficient (B range) (40–44) 44 points

Exemplary (A range) (45–50) 50 points

Criterion Score

Synthesizes,

analyses, and

evaluates resources

to apply concepts

in the assignment.

Student did not submit

assignment

.

Does not interpret,

apply, and synthesize

concepts, and/or

strategies.

Summarizes

information gleaned

from sources to

support major points,

but does not

synthesize. Provides

minimal justification to

support major topics.

Uses 1 credible

resource in the

assignment.

Synthesizes and

justifies (defends,

explains, validates,

confirms) information

gleaned from sources

to support major points

presented. Uses a

minimum of 2 credible

resources in the

assignment.

Synthesizes and

justifies (defends,

explains, validates,

confirms) information

gleaned from sources

to support major points

presented. Uses 3

credible resources for

the assignment,

including at least 1

scholarly peer-

reviewed resource.

/ 10

Criteria No Submission 0 points

Emerging (F through D range) (1–6) 6 points

Satisfactory (C range) (7) 7 points

Proficient (B range) (8) 8 points

Exemplary (A range) (9–10) 10 points

Criterion Score

Uses correct

spelling, grammar,

and professional

vocabulary.

Provides credible

resources using

correct APA format.

Student did not submit

assignment

Contains many (≥ 5)

grammar, spelling,

punctuation and APA

errors that interfere

with the reader’s

understanding.

Contains a few (3-4)

grammar, spelling,

punctuation and APA

errors.

Uses correct grammar,

spelling, and

punctuation with no

errors. Contains a few

(1–2) APA format

errors.

Uses correct grammar,

spelling, and

punctuation with no

errors. Uses correct

APA format with no

errors.

No Submission 0 points minimum

Emerging (F through D range) 1 point minimum

Satisfactory (C range) 122 points minimum

Proficient (B range) 140 points minimum

Exemplary (A range) 157 points minimum

 

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