BUS 5651 Healthcare Policy

Lecture: Introduction

Lecture: Overview of Healthcare Finance

Lecture: Reimbursement

Outcomes

• Define key terms
• Describe the healthcare finance system
• Explain the types of regulatory drivers of the healthcare finance system
• Outline the decision-making process in a healthcare organization
• Describe the Medicare reimbursement systems for hospitals, physicians, and ambulatory surgery centers
• Describe the billing and coding system for health services

Lecture: Managed Care

Lecture: Consumer Driven Health Plan

Lecture: Overview of Managed Care Contracts, Part I

Lecture: Overview of Managed Care Contracts, Part II

Outcomes

• Analyze the basic methods of payment for healthcare firms
• Define the basic healthcare pricing formula
• Be able to list some of the important considerations when negotiating a managed care contract
• Define key managed care terms
• Define four main activities of health plans
• Describe some of the methods by which providers are paid in a managed care environment
• Describe the legal and regulatory issues that affect MCOs

Lecture: Accounting

Lecture: Financial Statements

Outcomes

• Describe the differences between financial and managerial accounting
• Understand the differences between the accrual and cash basis methods of accounting
• Analyze fund accounting and the three categories of net assets
• Discuss the accounting conventions that affect the application of accounting principles
• Identify four major types of financial statements and explain the type of information provided on each
• Recognize and distinguish between the types of allowances that affect healthcare organizations’ receivables
• Discuss the major components of a statement of revenue and expenses

Lecture: Financial Ratio Analysis

Lecture: Hospital Specific Ratios

Outcomes

• Describe the balanced scorecard and dashboard reporting
• Explain the most important measure of financial success
• Analyze what a healthcare firm's primary financial objective should be
• Describe the critical drivers of financial performance
• Discuss relevant healthcare performance measures

Lecture: Strategic Financial Planning

Outcomes

• Describe the relationship between financial planning and strategic planning
• Define the requirements for effective financial planning and policy making
• Explain how management control is used in conjunction with the financial plan

Lecture: Cost Concepts

Lecture: Activity-Based Costing

Lecture: Budgeting

Outcomes

• Define key cost concepts
• Explain the difference between controllable and noncontrollable costs
• Discuss the types of costs that might be relevant when considering alternative projects
• Define activity based costing
• Discuss the relationship between planning, budgeting, and control
• Describe the steps in the budgeting process

Lecture: Management Control and Variances

Outcomes

• Describe a budget and how management uses it
• List the major types of budgets and describe how they are used
• Explain the budgeting process
• Define key variances
• Define variance analysis and how it is used by management
• Explain and calculate price, efficiency, and volume variances

Lecture: Capital Project Decision-Making Process

Lecture: Mergers and Acquisitions

Lecture: Capital Formation

Outcomes

• Explain who is involved in the capital investment decision process
• Discuss the stages of the capital decision-making process
• Understand what types of information are needed to evaluate a capital investment decision project
• Define key words
• Explain some possible reasons for consolidations, mergers, and acquisitions
• Understand the common methods for valuation of a potential target firm
• Identify the sources of equity financing
• Discuss the major bond-ration agencies and explain their role in the debt market
• Describe alternate debt financing sources