Trends & issues in executive management for health care administrators paper

Trends in Health Care Reimbursement II

It may come as no surprise that the subject of physician compensation has been a hot topic as of late. The health care field has experienced extensive changes as a result of the Patient Protection and Affordable Care Act (PPACA). Not surprisingly, the financial sector of the health care field has also experienced immense changes. As health care organizations strive to offer high-quality and low-cost health care services, new structures of health care organizations and networks of potential physicians entering into these new structures have important ramifications for how to appropriately compensate physicians.

Models such as the Accountable Care Organization (ACO) model, changes to fee-for-service models, and new procedures and guidelines such as bundled payments are just a few aspects that the health care executive must consider when electing how to appropriately compensate physicians. With the passage of the PPACA, new provisions have also been made that affect reimbursement rates for Medicare patients. As a current or future health care executive, you must carefully consider the implications of a certain health care reimbursement strategy for your health care organization.

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1. This week, you examine strategies to reduce hospital readmissions in relation to Medicare reimbursement. You consider how hospital readmissions reflect changing trends in reimbursements for health care services.

Learning Objectives

Students will:

· Evaluate strategies to reduce hospital readmissions in relation to Medicare reimbursement

Learning Resources

Learning Resources

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Trends & issues in executive management for health care administrators paper

Required Readings

Dye, C. F., & Garman, A. N. (2015). Exceptional leadership: 16 critical competencies for healthcare executives. (2nd ed.). Chicago, IL: Health Administration Press.

Chapter 14, “Competency 14: Driving Results” (pp. 157–165)

Chapter 15, “Competency 15: Stimulating Creativity” (pp. 167–176)

Chapter 16, “Competency 16: Cultivating Adaptability” (pp. 177–186)

Butcher, L. (2013). Hospitals strengthen bonds with post-acute providers. Retrieved from http://www.hhnmag.com/articles/5987-hospitals-strengthen-bonds-with-post-acute-providers

Sacks, L.B. (2016). Succeeding with new payment models. In the Society for Healthcare Strategy and Market Development of the American Hospital Association (Ed.), Futurescan healthcare trends and implications: 2016–2021 (pp. 38–42). Chicago, IL: Health Administration Press.

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (n.d.-b). Provider preventable conditions. Retrieved from https://www.medicaid.gov/medicaid/finance/provider-preventable-conditions/index.html

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2016a). Community-based care transitions program. Retrieved from https://innovation.cms.gov/initiatives/CCTP/

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2016e). Readmissions reduction program (HRRP). Retrieved from https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps/readmissions-reduction-program.html

Week 5 Assignment

Reducing Readmissions: Brief to the Board of Directors

In an effort to reduce the high costs of health care, health care executives, physicians, and clinical staff establish guidelines to minimize the rates of readmissions for patients. While certain medical conditions may require that patients are readmitted into health care organizations, for less urgent or extensive medical conditions, ensuring that health care service is administered effectively the first time will go a long way in minimizing readmission. From a financial standpoint, patient readmissions constrict health care services, resources, and staff that would otherwise be used to treat new patient cases. From effective health care delivery, a patient who is readmitted may be an indication of poor-quality health care delivery, ineffective process workflows, or inefficient patient care.

1. For this Assignment, review the resources for this week. Reflect on how health care executives might address the board of directors of a health care organization in order to reduce readmissions. Within the context of Medicare reimbursements, how will reducing readmissions benefit the health care organization?Trends & issues in executive management for health care administrators paper

The Assignment: (3 pages)

2. Write a brief to the board of directors explaining how you, as the chief executive of the hospital, would implement strategies to reduce readmissions within the context of Medicare reimbursement. Be specific and provide examples.

3. Be sure to include support from the literature.

By Day 7

Submit your Assignment.

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Grading Criteria

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Week 5 Assignment Rubric

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Submit your Week 5 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

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Trends & issues in executive management for health care administrators paper