Analyzing Bay Pines Medical Center's Financial Statement 3pages APA

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Question description

NO plagiarism please. Only bid if you understand Financial analysis

Class: Financial Management of Healthcare Organizations

Text-book: Healthcare Finance: An Introduction to Accounting and Financial Management

·  Cost Behavior & Profit Analysis

·  Cost Allocation

·  Pricing & Service Decisions

·  Planning & Budgeting

Analyzing Bay Pines Medical Center's Financial Statement

After gaining an understanding of the components of a financial statement, analyzing and applying what the components represent, in terms of future planning, are the most important aspects of working in healthcare finance. 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

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?

Submission Details:

• Present your analysis as a 3-page report in a Microsoft Word document formatted in APA style.
• On a separate page, cite all sources using APA format.
• By Tuesday, June 9, 2015, submit your assignment to the W3 Assignment 2 Dropbox.
 Assignment 2 Grading Criteria Maximum Points Calculated the PMPM rate to cover medical and administrative costs. 40 Calculated utilization rates reduced by 10 percent. 36 Calculated utilization rates reduced by 20 percent. 36 Calculated the rate with the average service cost reduced by 10 percent. 40 Calculated the PMPM premium after utilization and cost reductions. 40 Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and APA style attribution of sources; displayed accurate spelling, grammar, and punctuation. 8 Total: 200

 Criteria Unsatisfactory Emerging Proficient Exemplary Score Assignment Components: Calculated the PMPM rate to cover medical and administrative costs 0-14 Points The calculation of the PMPM rate is unclear and inaccurate. 15-24 Points The calculation of the PMPM rate is somewhat clear and accurate. 25-35 Points The calculation of the PMPM rate is clear and mostly accurate. 36-40 Points The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference. __of 40 Calculated 10% reduced utilization rates 0-12 Points The calculation of the PMPM rate is unclear and inaccurate. 13-25 Points The calculation of the PMPM rate is somewhat clear and accurate. 26-32 Points The calculation of the PMPM rate is clear and mostly accurate. 33-36 Points The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference. __of 36 Calculated 20% reduced utilization rates 0-12 Points The calculation of the PMPM rate is unclear and inaccurate. 13-25 Points The calculation of the PMPM rate is somewhat clear and accurate. 26-32 Points The calculation of the PMPM rate is clear and mostly accurate. 33-36 Points The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference. __of 36 Calculated the rate with reduced average service cost by 10%. 0-14 Points The calculation of the PMPM rate is unclear and inaccurate. 15-24 Points The calculation of the PMPM rate is somewhat clear and accurate. 25-35 Points The calculation of the PMPM rate is clear and mostly accurate. 36-40 Points The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference. __of 40 Calculated the PMPM premium after utilization and cost reductions 0-14 Points The calculation of the PMPM rate is unclear and inaccurate. 15-24 Points The calculation of the PMPM rate is somewhat clear and accurate. 25-35 Points The calculation of the PMPM rate is clear and mostly accurate. 36-40 Points The calculation of the PMPM rate is clear and accurate and is supported by a peer reviewed reference. __of 40 Presentation and Writing Components: Organization Introduction Transitions Conclusion 0 Points Introduction is limited or missing entirely. Transitions between ideas are infrequent, illogical, or missing entirely. Conclusion is limited or missing entirely. 0.5 Point Introduction is present but incomplete or underdeveloped. Transitions between ideas are sporadic. Conclusion is recognizable, but incomplete or underdeveloped. 1 Point Introduction has an opening, provides some background information, and states the topic. Transitions between ideas are present. Conclusion summarizes main argument and has a clear ending. 2 Points Introduction catches the audiences’ attention, provides compelling and appropriate background information, and clearly states the topic. Thoughtful transitions between ideas are appropriate and help the flow of ideas. Conclusion leaves the audience with a sense of closure and provides concluding insights. __of 2 Style Tone Audience Word Choice 0 Points Presentation (including background images, text, choice of words, and appropriateness of tone) is lacking or completely overpowers the presentation to the point of interfering with comprehension, or design is inappropriate for the assignment. 0.5 Point Presentation (such as background images, text, choice of words, and appropriateness of tone) upstages the writing, or design is too understated at points, or design is inconsistent. 1 Point Presentation (such as background images, text, choice of words, and appropriateness of tone) is clear, appropriate for the assignment, balanced, and compliments the writing. 2 Points Presentation (such as background images, text, choice of words, and appropriateness of tone) is clear, appropriate for the assignment, balanced, and compliments the writing throughout the presentation. The design engages the audience and does not distract from information. __of 2 Usage and Mechanics Grammar Spelling Sentence structure 0 Points Any written portion contains numerous errors in spelling, grammar, and/or has sentence structure that severely interferes with readability and comprehension. 0.5 Point Any written portion contains errors in spelling and grammar that somewhat interfere with comprehension. 1 Point Any written portion follows conventions of spelling and grammar throughout. Errors are infrequent and do not interfere with comprehension. 2 Points The presentation is basically error free in terms of mechanics. In any written portion, grammar and mechanics help establish a clear idea and aid the reader in following the writer’s logic. __of 2 APA Elements Attribution Paraphrasing Quotations When appropriate or assigned 0 Points No attempt at APA formatting in presentation. 0.5 Point APA format is attempted to paraphrase, quote, and cite, but errors are significant. 1 Point Used APA format, accurately paraphrased, quoted, and cited in most areas throughout when appropriate or called for. Errors present are mostly minor. 2 Points Used APA format, accurately paraphrased, quoted, and cited throughout when appropriate or called for. Only a few minor errors present. __of 2 Comments  Total Score ___200

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