Financial Management and Models of Care Delivery & Payments

Catalog description

This course provides an overview of emerging models of healthcare delivery and payment, as well as their impacts on providers and patients, including cost, quality, and outcomes. You will learn how to evaluate and best apply various types of models in different circumstances to help ensure a successful transition to a value -based healthcare system, whil e also considering such factors as clinical integration, new technologies, and risk management. Students also explore strategies for successful performance in various care and payment models, including targeted quality improvement and care management strategies for high-cost, high -risk patient populations. Topics of exploration and week discussion include: Financial reporting requirements specific to he althcare, Healthcare claims processing/reimbursement and government payer types, Prospective payment systems and diagnostic related groups (DRGs) and Coding and revenue cycle management. Some examples of assignments and projects in this class include: A financial strategy assignment focused on ensuring a hospital is profitable, a researched plan for a new hospital based on standards from the Centers for Medicare & Medicaid Services, a value -based care plan scope. G H