Introduction to Health Care... | Buy

Welcome to the world of health care economics! With this practical resource as your guide, you'll explore health care's grounding financial principles -- including price, supply and demand, and the effect of demand for goods and services on labor -- as well as the basic tools needed for successful financial management. Book jacket.

Susan J. Penner, RN, MN, MPA, DrPH: California State University, Hayward

Introduction to Health Economics and Managed Care	p. 1
Fundamental Principles of Health Care Economics	p. 1
U.S. Health Care Economy	p. 3
Markets	p. 5
Efficiencies	p. 5
Production Possibilities Curve	p. 11
Demand	p. 12
Demand Shifters	p. 12
Utility	p. 13
Elasticities	p. 14
Supply	p. 16
Supply Shifters	p. 16
Profit Maximization	p. 18
Equilibrium and Disequilibrium	p. 19
Market Failures	p. 20
Market Power	p. 21
Information and Rational Decision-Making Problems	p. 22
Public Goods and Externalities	p. 23
Health Care Labor Markets	p. 24
Health Care Labor Demand Shifters	p. 25
Health Care Labor Supply Shifters	p. 26
Health Care Labor Market Failures	p. 26
Is Health Care "Different?"	p. 27
Conclusion	p. 28
Fundamentals of Insurance and Managed Care	p. 30
Health Insurance History and Principles	p. 31
Historic Foundations of Health Insurance	p. 32
Principles of Health Insurance	p. 34
Capitation And Managed Care	p. 38
Historic Foundations of Managed Care	p. 38
Principles of Managed Care	p. 40
Specialty Managed Care	p. 42
Conclusion	p. 44
Financial Reporting in Managed Care Settings	p. 46
Pine Tree Medical Group	p. 47
Overall Primary Care Utilization and Financial Data	p. 47
Overall Primary Care Financial Indicators	p. 48
Primary Care Utilization and Financial Data and Indicators by PCP	p. 50
Overall Specialty Care Utilization and Financial Data	p. 52
Specialty Care Data and Indicators by PCP and by Specialist	p. 53
Inpatient Utilization and Costs by PCPs	p. 54
Comparison of Data and Indicators over Time	p. 58
Conclusion	p. 59
Budgets, Budget Monitoring, and Budget Preparation	p. 61
Types and Components of Budgets	p. 83
Budgets as Descriptions	p. 65
Budget Components	p. 65
Types of Budgets	p. 69
Statistics Budget	p. 69
Operating Budget	p. 71
Capital Budget	p. 80
Cash Flow Budget	p. 81
Other Budgets	p. 83
Conclusion	p. 84
Budget Monitoring and Control	p. 86
Monitoring Budgets	p. 87
Variance Analysis	p. 88
Budget Control	p. 102
Conclusion	p. 107
Budget Preparation	p. 108
Factors in Budget Preparation	p. 109
Budget Cycle and Strategic Plan	p. 110
Operating Budget Preparation	p. 113
Incremental Budgeting	p. 113
Forecasting	p. 116
Variance Analysis and Budget Preparation	p. 118
Fixed and Flexible Non-Personnel Expenses	p. 119
Fixed and Flexible Personnel Expenses	p. 120
Revenue Budgeting and Budget Balancers	p. 126
Budgeting for New Line Items	p. 128
Preparing the Capital Budget	p. 128
Preparing the Cash Flow Budget	p. 128
Additional Budget Preparation Concepts	p. 129
"What-if" Calculations	p. 129
Step-fixed FTEs and Budgeting	p. 129
Zero-Base Budgeting	p. 130
Closing a Program	p. 131
Conclusion	p. 132
Cost Allocation and Cost-Finding	p. 134
Cost Centers and Cost Drivers	p. 135
Cost Drivers	p. 136
Direct Distribution Cost Allocation and Cost-Finding	p. 136
Overhead Rate Method of Direct Distribution	p. 137
Cost Pool Method of Direct Distribution	p. 138
Other Cost Allocation Methods	p. 141
Classification and Weighted Approaches to Costing Services	p. 145
Other Cost-Finding Methods	p. 148
Monitoring and Preparing Cost Reports	p. 149
Conclusion	p. 150
Financial Analysis Tools	p. 151
Break-Even Analysis	p. 151
Break-Even Without Profit	p. 152
Volume	p. 152
Costs	p. 153
Revenue	p. 155
The Break-even Principle and Formula	p. 155
Keeping Costs within Budget	p. 156
When Reimbursement Is Set	p. 157
Using Break-Even Analysis to Set the Price	p. 157
Break-even with Profit	p. 158
Break-even Volume to Generate a Profit Target	p. 159
Break-even Price to Generate a Profit Target	p. 159
Guidelines for Breaking Even	p. 160
Contribution Margin	p. 163
Unit Contribution Margin	p. 166
Contribution Margin and pro forma P&L Statements	p. 166
Complicating Factors in Breaking Even	p. 168
Break-Even in Capitation	p. 169
Conclusion	p. 169
Cost-Benefit Analysis and Cost-Effectiveness Analysis	p. 171
Cost-Benefit Analysis	p. 172
CBA Procedures	p. 172
Discounting, Discount Rate and Present Value	p. 174
Cost-Effectiveness Analysis and Procedures	p. 175
Valuing Human Life	p. 176
Quality-Adjusted Life Years	p. 176
Program Evaluation	p. 177
Limitations of CBA and CEA	p. 177
Conclusion	p. 178
Understanding and Using Financial Reports	p. 179
Basics of Financial Accounting and Reporting	p. 179
History and Regulation of Financial Reporting	p. 181
Measuring and Recording Financial Activities	p. 182
Time Periods	p. 182
Basis of Accounting	p. 182
Consistency and Conservatism	p. 183
Materiality	p. 184
Disclosure	p. 184
Financial statements	p. 184
The Annual Report	p. 185
The Income Statement	p. 186
The Balance Sheet	p. 189
The Statement of Cash Flows	p. 200
The Statement of Cash Flows, Balance Sheet, and Income Statement	p. 201
Conclusion	p. 204
Basic Financial Analysis	p. 206
Financial Statement Analysis	p. 207
Operating Leverage	p. 208
Percentage Change Analysis	p. 209
Common Size Analysis	p. 211
Ratio Analysis	p. 211
Operating Analysis	p. 221
Conclusion	p. 223
Applying Budgeting and Financial Analysis: Business Plans and Grant Proposals	p. 227
Writing a Business Plan	p. 227
Components of the Business Plan	p. 229
Problem or Need Identification	p. 229
Product Definition	p. 229
Market Analysis	p. 230
Budget Estimates	p. 231
Financial Analysis	p. 231
Timeline	p. 231
Conclusion and Feasibility Statement	p. 232
Conclusion	p. 232
Grant Writing: Getting Funding From an Outside Source	p. 234
Types Of Grant Proposals	p. 235
Purposes of Health Program Grant Proposals	p. 236
Other Types of Grants	p. 236
Funding Sources	p. 237
Key Components of Proposals	p. 237
Letter of Transmittal	p. 238
Items Promoting Clarity	p. 239
Proposal Introduction	p. 239
Problem Definition and Needs Assessment	p. 239
Documenting Need	p. 240
Objectives	p. 240
Program Description	p. 241
Resources and Resource Needs	p. 241
Budget and Explanation	p. 243
Evaluation Plan	p. 243
Capability Statement	p. 244
Plans for Future Funding	p. 244
Evaluating Proposals	p. 245
Grant Renewals	p. 245
Conclusion	p. 246
International Perspectives and Future Trends	p. 249
International Health Economics Issues	p. 249
Health Care Systems	p. 250
Economic Comparisons: Industrialized Nations	p. 251
Issues in Developing Nations	p. 252
Health Care Rationing	p. 254
Global Concerns	p. 255
Conclusion	p. 256
Future Trends and Keeping Updated	p. 258
Health Policy Questions	p. 259
Keeping Updated on Future Trends	p. 260
Future Trends	p. 261
Aging Population	p. 261
Health Care Labor Imbalances	p. 262
Growth in Technology Use	p. 262
Access to Health Care	p. 263
Medicare Reimbursement	p. 263
National Health Care Coverage	p. 263
Implications for Readers	p. 264
Conclusion	p. 264
Appendices
Cost Benefit Analysis	p. 287
Cost Effectiveness Analysis	p. 273
Business Plan	p. 278
Grant Proposal	p. 287
Policy Question Worksheet	p. 292
Glossary	p. 293
Index	p. 313
Table of Contents provided by Rittenhouse. All Rights Reserved.

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