COURSE:
NR533: Financial Management in Healthcare Organizations
EXPERIENCE
Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Identify the key people in your organization from whom you obtained your information. Perhaps it is your unit director, operational directors, financial officers, CNOs. Your direct supervisor might be able to point you in the right direction, Since the information required is often available to the public through public reports you might also access the information through online searches of internal systems or external internet searches.
NR533 Week 1: Touchpoint Reflection Experience Table
| Your Name’s Healthcare Organization |
| Healthcare Delivery System (Type) |
|
| Payer Mix |
Percentage |
| Medicare |
|
| Medicaid |
|
| Managed Care |
|
| HMO |
|
| PPO |
|
| IPA |
|
| Self-pay |
|
| Uninsured |
|
REFLECTION
Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility?
IMPLICATIONS FOR THE FUTURE
- What might your analysis tell you about the long-term health of your community?
- What future needs might be identified?
