Healthcare Finance and Financial Management

Essentials for Advanced Practice Nurses and Interdisciplinary Care Teams

Mary A. Paterson, Ph.D., RN, Professor, School of Nursing, The Catholic University of America

978-1-60595-062-4, ©2014, 216 pages, 6×9, Soft cover or ebook

  • Includes case studies for assignments and classroom discussion
  • Covers NP practice financial management
  • Comprehensive instructor’s manual available including presentation slides, chapter guides, and grading rubrics

This textbook is designed for students preparing as advanced practice clinicians, including APRNs, DNPs, DPTs, DOTs, and physician assistants. The book covers both health policy issues and practice financial management issues. It is organized into seven sections in two parts. The first part is focused on macro issues in healthcare finance, and the second part is focused on healthcare financing management in professional practice. This approach provides the context necessary for the clinician to understand how to manage reimbursement requirements and preferred provider contracting as health care financial policy drives these payment and contracting strategies. Each section features a case study to facilitate classroom discussion on key points. This book is suitable for healthcare finance courses in the curriculum for MSN and DNP programs and also for schools of social work, medicine, occupational, and physical therapy.

 

Preface
Acknowledgments

SECTION 1

1. Introduction to Healthcare Finance
1.1. Chapter Objectives
1.2. What Do Healthcare Providers Need to Know about Finance and Financial Policy?
1.3. Characteristics of Financial Systems in Healthcare—The Social Compact
1.4. Health or Healthcare—The Social Goal and the Financial Objective
1.5. Concept Checkout
1.6. Discussion Questions
1.7. References

2. Models of Healthcare Financing
2.1. Chapter Objectives
2.2. The Household as a Central Stakeholder in Healthcare
2.3. The Stakeholders in All Health-Financing Models
2.4. The Essential Approaches to Healthcare Financing
2.5. The Financial Flows in Healthcare Systems
2.6. Concept Checkout
2.7. Discussion Questions
2.8. References

Section 1 Case Study—The Island Nation of Tekram

SECTION 2

3. Health Insurance in Public and Private Markets
3.1. Chapter Objectives
3.2. The Nature of Risk
3.3. Estimating Risk in Health Insurance
3.4. Managing Costs as a Risk-Control Strategy
3.5. The Budget Approach to Health Insurance
3.6. Risk Control Strategies in Health Insurance
3.7. Concept Checkout
3.8. Discussion Questions
3.9. References

4. Healthcare System Strategy and Finance
4.1. Chapter Objectives
4.2. Goal Setting in the U.S. Healthcare System
4.3. The Relationship between Goals and Financial Strategy
4.4. Goals, Strategy, and Finance in the U.S. Healthcare System
4.5. Strategic Dilemmas in U.S. Healthcare
4.6. Concept Checkout
4.7. Discussion Questions
4.8. References

Section 2 Case Study—The Prisoner’s Dilemma

SECTION 3

5. Financial Management in Healthcare Markets
5.1. Chapter Objectives
5.2. Financial Incentives in the U.S. Healthcare Market
5.3. Healthcare Financial Management Strategies as a Response to Market Incentives
5.4. The Linkage between Healthcare Financial Management and Operations Management
5.5. The Organizational Financial Plan
5.6. Concept Checkout
5.7. Discussion Questions
5.8. References

6. Costs and Cost-Finding in the Practice
6.1. Chapter Objectives
6.2. Cost Behavior in Ambulatory Care Practices
6.3. Two Types of Cost Analysis
6.4. Costing Systems Useful to Ambulatory Care Practices
6.5. The Organizational and Policy Uses of Cost Data
6.6. Concept Checkout
6.7. Discussion Questions
6.8. References

Section 3 Case Study—Homegrown Healthcare Inc.: A Rural Accountable Care Organization

SECTION 4

7. Revenue Planning and Management
7.1. Chapter Objectives
7.2. Managing Revenue
7.3. Allocating Revenue to Accounts: The Account-Management Challenge
7.4. Revenue Optimization and Account Evaluation
7.5. Account Negotiation Strategies
7.6. Concept Checkout
7.7. Discussion Questions
7.8. References

8. Budgeting for Ambulatory Care Practices
8.1. Chapter Objectives
8.2. Strategic Planning, Budgeting, and Budget Evaluation
8.3. Constructing Budgets: A Focus on Revenue and Expense
8.4. Expense Budgets and Categories
8.5. Building a Chart of Accounts
8.6. Evaluating Budget Performance: Goal Achievement
8.7. Concept Checkout
8.8. Discussion Questions
8.9. Reference

Section 4 Case Study—New Day Health and Associates

SECTION 5

9. Capitalization Structure and Investment Planning
9.1. Chapter Objectives
9.2. Capitalization Structure Planning
9.3. The Effect of Capitalization Structure on Performance
9.4. The World of Taxation and Its Effects on Capital
9.5. Risk and Capitalization
9.6. Capital Structure Planning for the Primary Care Provider
9.7. Concept Checkout
9.8. Discussion Questions
9.9. References

10. Basic Financial Statements
10.1. Chapter Objectives
10.2. The Four Basic Financial Reports
10.3. Putting the Financial Picture Together: The Interaction of the Income and Expense Statement and the Balance Sheet
10.4. Understanding Cash Flow and Its Effect on the Balance Sheet
10.5. The Financial Position of a Practice: Financial Statements and Ratios
10.6. Concept Checkout
10.7. Discussion Questions
10.8. References

Section 5 Case Study—General Practice Affiliates and Titus Lake Hospital: A Provider Leasing Proposal

SECTION 6

11. Financial Performance Evaluation
11.1. Chapter Objectives
11.2. Financial Ratios as an Analytical and Comparative Tool
11.3. Ratio Categories and Their Purposes in Financial Analysis
11.4. Basic Ratio Relationships and Financial Performance Diagnosis
11.5. Concept Checkout
11.6. Discussion Questions
11.7. References

12. Projecting Financial Performance
12.1. Chapter Objectives
12.2. The Pro Forma Financial Analysis: Purpose and Use
12.3. Using Evidence to Build the Pro Forma Analysis
12.4. Building the Pro Forma Financial Plan
12.5. Financial Barriers and Supports: SWOT Analysis
12.6. Financial Interrelationships and Financial Strategy
12.7. Concept Checkout
12.8. Discussion Questions
12.9. References

Section 6 Case Study—Provider Financial Goals and Management

SECTION 7

13. Project Financial Management: Planning and Budgeting
13.1. Chapter Objectives
13.2. Project Financial Planning and Budgeting
13.3. Accounting for Project Expenses
13.4. Integrated Project Management Plan and Team
13.5. Project Financial Management
13.6. Concept Checkout
13.7. Discussion Questions
13.8. Reference

14. Project Financing and Valuation
14.1. Chapter Objectives
14.2. Constructing Project Financial Flows
14.3. Project Valuation Methods
14.4. Impact of the Financial Environment on Projects
14.5. Project Financial Evaluation
14.6. Concept Checkout
14.7. Discussion Questions
14.8. Reference

Section 7 Case Study—General Practice Affiliates Electronic Medical Records Project

15. Concluding Thoughts on the Healthcare Financial Enterprise
15.1. Chapter Objectives
15.2. The Relationship between Finance and Population Health
15.3. The Emerging Trends Affecting Healthcare Financing
15.4. Aging Societies and Longevity
15.5. Worldwide Health Protection
15.6. The Consumer
15.7. The Roles of Macro and Micro Financing in Responding to These Trends
15.8. Discussion Questions
15.9. Reference

Index

 

Healthcare Finance and Financial Management (Entire eBook)
$49.95 Save: $20.00
Chapter 15: Concluding Thoughts on the Healthcare Financial Enterprise
$25.00
Chapter 1: Introduction to Healthcare Finance
$25.00
Chapter 2: Models of Healthcare Financing
$25.00
Chapter 3: Health Insurance in Public and Private Markets
$25.00
Chapter 4: Healthcare System Strategy and Finance
$25.00
Chapter 5: Financial Management in Healthcare Markets
$25.00
Chapter 6: Costs and Cost-Finding in the Practice
$25.00
Chapter 7: Revenue Planning and Management
$25.00
Chapter 8: Budgeting for Ambulatory Care Practices
$25.00
Chapter 9: Capitalization Structure and Investment Planning
$25.00
Chapter 10: Basic Financial Statement
$25.00
Chapter 11: Financial Performance Evaluation
$25.00
Chapter 12: Projecting Financial Performance
$25.00
Chapter 13: Project Financial Management_ Planning and Budgeting
$25.00
Chapter 14: Project Financing and Valuation
$25.00

978-1-60595-062-4, ©2014, 216 pages, 6×9, Soft cover or ebook

Bundle & Save on the eBook
$59.95
$49.95

USD Price: $69.95

$25.00$59.95