Accountable Care Organization Participation Essay

Accountable Care Organization Participation Essay

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Accountable Care Organization Participation Essay

Accountable, Care, Organization, Participation, Essay

Scenario: Your hospital has an opportunity to participate with an Accountable Care Organization (ACO) contract with 20,000 ACO patients. The ACO patient population expects about 2,000 avoidable hospitalizations per year with a potential savings of $20 million, which will be shared as follows: 50% revenue to the insurer and 50% revenue to the hospital.

The ACO patient population will require an average of six office visits per year, and 120,000 total office visits will need to be supplied by your primary care workforce. To prepare for this Assignment: Based on the scenario and financial data provided by the course Instructor, conduct a financial projection (revenues, expenses, and profit) that analyzes the efficiency of the supply of health services.

The Assignment: In a 2- to 3-page Word document that includes tables and/or calculations, make recommendations on the following: 1) number of physicians and nurse practitioners needed; 2) reimbursement method: salary or fee-for-service; 3) recommendations for financial incentives to address the challenges of supplier-induced demand and how to ensure efficiency. Interpret the net profit from the ACO contract based on your recommendations.

Explain the rationale behind your recommendations, including the impact made by your financial calculations. Financial Data ACO revenue: Number of ACO patients 20,000 Potential savings: Number of avoidable hospitalizations per patient 0.1 Total avoidable hospitalizations per year 2,000 Cost per avoidable hospitalization $10,000 Total cost of avoidable hospitalizations $20,000,000 Demand for healthcare/utilization: Number of office visits per patient 6 Total office visits per year 120,000 Supply of workforce/expense: Employed providers (salary).

Physician salary per year $200,000 Nurse practitioner salary per year $100,000 Contracted u Comment • $Flag Question Scenario: Your hospital has an opportunity to participate with an Accountable Care Organization (ACO) contract with 20,000 ACO patients. The ACO patient population expects about 2,000 avoidable hospitalizations per year with a potential savings of $20 million, which will be shared as follows: 50% revenue to the insurer and 50% revenue to the hospital.

The ACO patient population will require an average of six office visits per year, and 120,000 total office visits will need to be supplied by your primary care workforce. To prepare for this Assignment: Based on the scenario and financial data provided by the course Instructor, conduct a financial projection (revenues, expenses, and profit) that analyzes the efficiency of the supply of health services.

The Assignment: In a 2- to 3-page Word document that includes tables and/or calculations, make recommendations on the following: 1) number of physicians and nurse practitioners needed; 2) reimbursement method: salary or fee-for-service; 3) recommendations for financial incentives to address the challenges of supplier-induced demand and how to ensure efficiency. Interpret the net profit from the ACO contract based on your recommendations. Explain the rationale behind your recommendations, including the impact made by your financial calculations.

Financial Data ACO revenue: Number of ACO patients 20,000 Potential savings: Number of avoidable hospitalizations per patient 0.1 Total avoidable hospitalizations per year 2,000 Cost per avoidable hospitalization $10,000 Total cost of avoidable hospitalizations $20,000,000 Demand for healthcare/utilization: Number of office visits per patient 6 Total office visits per year 120,000 Supply of workforce/expense: Employed providers (salary) Physician salary per year $200,000 Nurse practitioner salary per year $100,000 Contracted u Comment • Flag Question Subject Subject Financial Management.

 

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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