For a healthcare organization of your choice (real or hypothetical) describe the organization and determine the payer mix of patients served (percentage of Medicare, Medicaid, private insurance, managed care, and private pay).
– Take into consideration that reimbursement can be affected by the claims process, out-of-network payments, denials, audits, and legislation.
-Assess the differences in healthcare budgeting as a result of these potential changes in the payer mix and payment methodologies as an outcome of the Affordable Care Act.
-Take into consideration that while more patients may have insurance coverage, the out-of-pocket expenses will continue to create a potential uncollectable liability.
– Evaluate how you would strategize to keep a balanced budget for all 12 months in a year using a flexible budget rather than a static budget, and provide rationale and justification.
The body of the resultant paper should be 5-7 pages and include 5 relevant academic or professional references published in the last 5 years.
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