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Health Care Finance

Health Care Finance. How the organization and delivery of health care services are paid for. Those who work for a Health Care Organization (HCO) know this can be a difficult challenge. For this reason, HCOs hire and charge CFOs to plan and monitor this process.

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Health Care Finance

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  1. Health Care Finance • How the organization and delivery of health care services are paid for. • Those who work for a Health Care Organization (HCO) know this can be a difficult challenge. • For this reason, HCOs hire and charge CFOs to plan and monitor this process. • This has become practically impossible without financially savvy managers

  2. The financially challenge in health care • Providers • Trustees serving on Governing Boards of Health Care Organizations (HCO) • Government Regulators • Health Insurers and other Third Party Payers

  3. Financial Information and Decision Making • Information • Decision Making • Implementation of decision • Results • How does a good information system help financial managers deal with uncertainty?

  4. Uses of Financial Information • Evaluating the condition of an HCO • Evaluating the stewardship in an HCO • Assessing the efficiency of an HCO • Assessing the efficacy of an HCO • Determining whether the HCO complies with external or internal directives.

  5. Users of Financial Information • External Users (in PA) • PHC4 • Unions Capital Blue Cross • Aetna – US-Healthcare • Internal Users (within the Pinnacle Health System) • Governing Board • Management

  6. Financial Organization • CFO answers to • Controller (internal) versus Treasurer (external) functions

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