Syllabus

Master of Healthcare Administration

HCA 760 — Healthcare Finance and Revenue Cycle Strategy – Fall B 2023

Credits - 3

Description

This course explores the fundamentals of finance and economics in a health care system at both the local system and national levels. Healthcare leadership increasingly depends upon deep and strategic understanding of the complex payor systems that provide revenue to their organizations. Students will gain expertise crafting strategic approaches to managing market supply and demand, the economics of care and managed care, budgeting, accounting, and fiscal reporting. 

Materials

Required Textbooks

Nowicki, M. (2016). Introduction to financial management of healthcare organizations (6th ed.). Chicago, IL: Health Administration Press.

Learning Objectives and Outcomes

Program Outcome addressed by this course:

  • Understand the complex system of legal and regulatory compliance that governs the healthcare system

Course Outcomes:

This course is intended to provide an understanding of the healthcare operating model as well as fundamental budget and financial management skills required for successful leadership in health informatics.

Upon successful completion of this course, the student will be able to:

  • Summarize the competitive model and the role of the government in healthcare, including what drives supply and demand
  • Describe the types and sources of revenues and expenses in health care as well as various reimbursement models
  • Describe the processes in the healthcare revenue cycle and the impact of collections on fiscal viability
  • Interpret and analyze basic financial management reports for a health care organization
  • Apply variance analysis techniques including benchmarking to budget and actual reports, financial statements, and ratio calculations
  • Describe methods for classifying, allocating, and assembling costs as well as the importance of materials management
  • Evaluate operational and capital budgets for a health care facility including sources of capital funding and costs

Assignments

Please note that all times in the syllabus and in Brightspace refer to Eastern Time. The discussion board and assignment links for each week will open at the start of the week for submissions.

Discussion Board Posts: These assignments will assess your ability to clearly and accurately apply concepts from your readings and from your own experiences. Each week you are expected to submit an initial post and comment on at least 2 other students’ posts. You need to follow APA guidelines for citing any sources you may reference in either your initial post or your response to others. Refer to the Discussion Rubric and discussion question for submission guidelines.

Initial post: You should submit your initial post by 11:59 p.m. Sunday. Your initial post should be approximately 500 words.

Response to others: You should comment on at least 2 other students’ posts by 11:59 p.m. Wednesday. Your comments to others should be thorough, thoughtful, and they should offer some new content. Do not merely respond with “I agree” or “I disagree.” Engage directly with the ideas of your classmates and briefly mention which part of the post you are responding to.

Textbook Assignments —  There will be a series of textbook assignments to help you consolidate that week’s concepts. Refer to the assignment instructions and associated rubric for submission guidelines.

Key Assignments: 

Week 1 Assignment
Research a topic on Healthcare Economics and write a paper on the topic.
Please submit a 5-page, APA formatted, paper with 3 to 5 references.
The topics of the paper could include supply and demand in the healthcare industry, healthcare rationing, concept of moral hazard in healthcare, economies of scale and consolidation in the healthcare industry, or another topic of your choice with approval of the instructor.

Week 2 Assignment
Research a topic on the current structure of the healthcare market and write a paper on the topic.
Please submit a 5-page, APA formatted, paper with 3 to 5 references.
The topics of the paper could include payer/payor systems in the US healthcare industry, role of government in the healthcare system, future of the healthcare system and impact on patient care, or another topic of your choice with approval of the instructor.

Week 7 Assignment – Final Project

Your final project will include:

An updated executive summary incorporating any instructor feedback you received in week four with two new sections added:
Budget Summary – A short summary that highlights the key aspects of the completed budget.
Budget Monitoring and Control – A description of how you will monitor and control your capital budget. This section should be 1-2 paragraphs explaining how often the budget should be reviewed and how you will know the budget is on track.
A budget completed in Excel – an example budget template is provided below for reference (or feel free to develop your own). Start by identifying key cost areas for the project then research costs and document any assumptions.

Make sure to reference the sources you use in your research. 

Course Reflection — In week 8 you will reflect on your learning in this course in a 300-5oo word response to questions posed. Refer to the assignment instructions and Final Reflection Rubric for submission guidelines.

All assignments use scoring rubrics to assess student performance. Thoroughly review the rubric and assignment instructions for guidance on what’s required for each assignment.

Grading Policy

Your grade in this course will be determined by the following criteria:

Grade Breakdown

Assessment ItemPercent of Total Grade
Discussion Posts (8)20%
Textbook Assignments (5)30%
Topic Proposal for Informatics Budget Project5%
Executive Summary for Informatics Budget Project 10%
Informatics Budget Project (Includes Executive Summary and Budget in Excel) 30%
Reflection5%
Total100%

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course learning modules are divided into weeks. Each week starts on Wednesday at 12:00 am Eastern Time (ET) and closes on Wednesday at 11:59 pm ET, with the exception of Week 8, which ends on Sunday. All assignments must be submitted by 11:59 pm ET on the due date.

Week 1: Oct 25 – Nov 1
Week 2: Nov 1 – Nov 8
Week 3: Nov 8 – Nov 15
Week 4: Nov 15 – Nov 22
Week 5: Nov 22 – Nov 29
Week 6: Nov 29 – Dec 6
Week 7: Dec 6 – Dec 13
Week 8: Dec 13 – Dec 17

Course Schedule

Learning Modules Topics Assignments and Due Dates
Week 1

Introduction & HC Economics

Introductory Discussion

Week 1 – Healthcare Economics – 5-page paper – Wednesday 

Discussion – Initial post by Sunday, responses by Wednesday 

Week 2 HC Market Structure

Discussion – Initial post by Sunday, responses by Wednesday 

Week 2 – Healthcare Market Structure – 5-page paper – Wednesday

Budget Topic Proposal – Wednesday 

Week 3

Overview of Financial Management

Discussion – Initial post by Sunday, responses by Wednesday 

Executive Summary for Informatics Budget Project – Wednesday 

Week 4

Operating Revenue

Discussion – Initial post by Sunday, responses by Wednesday 

Textbook Assignment: Case Study – Wednesday 

Week 5

Revenue Cycle Management, Materials Management, Financial Analysis

Discussion – Initial post by Sunday, responses by Wednesday 

Textbook Assignment: Case Study – Wednesday 

Week 6

Resource Allocation, Budgeting, Cost Accounting

Discussion – Initial post by Sunday, responses by Wednesday 

Week 7

Capitol Justification, Return on Investment

Discussion – Initial post by Sunday, responses by Wednesday.

Final Project Informatics Budget Proposal – Wednesday

Week 8

Future Frontiers & Economic Controversies

Discussion – Initial post by Friday, responses by Sunday 

Reflection – Sunday 

 

Student Resources

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Make sure to cite your sources appropriately as well as use your own words in synthesizing information from published literature. Webinars and workshops, included early in your coursework, will help guide best practices in APA citation and academic writing.

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Information Technology Services (ITS)

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Course Evaluation Policy

Course surveys are one of the most important tools that University of New England uses for evaluating the quality of your education, and for providing meaningful feedback to instructors on their teaching. In order to assure that the feedback is both comprehensive and precise, we need to receive it from each student for each course. Evaluation access is distributed via UNE email at the beginning of the last week of the course.

Late Policy

Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.

Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.

Attendance Policy

8 week: Students taking online graduate courses through the College of Professional Studies will be administratively dropped for non-participation if a graded assignment/discussion post is not submitted before Sunday at 11:59 pm ET of the first week of the term. Reinstatement is at the purview of the Dean's Office.

16 week: Students taking online graduate courses through the College of Professional Studies will be administratively dropped for non-participation if a graded assignment/discussion post is not submitted before Friday at 11:59 pm ET of the second week of the term. Reinstatement is at the purview of the Dean's Office.

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UNE Online Student Handbook

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Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations. Appeal of a decision may be made to the Dean whose decision will be final. Student appeals will take place through the grievance process outlined in the student handbook.