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Sunnyview Medical Center As Financial Case Study

One of the downsides to risk sharing is that it encourages clinics to avoid patients requiring substantial care -- this is another means by which profitability can be improved. This has in the past resulted in consumer backlash against the practice. However, the risk-sharing partner (insurance company) will often avoid contracts that see it deliver unreasonable payments to the HMO. What we can expect are contracts that deliver us a relatively slim margin. This should encourage us to find ways to reduce costs, either through improved patient throughput, use of generic drugs, use of more efficient procedures and increasing the productivity of our staff, our equipment and our facilities capacity.

If we have a risk contract that is based on payment per patient, this has the same effect, but at least allows us to...

We would then be in a position to focus on service efficiency. We would also benefit more from maximizing patient throughput under this type of contract. Ultimately, the main advantage of risk contracting is that it provides us with revenue certainty, and this can be used to help set our objectives with respect to cost control.
Works Cited:

Bureau of Labor Statistics. (2011). Occupational Outlook Handbook 2010-2011: Financial managers. BLS. Retrieved March 13, 2011 from http://www.bls.gov/oco/ocos010.htm

Hurley, R.; Grossman, J. & Strunk, B. (2003). Medicare contracting risk/medicare risk contracting: A life-cycle view from twelve markets. Health Services Research. Retrieved March 13, 2011 from http://findarticles.com/p/articles/mi_m4149/is_1_38/ai_99290677/

Sources used in this document:
Works Cited:

Bureau of Labor Statistics. (2011). Occupational Outlook Handbook 2010-2011: Financial managers. BLS. Retrieved March 13, 2011 from http://www.bls.gov/oco/ocos010.htm

Hurley, R.; Grossman, J. & Strunk, B. (2003). Medicare contracting risk/medicare risk contracting: A life-cycle view from twelve markets. Health Services Research. Retrieved March 13, 2011 from http://findarticles.com/p/articles/mi_m4149/is_1_38/ai_99290677/
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