Healthcare- Physician Reimbursement

Healthcare- Physician Reimbursement- Please follow Instructions
Read The Report of The National Commission on Physician Payment Reform, pgs 9-11, and 14-19

Please FOLLOW LINK ATTACHED:http://physicianpaymentcommission.org/wp-content/uploads/2013/03/physician_payment_report.pdf

Briefly describe the different forms of physician reimbursement. The National Commission adopted twelve specific recommendations for reforming

physician payment. Choose three of the recommendations explanations and justifications that you agree or disagree. Explain and support your stance.

Requirements:

Submit your essay in a Word document. This assignment must be at least 500 words, with at least four references cited properly in APA format, and a

title page (APA format). This assignment must be well- written with proper grammar, spelling, and punctuation. Follow the rubric.

Different forms of Physician Reimbursement

25pts

200 words

Three Recommendations: Agree or Disagree

45pts

300words

APA Format/References,

20pts

Grammar, Spelling/Punctuation

Discussion 2

Guided Response:

Check out our sample annotated web page (http://bounceapp.com/190052)Links to an external site. for a high-end pet boutique.
Mouse over highlighted areas to view associated commentary.
Pick one of the two brands and visit their website
Sport Clips (https://www.sportclips.com/)Links to an external site.
Identify a site page – landing page or otherwise – where place and/or product is featured.
Remember; place encompasses physical and virtual locations
Copy the webpage link from your browser.
Screen capture and annotate the webpage using BounceApp (http://bounceapp.com/)Links to an external site.
See the step by step tutorial (http://tutorials.clarify-it.com/d/7w7zcr)Links to an external site.
Identify at least three examples of how place and or product is used to reinforce the gender targeting.
Write at least two sentences of explanation for each example.
When done, copy the link to your annotated BounceApp page.
Post your annotated webpage link to the discussion forum below.
In the post title identify whether you picked Sport Clips or Sister Snog.
In the body of post, provide your BounceApp page link. See example.
Explore annotations for the brand you didn’t pick. Respond to three of your peers, at least one of which must be for the brand you didn’t pick. Comment on market niche strategies that those brands used/failed to use in promoting their website. Then answer this:
Which brand do you think uses product and place more effectively to differentiate itself? Cite at least one reason why relative to both product and place.
Feel free to pick a different “winner” for product versus place.

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Environmental forces

What environmental forces drive organization development in your field or industry? What are the steps successful organizations take when responding to change? Have you experienced forces of change in your work environment? How did the changes affect your organization?P(5.m)

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Mechanical Engineering related

am an Engineering bachelors student.I’m looking for a thesis work. Topic could be related to Automobile, Heat Transfer,Fluid mechanics or any kind of mechanical related not so hard topics.

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Trump to order Mexican Border wall and crucial Immigration

• Use the NYTIMES.com for all the readings logs.
• Select one article per reading log.
• Reading logs are summaries of the newspaper article and then a response to it.

On a typed document, put your header information in the upper left hand corner of the page. Then, put the title of your article in the center.
The first paragraph should be the summary paragraph:
• Must be at least ½ of a page but no more than ¾ of a page
• Double space
• No quotes!
• 1st sentence of summary – state author(s) full names, “title of article,” newspaper title, and the main idea (one sentence only). NO

citation for this sentence.
• Rest of the paragraph – summarize the article; put a citation at the end of each sentence; you must cite ALL the pages
• Last sentence of summary – Conclude the article; no citation at the end of this sentence

Second paragraph is your response to the article:
• Give your opinion
• Must be at least ¼ of a page but no more than ½ of a page

At the end of the document, put the word Reference and the reference entry for that newspaper article:
Ex:
Reference
Last Name, First Name. (Year of publication/date). “Title.” Newspaper Name. Web. Date You Accessed it.
**Everything highlighted in yellow—you should substitute with the correct information.

Formula for Citations: (Last name, year, pg. ___) Insert page number on that blank space; no need to underline it.

concerns the issue of customer responsiveness to price changes, which economists call demand elasticity.

Order instructions 

Section Overview: Chapter 6 concerns the issue of customer responsiveness to price changes, which economists call demand elasticity. The law of demand suggests an inverse relationship between price and quantity demanded, but it doesn’t tell us how strongly demand responds to price changes. Consumers may react strongly (elastic) or weakly (inelastic), depending on several factors. Similar concepts apply to changes in income and changes in prices of related products. Chapter 7 also relates to quantifying demand in terms of estimating future demand from past data. OLS is used to estimate demand functions which can be used to extrapolate demand in other periods or areas.

Learning Goals: Upon completing this section, we will understand the qualitative meaning of different values of own-price, income, and cross-price elasticity. We will be able to calculate elasticity values given data on prices and quantities demanded. We will recognize the impact on total revenue of price changes made in elastic vs. inelastic ranges. We will also be equipped to estimate demand functions using Excel’s OLS and graphing features.

 

  1. Let’s examine the history of LSUS undergraduate enrollment vs. its tuition and fees. Go to this link (http://www.lsus.edu/offices-and-services/institutional-effectiveness-and-planning/fact-book) and look at the PDF “FACT BOOK 2015.” Collect two types of quantity data: the Fall Headcount for undergrads on pg. 6 (9 of the PDF), and the Total (summer, spring, and fall) student credit hour production on pg. 11 (8 of the PDF). Headcount data goes from 1984-2015, but credit hour data only goes from 1986-2015.

Next, go here to get tuition data: http://www.lsus.edu/offices-and-services/institutional-effectiveness-and-planning/lsus-data-profile, and look at the PDF “LSUS Data Profiles 2011-2012.” The price (undergraduate fall tuition and fees) data is on pg. 106. You will only need from 1984 through 2011; for the remaining years, use 2012 = $2,472, 2013 = $2,803, 2014 = $3,084, and 2015 = $3,355.

Calculate annual elasticities for both types of quantity variables (i.e., you will have an elasticity of price vs. headcount, and one of price vs. credit hour. You will get an error message in your calculations a few times when the tuition doesn’t change, since the elasticity calculation will be trying to divide by zero. Just delete those in your Excel table. The first headcount elasticity will be calculated based on the 1984 and 1985 values of tuition and headcount and should be about -0.043; the first credit hour elasticity will be based on the 1987 and 1988 values and should be about 0.394). Calculate the average elasticity for headcount (from 1985-2015), and the average elasticity for credit hour (from 1988-2015).

Many administrators argue that, to increase revenue to LSUS to cover budget shortfalls, tuition should be raised. Comment on this suggestion, using the evidence you’ve uncovered.

 

 

a.   Run OLS to determine the inverse demand function (P = f(Q)); how much confidence do you have in this estimated equation? Use algebra to then find the direct demand function (Q = f(P)).

b.   Using calculus to determine dQ/dP, construct a column which calculates the point-price elasticity for each (P,Q) combination.

c.   What is the point price elasticity of demand when P=$90? What is the point price elasticity of demand when P=$83?

d.   To maximize total revenue, what would you recommend if the company was currently charging P=$83? If it was charging P=$70?

e.   Determine an equation for MR as a function of Q, and create a graph of P and MR on the vertical and Q on the horizontal axis.

f.    Use your direct demand function to construct an equation and column for TR. What is the total-revenue maximizing price and quantity, and how much revenue is earned there? Compare that to the TR when P = $83 and P = $70.

 

  1. Copy and paste the following data into Excel:
P Q
$130 78
$110 155
$90 246
$70 318
$50 397

 

  1. Illustration 7.3 (p. 262-4) describes time-series forecasting of new home sales, but you can see that the data is old. Click here (https://www.census.gov/construction/nrs/historical_data/index.html) and download the first table: Houses Sold – Seasonal Factors, Total (Excel file is sold_cust.xls). Look at the monthly data on the “Reg Sold” tab.

Only keep the dates beginning in January 2008, so delete the earlier observations. Keep only the US data, both the seasonally unadjusted monthly (column B) and the seasonally adjusted annual (column G). Make a new column of seasonally adjusted monthly by dividing the annual data by 12. Make a column called “t” similar to the book’s column 4 on page 262 (t will go from 1 to 110 through Feb. 2017); make a t2 column too (since, if you look at the data, you can see sales dropping until about mid-2011 then rising again; hence the quadratic). Also make a column “D” that is a dummy variable equal to one during the spring and summer months, similar to the book’s column 5.

Determine the correlation between the unadjusted and the adjusted monthly data (=CORREL(unadjust., adjust.) in Excel), and produce scatterplots (with connectors) of both. Do you think making a seasonal adjustment will be useful, given what you observe at this point?

Run four regressions: 1) seasonally unadjusted monthly as the dependent, and t and t2 as the independents, 2) seasonally unadjusted monthly as the dependent, and t, t2, and D as the independents, 3) seasonally adjusted monthly as the dependent, and t and t2 as the independents, and 4) seasonally adjusted monthly as the dependent, and t, t2, and D as the independents. Discuss your findings, and determine which of the four models is the best for forecasting new home sales. In interpreting your p-values, remember that, say, 1.0E-08 is 1.0 * 10^-8, which is 0.00000001. State the equation that would be used to forecast sales.

 

  1. Conlan Enterprises has the following demand function:

where Q is the quantity demanded of the product Conlan Enterprises sells, P is the price of that product, M is income, and PR is the price of a related product.  The regression results are:

DEPENDENT VARIABLE: Q R-SQUARE F-RATIO P-VALUE ON F
OBSERVATIONS: 32 0.7984 36.14 0.0001
 

VARIABLE

PARAMETER

ESTIMATE

STANDARD

ERROR

 

T-RATIO

 

P-VALUE

INTERCEPT 846.30 76.70 11.03 0.0001
P –8.60 2.60 –3.31 0.0026
M 0.0184 0.0048 3.83 0.0007
PR –4.3075 1.230 –3.50 0.0016
  1. Discuss whether you think these regression results will generate good sales estimates for Conlan.

 

Now assume that the income is $10,000, the price of the related good is $40, and Conlan chooses to set the price of its product at $30.

 

  1. What is the estimated number of units sold given the data above?
  2. What are the values for the own-price, income, and cross-price elasticities?
  3. If P increases by 5%, what would happen (in percentage terms) to quantity demanded?
  4. If M increases by 8%, what would happen (in percentage terms) to quantity demanded?
  5. If PR decreases by 4%, what would happen (in percentage terms) to quantity demanded?

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JOGGING Buddy

 

MINI CASE #1 – JOGGING BUDDY
Alisha Flores, president and founder of ‘Jogging Buddy’, could hardly contain her excitement over the
operating results for her company’s second year of operations. Jogging Buddy is an online retailer of

a
GPS running watch that records distance, time, speed, heart rate and several other statistics. Flores’
company does not manufacture the watches, but instead purchases them directly from the
manufacturer based in China and resells them through its online shopping site. During the first two
years of operation, Flores decided to hold the selling price of the watch constant at $100 per

unit in an
effort to attract business. She was also able to negotiate a deal with the supplier to

hold Jogging Buddy’s
cost per watch constant at $80 per unit for the two years.
Operating expenses for each of the first two year of operation consist only of advertising

expenses and
salaries paid to the website designer/ administrator and the company’s bookkeeper. Because Flores is
busy with her numerous other business ventures, the bookkeeper also looks after the day-to-day
operations of Jogging Buddy and has sole signing authority to make expenditures on the company’s
behalf. The bookkeeper just completed a 6-month online course through XYZ Top Training and has three
other part-time clients. To motivate the website designer to create a website that is easy

to use and
appealing to customers, Flores decided to pay him a commission equal to 1% of annual sales in

both
2015 and 2016. The salaries paid to the website administrator and the bookkeeper were the same

in
both years and totaled $92,000. Annual advertising expenses of $8,000 were also the same in both
years.
After reviewing the operating results for 2015 (shown below). Flores roughly calculated the expected
sales and expenses for 2016 based on anticipated sales of 10,000 watches at a price of $100

per unit and
a cost of $80 per unit. She calculated expected operating expenses in 2016 based on

the 2015 cost per
unit of $13.75 ($110,000 / 8,000). Based on her calculations (shown below), Flores expected a 25%
improvement in 2016 operating income, in keeping with the results shown below for 2016, she was
thrilled. Operating income had improved 50% compared to 2015 on sales growth of 25%.
2015 2016 Expected 2016 Actual
Sales (units) 8,000 10,000 10,000
Sales $800,000 $1,000,000 $1,000,000
Cost of goods sold 640,000 800,000 800,000
Gross margin 160,000 200,000 200,000
Operating expenses 110,000 137,500 125,000
Operating income $50,000 $62,5000 $75,000
Flores has always been an entrepreneur at heart but has no formal training in financial

accounting or
management accounting. She has always had a bookkeeper prepare annual financial statements. Flores
plans on showing the financials to a bank to secure a loan for future expansion.Required:
While Flores is happy with her current results, prior to speaking with the bank she would
like a second opinion, thus you have been hired to evaluate the current financial reporting
situation. She is unsure if her current bookkeeper is providing her with the best advice and
most accurate financials and must decide whether or not to retain her services.
Your analysis and discussion may be aided by:
– reviewing the nature of the error made by Flores when calculating expected
operating income for 2016.
– recalculating the expected results for 2016. For Flores benefit, provide details on the specific
items included in operating expenses. Based on your calculations of the expected results for
2016, are the actual results for 2016 as good as Flores originally thought.
Flores will consider all recommendations. Please refer to the “Guidelines for Mini-Cases’
and prepare a mini-report for Alisha Flores. Your report should include a memo,
introduction, background including main issue identification, alternatives available, a
quantitative and qualitative analysis of the alternatives (status quo, replace bookkeeper,
other?) and recommendations.

Guidelines for Mini Cases and In class Case assignment – ENTR 3120
Overview
Throughout the course, students will complete four mini-cases (5% mark), one inclass case in week

7 (15%) and one in-class case at the end of the term (10%). The
mini-cases are designed to cover various managerial accounting topics, and to
prepare students for the in-class case work. They are intended to:
• Develop the students’ ability to apply their individual skills in analysis,
synthesis, evaluation and written communication.
• Connect book concepts with real life scenarios
• Evaluate the ability of the student to apply concepts covered in class to a
practical, complex scenario in a manner that is relevant to the case; and,
• Evaluate the ability of the student to develop a coherent, integrated report
that addresses the key issues in the business scenario.
The mini-case is a formal written report that will be submitted for assessment and
feedback. Mini-cases will be evaluated using a rubric based on completeness,
accuracy, concept identification, writing and application.
The purpose of the assignment is to analyze the issue(s) faced by the organization
and to develop specific, action-oriented recommendations and solutions to the
organization. The report should concisely identify the key issue(s), demonstrate
relevant analysis – both quantitative and qualitative, an ability to summarize
analysis, identification of alternatives, and recommendations that provide
constructive solutions for the identified issues. Not all analysis may be necessary for
the case analysis, but it can be provided in an appendix.
To help with the analysis, attached is a basic case preparation chart. In a mini-case
not all aspects of the chart will be applicable. It is up to the student to identify

those
elements that are relevant to the case involved. The chart is a useful tool from which
to analyze the case. Students are then required to synthesize the findings and
prepare a ‘mini’ formal written report.
Case #1 – Body Products Division of World Wide Drugs. Provide mini formal written
report apply relevant concepts from the text (see breakeven)
Case #2 –“TBA”– Provide mini formal written report.
Case #3 – TBA – Provide mini formal written report.
Case #4 – “TBA” – Provide mini formal written report.
Note: the Instructor will not accept hand written assignments.CASE REPORTS – A VERY BRIEF SUMMARY OF COMMON

ELEMENTS
• Cover page
• Executive Summary (only on major reports) Mini reports = memo
• Table of contents (only on major reports)
• Introduction – what the reader can expect from report? Provide the scope.
• Background/Situational Analysis
o what is/are the major issue(s)
o company context – business overview
o what are the alternatives available to the company?
o Who are you writing – be mindful of your audience
• Analysis of alternatives
o Quantitative analysis
o Qualitative analysis (non financial considerations)
o Other considerations
o Decision Matrix (only major reports)
• Recommendations
o SMART
o Based on decision matrix (only major reports and may be beyond this
course)
• Implementation Plan and Financial Forecast (only major reports and may be
beyond this course)
• Bibliography (if applicable)
• Appendix – both quantitative and qualitative details
Students must not only familiarize themselves with the facts but also rearrange
them for better understanding (thus the analysis and case prep chart). After careful
analysis, a report will be prepared.
The objective of the report is to arrive at a coherent and insightful view of the
organization’s significant issues and provide the best recommendations for
addressing them. The goal is to produce something of value for the organization in
question by applying the concepts and tools provided in the course. These minicases are

constructed around issues involving the course concepts.BASIC CASE PREPARATION CHART – FOR ANALYSIS PURPOSES

ONLY
Omit sections if no information is provided
Analyze the
Internal
Environment
Corporate structure, culture, management practices, strategic objectives
Issue Identification – main and secondary. (See note below)
Analyze the
External
Environment
Have any external opportunities and threats been identified?
Outside research or industry analysis
Analyze case
information
Determine both relevant and irrelevant information from reading the case?
What concepts (from the textbook) can be applied to the case?
Analyze
Alternatives
Alternatives or options identified
Quantitative Analysis: “Number Crunching”
Qualitative Analysis – Non-numeric considerations. Are there operational
issues to consider?
Other factors to consider?
How can analysis be effectively summarized in the report?
Recommendations What are the recommendations?
Clarity of recommendations
Do recommendations solve main and secondary issues identified?
How and when should the recommendations be implemented
Grammar, clarity, effective use of charts/diagrams for summative purposes
Quality of Appendix – detailed analysis
Note re: Issue identification. When performing case analysis, students should be
mindful that symptoms are different from causes or implications. Through analysis,
the use of concepts and theories, students can draw conclusions about WHY the
company is encountering the symptoms. For example, the organization has
declining gross profit margins (symptom). Declining gross profit margins due to a
sharp increase in product material costs (SYMPTOM – declining profit margin,
CAUSE – increasing product costs)

 

 

SUBSTANCE ABUSE CASE STUDY: JACK SPRAT

 

 

SUBSTANCE ABUSE CASE STUDY: JACK SPRAT
Jack Sprat
Identifying information: 45 year old Caucasian male accompanied by his wife.
Setting: Outpatient mental health clinic.
Chief Complaint/Reason for visit: “I have just been working too long of hours…I stopped for a drink and because I was so tired my driving was not that

best. I got pulled over by the police.”
History of Present Illness: JS states he has scheduled an appointment because his wife told him “I have to get help or she is out of here.” He makes it

clear that he doesn’t see that there are any real issues. His wife relates that last week he had been pulled over for erratic driving, failed the breath

analysis test, and has a court hearing coming up. He admits to drinking “2 or 3 drinks” a night. He relates he used to “just drink on weekends but over

the last year or two work has just gotten to be so rough if I don’t drink I don’t sleep.” Since being stopped by the police he has not had a drink for

the past 2 days. When pressed, he reports he has difficulty remembering what exactly he was doing prior to being stopped by the police. JS’s wife tells

you she has become more and more concerned with JS. She believes his drinking is out of control and is worried about his functioning. She reports he

has been having more angry outbursts, general irritability and mood swings.
Past Psych Hx: JS has never been hospitalized or received any prior mental health or substance abuse treatment.
Past Medical Hx: JS reports a recent hospitalization following a motor vehicle accident, and it was discovered that his “bleeding time was off.” He

reports he is not on any current medications and denies any known health problems.
Family/Social Hx: JS has been married to his current wife for the last 10 years. He reports that he was married briefly right out of college but the

marriage didn’t last. Both of JS’s parents are deceased; his father from “liver disease”, and mother from a heart attack.
Family Psychiatric Hx: JS denies any family history of psychiatric illness.
Substance Use Hx: JS reports he had his first drink at age 15 yrs and experimented with drugs, “mostly pot but occasionally coke” during college and

young adult years.
Review Of Systems: Negative except for mild nausea, headaches, feeling shaky, some perspiration on his forehead.
Physical Exam: BP 147/92, P98, HT 71” WT, 215 lbs
Mental Status Exam:
Appearance: JS is dressed in clean clothes. There is perspiration on his forehead.
Behavior: He sits leaning forward and he continually jiggles his legs. There is a slight tremor of his hand when he reaching for a paper. Eye contact

is limited.
Speech: pressured at times
Mood: JS relates that he is nervous, and states “I just want to get this over with.”
Affect: Flat.
Thought Process: Linear, organized.
Thought Content: Logical, no hallucinations or delusional content. Denies suicidal or homicidal ideation.
Cognition: Alert. He has poor memory of recent events. Remote memory grossly intact. Decreased concentration as evidenced by difficulty completing

serial 7s.
Insight: Appears to lack awareness of the extent of his problem.
Judgment: Appears impaired about his drinking.

Questions:
Case conceptualization (20 points)

Using your Carlat& DSM5 texts and other relevant sources to develop your clinical impression.
1. Create a concept map, table, or decision tree to help you identify all relevant psychiatric and medical conditions you would consider for this

individual. Include the DSM5 criteria for psychiatric diagnoses.
2. From the above, create a prioritized list of your top 3 differential psychiatric diagnoses, starting with the primary working diagnosis (your

answer), include the ICD 10 diagnostic code for each diagnosis. Explain your thinking process on what factors you considered that led you to select your

primary diagnosis, and other possible diagnoses.
3. List 2 most pertinent interview questions for each of the 3 differential psychiatric diagnoses that you need to ask to rule in or rule out that

diagnosis.
4. List 2 most pertinent differential medical conditions you would consider for this individual. Provide a brief list of symptoms that support your

medical differentials.
5. List any pertinent laboratory tests or screening tools you might use to help you rule in or rule out your top 3 differential diagnoses and a concise

rationale statement.

For questions 1-5, provide text/reference, page number (in APA style) where you found the information to support your thinking. Use your own words,

limit any direct quotes to no more than 1-2 phrases.