{"id":40056,"date":"2022-03-10T02:34:37","date_gmt":"2022-03-10T02:34:37","guid":{"rendered":"https:\/\/assignmenttutors.net\/blog\/competition-and-business-conditions-in-health-care-marketsa\/"},"modified":"2022-03-10T02:34:37","modified_gmt":"2022-03-10T02:34:37","slug":"competition-and-business-conditions-in-health-care-marketsa","status":"publish","type":"post","link":"https:\/\/assignmenttutors.net\/blog\/competition-and-business-conditions-in-health-care-marketsa\/","title":{"rendered":"Competition and business conditions in health care markets*****a++"},"content":{"rendered":"
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Week 5: Competition and Business Conditions in Health Care Markets<\/span><\/p>\n

Introduction<\/span><\/strong><\/p>\n

Changes in health care financing and the business environment have spurred competition among health care organizations. Patients and health care consumers demand services from suppliers in local markets, and hospitals and providers compete for these patients, depending on their health insurance plans. These forces are leading to changes in existing health care organizational and market structures, including hospital ownership of physicians\u2019 practices (e.g., vertical integration) and the formation of integrated delivery systems. As a health care administrator, you must understand implications of this competition and the often resulting organizational integration.<\/span><\/p>\n

This week, as you explore competition and business conditions in health care markets, you compare advantages and disadvantages of vertical integration in health care organizational structures. You also recommend strategies for the organizational integration of hospitals and providers.<\/span><\/p>\n

Week 5 Learning Resources<\/span><\/p>\n

Required Resources<\/span><\/strong><\/p>\n\n\n\n
\n

Note:<\/span><\/strong>\u00a0To access this week’s required library resources, please click on the link to the Course Readings List, found in the\u00a0Course Materials<\/strong>\u00a0section of your Syllabus.<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Readings<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Getzen, T. (2015).Health economics for the healthcare administrator<\/em>(Laureate custom edition). New York: Wiley.<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Chapter 8, \u201cHospitals\u201d (pp. 172\u2013186)<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Chapter\u00a012,\u00a0\u201cFinancing\u00a0and\u00a0Ownership\u00a0of\u00a0Health\u00a0Care\u00a0Providers\u201d\u00a0(pp.\u00a0259\u2013287)<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>\u00a0<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Colla,\u00a0C.\u00a0H.,\u00a0Lewis,\u00a0V.\u00a0A.,\u00a0Shortell,\u00a0S.\u00a0M.,\u00a0&\u00a0Fisher,\u00a0E.\u00a0S.\u00a0(2014).\u00a0First\u00a0national\u00a0survey\u00a0of\u00a0ACOs\u00a0finds\u00a0that\u00a0physicians\u00a0are\u00a0playing\u00a0strong\u00a0leadership\u00a0and\u00a0ownership\u00a0roles.Health\u00a0Affairs<\/em>,33<\/em>(6),\u00a0964\u2013971.Retrieved\u00a0from\u00a0the\u00a0Walden\u00a0Library\u00a0databases.<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>\u00a0<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Cutler,\u00a0D.,\u00a0&\u00a0Scott\u00a0Morton,\u00a0F.\u00a0(2013).\u00a0Hospitals,\u00a0market\u00a0share,\u00a0and\u00a0consolidation.Journal\u00a0of\u00a0the\u00a0American\u00a0Medical\u00a0Association<\/em>,\u00a0310<\/em>(18),\u00a01964\u20131970.Retrieved\u00a0from\u00a0the\u00a0Walden\u00a0Library\u00a0databases.<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>\u00a0<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Fisher,\u00a0E.\u00a0S.,\u00a0Shortell,\u00a0S.\u00a0M.,\u00a0Kreindler,\u00a0S.\u00a0A.,\u00a0Van\u00a0Citters,\u00a0A.\u00a0D.,\u00a0&\u00a0Larson,\u00a0B.\u00a0K.\u00a0(2012).\u00a0A\u00a0framework\u00a0for\u00a0evaluating\u00a0the\u00a0formation,\u00a0implementation,\u00a0and\u00a0performance\u00a0of\u00a0accountable\u00a0care\u00a0organizations.Health\u00a0Affairs<\/em>,31<\/em>(11),\u00a02368\u20132378.Retrieved\u00a0from\u00a0the\u00a0Walden\u00a0Library\u00a0databases.<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>\u00a0<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Healthcare\u00a0Financial\u00a0Management\u00a0Association.\u00a0(2014a).An\u00a0HFMA\u00a0value\u00a0project\u00a0report:\u00a0Acquisition\u00a0and\u00a0affiliation\u00a0strategies<\/em>.\u00a0Westchester,\u00a0IL:\u00a0Author.\u00a0Retrieved\u00a0from\u00a0http:\/\/www.hfma.org\/WorkArea\/DownloadAsset.aspx?id=23451An\u00a0HFMA\u00a0Value\u00a0Project\u00a0Report:\u00a0Acquisition\u00a0and\u00a0Affiliation\u00a0Strategies\u00a0by\u00a0Healthcare\u00a0Financial\u00a0Management\u00a0Association.\u00a0Copyright\u00a02014\u00a0by\u00a0Healthcare\u00a0Financial\u00a0Management\u00a0Association.\u00a0Reprinted\u00a0by\u00a0permission\u00a0of\u00a0Healthcare\u00a0Financial\u00a0Management\u00a0Association\u00a0via\u00a0the\u00a0Copyright\u00a0Clearance\u00a0Center.<\/span><\/p>\n

Week 5 Discussion<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Health Care Organizational and Market Structures<\/span><\/p>\n


<\/span><\/strong>Scenario:<\/span><\/strong>\u00a0<\/span>You are the chief financial officer (CFO) of a hospital located in a highly competitive, urban market split with two competing hospitals. The hospital is considering purchasing or affiliating with a large physicians\u2019 practice. Your hospital has 30% market share, but does not currently have any owned\/employed physicians. Private insurers and Medicare are aggressively pushing value-based reimbursement under ACO contracts, and the one competing hospital has already acquired a large physicians\u2019 practice.<\/span><\/em>In an industry as complex as health care, organizational and market structures must be carefully considered. To participate in accountable care organizations (ACOs) and other value-based care initiatives, for example, hospitals need to have a coordinated care organization model across ambulatory care, acute care, and other settings. Developing these coordinated relationships may require vertical integration to ensure efficient utilization. Although there are many advantages to this integration of organizational and market structures, there are some disadvantages for both the hospital and the providers. For this Discussion, examine the following scenario and recommend strategies for the organizational integration of the hospital and practice.<\/span><\/p>\n

To prepare for this Discussion:<\/span><\/strong><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Analyze the provided scenario. What are the advantages and disadvantages of the vertical integration of the hospital and physicians\u2019 practice? What economic factors should be considered?<\/span><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>Consider strategies for the organizational integration of the hospital and physicians\u2019 practice. Be sure to address the economic factors you identified.<\/span><\/p>\n

Note:\u00a0<\/span><\/strong>This Discussion will be graded using this rubric:\u00a0<\/span>Document:\u00a0<\/span><\/strong>Discussion Rubric (Word document)<\/span><\/p>\n

Post by Day 3 a cohesive response to the following:<\/span><\/strong><\/p>\n

Compare advantages and disadvantages of the vertical integration of the hospital and physicians\u2019 practice, including economic factors that should be considered. Then, recommend strategies for the organizational integration of the hospital and practice. Defend or argue your recommendations using economic principles.<\/span><\/p>\n

Support your response by identifying and explaining key points and\/or examples presented in the Learning Resources.<\/span><\/strong><\/p>\n

Read<\/span><\/strong>\u00a0a selection of your colleagues’ postings. Consider how your colleagues\u2019 postings relate to the information presented in the Learning Resources and to your own posting.<\/span><\/p>\n

Respond by Day 5<\/span><\/strong>\u00a0to at least\u00a0<\/span>two\u00a0<\/span><\/strong>of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by providing additional insights or alternative perspectives.<\/span><\/p>\n

\u00a0<\/p>\n

\u00a0<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Week 5: Competition and Business Conditions in Health Care Markets Introduction Changes in health care financing and the business environment have spurred competition among health care organizations. Patients and health care consumers demand services from suppliers in local markets, and hospitals and providers compete for these patients, depending on their health insurance plans. These forces […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-40056","post","type-post","status-publish","format-standard","hentry","category-education"],"_links":{"self":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts\/40056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/comments?post=40056"}],"version-history":[{"count":0,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts\/40056\/revisions"}],"wp:attachment":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/media?parent=40056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/categories?post=40056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/tags?post=40056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}