Case Scenario: You are the hospital administrator for a reputable hospital chain in
the United States. You are invited to be the guest speaker to a class of graduate
healthcare administration students at a local university. You should prepare a
Power Point presentation of no more than 15-20 slides with speaker notes
addressing the following areas you were asked to present to the students and use
research to support your claims.
• Give a brief overview of the insurance and reimbursement system in
healthcare and analyze the payer mix in your organization.
• Discuss the role of managed care organizations and third-party payers and
their impact within your health care organization.
• The current administration is proposing significant changes to the
Affordable Care Act. What impact might these changes have on future
reimbursement systems? As a leader in healthcare explain how you see it
impacting the context of your work. Provide ethical strategies and solutions
that address these challenges.
• Why is it important for everyone working in healthcare to have a basic
understanding of the various types of insurance available and provided?
Why and how does it affect your organization/role in a healthcare setting?
• What role do mindfulness, dialogue, and collaboration play in the analysis of
the payer mix? How do these elements affect change?
MECHANICS/RUBRIC
• Provided an analysis of the payer mix in your organization; gave a brief
overview of insurance and reimbursement system, included research to
support your response.
• Discussed the role of managed care organizations and third-party payers and
their impact within your organization
• Outlined the proposed changes by the Trump administration to the ACA and
discussed the impact these changes might have on future reimbursement
systems.
• Explained how changes to the ACA by the current administration could
impact the context of your work and provided strategies as well as solutions
to deal ethically with these changes.
• Indicated why it is important for everyone working in healthcare to
understand various types of insurances provided and demonstrated how it
affects your organization/role in a healthcare setting.
• Included mindfulness, dialogue, and collaboration for change.
• Included a variety of credible source support from the course materials with
citations and source information referenced in APA format. Includes at least
3 academic sources to support your claims.
• 15 slides minimum PPT presentation is properly formatted with effective
grammar, mechanics, organization (introduction, body, conclusion and
references slide) and editing.

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