<p class="MsoNormal" style="text-align: justify; margin: 0in 35.75pt 0pt 37.4pt;"><span style="font-size: 10pt;"><span style="font-family: Times New Roman;">The cost of healthcare in the U.S. is an issue of continuing concern for those who manage the economics of healthcare. Increasingly, as the system continues to undergo responsive changes in structure and processes, healthcare financial managers (HCFM) and Nurse Executives (NE) have emerged as an important part of healthcare reform. The purpose of this study is to compare the extent HCFMs and NEs believe various healthcare reform measures and cost containment strategies are effective. Eighty-four HCFMs, and 99 NEs from 36 states, comprised the sample for this study. Both groups agree that the majority of healthcare reform measures are moderately or very effective.<span style="mso-spacerun: yes;"> </span>In general, accounting practices that HCFMs and NEs have direct decision making authority over were deemed effective (i.e. accounting systems that reduce administrative costs). Three strategies not considered effective by both groups were restriction of coverage for various drug therapies, accounting systems that provide more accurate allocation of indirect/overhead cost; and increased physician accountability for cost containment. When comparing accounting systems, expense tracking, and cost shifting strategies, HCFMs were significantly more likely to rate cost shifting as effective than NEs. Acknowledging that HCFMs and NEs believe that accounting systems are<span style="mso-spacerun: yes;"> </span>responsive to healthcare reforms validates and contributes to the ongoing efforts of HCFMs and NEs to continue to use their expertise to maximize revenues, and minimize costs in order to provide competitive, caring patient care.</span></span></p>
In the current evolving economic environment, developing and implementing an effective workforce to improve the skills and capability of employees are seen as central to improving individual and organizational performance and competitiveness. The availability of online education in universities as well as the work place has significantly increased during the past decade. This paper summarizes and addresses the current research, trends and future prospects of e-learning as it relates to the awarding of higher educational degrees and private sector workforce development.
In todays financial markets there is a great deal of pressure for corporations to meet investors earnings expectations. Failure to do so may result in the loss of millions of dollars in stock capitalization. As a result, an increasing number of corporate executives have succumbed to the temptation to manage their earnings in order to achieve targeted profits. The number of companies under investigation by the Securities and Exchange Commission (SEC) for possible accounting fraud related to earnings management has increased significantly in recent years. This article identifies and discusses four common areas of potential financial reporting abuse: restructuring costs, miscellaneous reserve accounts, materiality, and manipulation of revenue recognition. In addition, this paper discusses the vital role of accounting professionals as gatekeepers responsible for helping to maintain the viability of our financial markets.
It is estimated that the current annual U.S. investment in health care is $2 trillion, roughly 16 percent of the gross domestic product (GDP). Of great concern is the fact that health care costs are rising at two-and-one-half times the rate of inflation in the economy. As a result, the model of health care outsourcing to less developed countries has become increasingly more attractive to individuals who pay out of pocket expenses for health care or who do not want to wait long periods for health care. Medical tourism, introduced in several countries outside the U.S. over a decade ago, is a term coined to represent those underinsured individuals who are willing to pay to travel overseas to save significant amounts of money on the same procedures offered at much greater expense through the U.S. health care system. Because quality of health care around the world varies, concern over substandard care with regard to surgery and other medical procedures is a factor to take into consideration when evaluating medical tourism. This article analyzes the cost implications of medical outsourcing abroad and discusses the financial implications of medical tourism as it relates to the cost of direct care, follow up care, and complications.
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