HCA 827 How might health care leaders best create steady revenue streams amidst changing service requirements created by fluctuating economic conditions?

Economic downturn commonly means less time in the hospital and greater demand for other services. How might health care leaders best create steady revenue streams amidst changing service requirements created by fluctuating economic conditions? Why? Can steady and sustainable revenue ever be fully achieved? Why or why not? To what extent does the notion of universal health care coverage influence the stability and sustainability of revenue streams for health care organizations? Why?

Understanding the challenge of financial sustainability
in health

Health system sustainability is frequently debated in policy circles and the
media. Yet debate is rarely, if ever, accompanied by a clear idea of what it
means for a health system to be financially sustainable or how we might assess
a health system’s financial sustainability or, indeed, what the policy implications

of the problem are. The likely reason for this is that the meaning of financial
sustainability is taken to be self-evident: the presence of an imbalance between
the obligations that a health system has in respect of entitlements and
instituted rights on the one hand, and its ability to meet those obligations on a
continuing basis on the other (3). Although this formulation is accurate, it is
inadequate.

It tells us only how the problem of financial sustainability manifests
itself – namely as a problem in accounting. As such, it tells us that expenditure
and revenue must be aligned. But it does not tell us anything about the nature
of the problem itself – that is, about what causes the imbalance between
expenditure and revenue. Nor does it tell us anything about the problem’s
policy implications; and in particular, it does not tell us anything about the level
at which expenditure and revenue should be aligned.
The problem of financial sustainability can be broadly characterized in three
ways.

Policy summary

2
• First, increases in health spending due to factors affecting demand for and
supply of health services – among them, technological progress,
demographic change and consumer expectations.
• Second, resource constraints relating to government inability or
unwillingness to generate sufficient resources to meet its health system
obligations – an issue which takes on particular relevance in the current
context of financial crisis. This is the issue of fiscal sustainability or fiscal
balance.
• Third, health spending is rising as a proportion of gross domestic product
(GDP). If this spending grows at a faster rate than spending in other parts
of the economy, and therefore consumes an ever greater share of GDP,
there is a concern that at some point it will eventually ‘crowd out’
expenditures on other goods and services that provide welfare gain. This is
the issue of economic sustainability.
The challenge in each case relates to the ability and willingness to pay for
health care in the face of rising costs and resource constraints. Whether or not
the economy can sustain higher levels of spending on health care, and how
much a country can or should spend, is an issue we discuss in more detail in
Section 3. First, however, we look briefly at why health care costs rise, before
focusing on fiscal sustainability, which is often put forward as a central
objective guiding policy development.

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Important information for writing discussion questions and participation

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource