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Finance
This area deals with the planning, development, establishment, analysis, and assessment of financial management processes for an organization's capital, budget, accounting, and related reporting systems.
December 2008
Monday December 29, 2008
Physician Strategies
Posted by: Stephen Gabelich at 3:11PM EST on December 29, 2008
With economic conditions putting pressure on health systems and physicians, can anyone comment on future strategies of physician alignment with in their health system? Physician as employees, income guarantees or service agreements, or conbination of all? Depending on regional climate may determine soloution, but all have financial implications.
Continous vs. Discrete Budgeting
Posted by: Linda Lawton at 6:06AM EST on December 29, 2008
In reference to the PowerPoint Slide #51; does anyone actually budget "Continous" vs. Discrete, where dollars not spent during one budget year are carried over to the new budget year?   I can see that  approach as an incentive to not spend, but I have never experienced an organization budgeting that way, and doubt we could afford to do so in today's economic climate.
Saturday December 20, 2008
Cost Shifting
Posted by: Keith McGuinness at 2:32PM EST on December 20, 2008

There is another form of cost shifting taking place in the US.  It is the shift from the ER and the PCP to the patient, who with more knowledge may avoid the ER and even the PCP, through better health-affecting behaviors.   This cost shift, also a paradigm shift, is being driven by employers, whose ability to influence the personal behavior of an employee is even greater than healthcare’s,  because it is daily and relentless.

Wednesday December 17, 2008
Direct vs Indirect Costs
Posted by: Linda Lawton at 6:24AM EST on December 17, 2008
Chapter 11 referred to facilities and equipment as fixed direct costs.  I would define them as indirect costs when looking  at direct / indirect / contribution margin and P&L analysis and definitions (unless I am defining facility cost for example differently than they are).  I understand how equipment would be defined this way if being leased / but not if it was a capital purchase. Can someone clear me up on this. 
Monday December 15, 2008
Non-profit organizations and requirement for charity care to keep tax exempt status
Posted by: Teresa at 1:04PM EST on December 15, 2008
I have seen mixed information on this issue. Are there federal, state, or local requirements for not-for-profit hospitals to provide a certain amount (percentage or threshold) of charity care in order to maintain their non-profit status?