Decision Making; Medicaid Cuts - 1255 Words

Decision Making: Medicaid budget cuts An emergency manager’s meeting was called this morning to announce the 2009 fiscal budget cut’s starting June 1, 2009. The North Carolina Department of Health and Hospitals has cut Medicaid payments for hospital services by 15 % to reduce the state s budget deficit.These budget changes will directly affect private insurers with significant focus on the Medicaid recipients in the rural low income population located in Eastern North Carolina. During this called meeting a manager mentioned the Informed Decision Toolbox, she read about in an article for her graduate program. This article mentions steps or processes to help decide which services could be eliminated or introduced to continue to provide†¦show more content†¦Evaluate the decisions and outcomes by continuously reviewing the data and develop measureable goals. Since implementing the services provided by the clinic the organizational budget should be reduced by 15 % before the next fiscal year. Having bu y in from the community to support services the clinic has eliminated from the operating budget will be a win-win situation for all involve. In step 4, applying the Informed Decision toolkit to the changes implemented during the adjustment to the budget. Steps three and four are similar in the approach of evaluating the progress of the decision and measuring the goals. An option to assistance with budget changes is allowing healthcare providers to practice in clinic; service for space option. The idea of this option, is allowing medical providers practice clinic which is fully operational while caring for Medicaid patients with simple needs. Medicaid recipients will receive health screening such as a diabetes and hypertension. Another win -win situation, decrease emergency room visit for Medicaid patients and medical provider will eliminate healthcare facility overhead cost due to service for space agreement. Determining if the progress will work or if more research in the validity is needed is the next step of the IDT. Putting the decision to work for the manager or the policymaker is step 5. Rundall states, â€Å"Actionability questions include whetherShow MoreRelatedDecision Making in Health Care1528 Words   |  7 Pagescare providers. Budget cuts are not just a speculation but are a reality. Decision-making to provide quality patient care with less money is a challenge at best. Health care management decisions are made daily and these affect many patients both positively, and negatively. Texas state department budgets are continuing to become leaner, and the Medicaid population seems to be continually growing. Texas currently has an â€Å"unemployment rate of 6.4% along with an 18% statewide Medicaid population† (KaiserRead MoreDecision Making Case Study Essay893 Words   |  4 PagesDecision Making Case Study Stefanie Parker HCS/514 June 24, 2011 Kendra Slatton Decision Making Case Study The standard definition of decision making is; the process of mapping the likely consequences of decisions, working out the importance of individual factors and choosing the best course of action to take (Definition of decision,). In this case study effective decision making tools will be used to choose the best course of action to take in the scenario. The scenario is; as aRead MorePaper878 Words   |  4 PagesThe state having to repay Medicaid may mean a cut in billable services for Nebraska DD providers. In a staff meeting at Nebraska-DHHS, DD Director Courtney Miller, â€Å"the proposed plan is to allow 35 billable hours of Day Habilitation per week instead of 40. This should save money and pay what is owed to Medicaid-CMS† (Miller, personal communication July, 2nd, 2017). However on problematic billing issue with Medicaid, the Omaha World Herald article mentions, â€Å"it’s more instability to a system that’sRead MoreDecision Making Case Study1281 Words   |  6 PagesDecision-Making Case Study HCS/514 Decision-Making Case Study The current state of the economy has had a significant impact on health care across the country. Recipients of Medicaid services have especially been hit hard in the health care arena with budget cuts and reduced services. The Maricopa County Clinic is not different when it comes to budget cuts. The department providing outpatient services to Medicaid clients has received a 15% budget cut. The current budget constraintRead MoreThe Oregon Health Services Commission1647 Words   |  7 PagesCommission addressed budget cuts in 1990 by proposing a list of Medicaid services. 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Services may be provided in the home orRead MoreDecision Making Case Study Essay1483 Words   |  6 PagesDecision Making Case Study HCS/514 Managing in Todays Health Care Organizations Instructor: Darlene Cantu Camille F. Fuller Decision Making Case Study Health care is one of the largest growing industries in the country. Technology and medical advancements attribute to the constant changes in the health care industry. The economy also continues to change, and with the changing economy health care cost continue to rise. Companies across the nation have either closed or moved to other countriesRead MoreThe Oregon Health Services Commission1535 Words   |  7 Pagesaddressed budget cuts in 1990 by proposing services for Medicaid services in order of priority based on a cost-effectiveness analysis. Access to particular services became limited, but coverage was increased from 67% to 100% of the poverty line1. Much protest broke out in regards to how the treatments were prioritized on the list. Some of the notable results of the draft were prioritization of minor over serious services and the death of 7-year old Coby Howard following funding cuts for organ transplantRead MoreDecision Making Case Study Essay1189 Words   |  5 PagesDeci sion Making Case Study Nadine Ranger Week 3 HCS/514 August 23, 2010 Sara Brown Decision-Making Case Study Effective decision-making is a major component in managing an organization, resources, and staff members.    Managers make important decisions daily that affect the operations, quality, and success of their organization.   Instituting evidence informed decision-making is a growing concept among health care organizations, but managers faceRead MoreThe State And State Of Alabama1069 Words   |  5 Pagessafety, Medicaid, and Department of Corrections. The majority of the revenue that goes to the General Fund is obtained by tax revenue such as the insurance taxes Alabama collects. The two biggest expenses within the General Fund are Medicaid and the Department of Corrections. Overall, the General Fund receives roughly 15 percent of Alabama’s total appropriations yearly, with Medicaid taking roughly 35 percent and the Department of Corrections taking an estimated 22 percent. In 2014, Medicaid cost the