Factors Impacting Health Care Costs

New effective payment and spending methods have been introduced which increase accountability and effectiveness (Kocher et al. Among the three payment-determination bases, one is predetermined and is not affected by the seller which is a fee schedule basis while price related and cost base can be affected by the seller. In price related the amount to be paid is set by the seller based on services offered and a customer is charged based on services rendered. In a cost base, the amount to be paid is based on the cost that the seller will incur. The method to calculate the cost which is the amount to be paid is determined by both the buyer and seller and their agreement becomes the contract law.

The number of services the hospital is expected to offer can affect the forecast of volume if the services reduce, in this case, surgery services will reduce. The cardiovascular surgeons must be experienced if a competing hospital is ready to hire all of them meaning they had created customer loyalty (Al-Qurayshi et al. The customers who trusted the surgeons are also expected to follow them to the hospital they will go to maintain loyalty. Any chances of losing customers that are created by losing surgeons are expected to affect the forecast of volume. Customers that rely on the hospital because of other services and products which are related either directly or indirectly with cardiovascular surgery are expected to move to the competitive hospital.

By the year 2020 with WHO under my leadership, the American health care system would be very efficient with every tiny thing being values since it might cost the life of a citizen. Under my leadership, every life will be important hence ensuring most lives are saved. The health care system will be cheaper since transparency will ensure that no fund is lost. Health care services will become affordable to everyone because under my rule these services will be like a right to every citizen. Week 10 Improving the Capital Planning Process For an organization to meet its goals and objectives there must be the initiation of capital planning. The elected officials in the planning process play a key role in keeping track of each breakthrough of the capital improvement planning process (Pizzini, 2006).

Elected officials use a capital project database and online links that describe each improvement plan. In creating an improved capital planning process, the organization must inform and update the long-term financial plan with the help of the capital investment plan’s future operating budget impacts. The organization ensures the integrity of the entity by implementing mechanisms that fill the future operating budgets with current capital projects impact on the revenue and operating costs. REFERENCES Al-Qurayshi, Z. Byorick, Clarke, Costello, Downing, Duncan, & Robb, (2004). Inside the real world of capital allocation.  Healthcare financial management: journal of the Healthcare Financial Management Association, 58(12), 81-86. Hagberg, L. A.  Annals of internal medicine, 153(8), 536-539. Mielczarek, B. , & Uziałko-Mydlikowska, J. (2012, December). Using simulation to forecast the demand for hospital emergency services at the regional level.