Healthcare System Navigation Project
Select a health insurance company/organization that provides healthcare services to people here in Washington, in Oregon or in California. The entity can be government or non-government. The corporate/organizational headquarters do not have to be based on the west coast. Answer the following questions:
1. What is the organization's background - size history, locations, services provided, facilities, populations served.
2. How so people enroll for services? What is the process for being eligible for services? What is the process of obtaining services? Is there a network, preferred providers, consumer choice vs plan requirements?
3. Determine if they have any RN (Registered Nurse) positions with the role of providing support for consumers/customers pertaining to navigating their system, positions involving billing for services, or positions supporting long term chronic care management. These positions are sometimes called navigators, care managers or case managers. Look at their Human Resources website. Seek out a position description, information and qualifications for the position you are focusing on. You may need to contact them via telephone or email to get additional information. Try to speak with a Recruiter or HR Team member about the position. What are the requirements in terms of education, preferred training, and years of experience? Find out the roles and responsibilities of the position you are focusing on.
4. What service does the position provides to consumers? What financial impact does the role have. Questions to consider are: Does it help save the consumer money? Which customers/consumers benefit the most from the position? Does the role help reduce costs? Does the role contribute to greater efficiency within the healthcare system? Does the role make service provision more equitable? Does the role contribute to better quality and safety for patients? What benefits do you believe the position provides from a consumer's standpoint and from the organization's perspective?
Write up your findings in a power point, 8-10 slides long summarizing your findings. On the first slide list your name and the name of the healthcare organization you selected to focus on.
(2) above. 7-44. You have been asked by the board of trustees of a local church to review its accounting proce- dures. As part of this review, you have prepared the following comments relating to the collect tions made at weekly services and record keeping for members' pledges and contributions: (1) The church's board of trustees has delegated responsibility for financial management and the financial records to the finance committee. This group prepares the annual forecast and approves major disbursements but is not involved in collections or record keeping. No internal or independent audit has been considered necessary in recent years because the same trusted employee has kept church records and served as financial secretary for 15 years. (2) The offering at the weekly service is taken by a team of ushers. The head usher counts the offering in the church office following each service. He then places the offering and a notation of the amount counted in the church safe. The next morning the financial sec- retary opens the safe and recounts the offering. He withholds about $100 to meet cash expenditures during the coming week and deposits the remainder of the offering intact. In order to facilitate the deposit, members who contribute by check are asked to draw their checks to cash. (3) At their request, a few members are furnished prenumbered, predated envelopes in which to insert their weekly contributions. The head usher removes the cash from the envelopes to be counted with the loose cash included in the offering and discards the envelopes. No record is maintained of issuance or retum of the envelopes, and the envelope system is not encouraged. (4) Each member is asked In pregave a contribution pledge card annually. The pledge is regarded as a moral commitment by the member to contribute a stated weekly amount. Based upon the amounts shown on the pledge cards, the financial secretary furnishes a let- ter requesting members to support the tax deductiblety of their contributions. Describe the weaknesses and recommend improvements in procedures for: a. Offerings given at weekly services. b. Record keeping for members' pledges and contributions. Organize your answer sheets as follows: Weakness Recommended Improvement (AICPA, adapted) 7-45. Assume that you have been hired by Willington, CPA, as a new staff assistant. He informs you that his approach to audits has always been to assess control risk at the maximum and perform all the substantive procedures he considers necessary. However, he has recently read an article in The Journal of Accountancy that indicates that a more efficient audit may sometimes beQuestion 10 1 pts Traditional Individual Retirement Accounts (IRAs) are taxed: O when you make contributions and again when you make withdrawals. O only when you make contributions. O only when you make withdrawals. O Traditional IRAs are never taxed. Question 11 1 pts The idea that banks hold only a portion of deposits and lend the rest out is called the: Ofractional reserve banking system. O partial banking system. O double-entry bookkeeping system. ) loan-maximization system.Question 15 (1 point} Suppose the banking system has assets {in billions] consisting of $100 reserves, $800 Loans and $200 T-bills. On the liabilities side of the balance sheet [in billions) it has $1000 deposits. What is the equity of the banking system [in billions, to the closest billion)? Your An swer: Answer units Question 16 (1 point} Which of the following assets would you classify as being the most liquid? 0 checkable deposits 0 cash 0 silver bullion O T-bills Question 5 1 pts The capital market is where firms obtain external short term financing. O True O False Question 6 1 pts The shadow banking system has escaped regulation primarily because it does not accept traditional bank deposits. As a result, many of the shadow banking institutions have been able to employ higher market, credit and liquidity risks, and have higher capital requirements. O True O False
