Navigate 2 Scenario- Health Care Finance Episode 2 Questions And
Answers Most Reviewed Edition.
As the CFO for a community hospital, you prepare for contract negotiations with its largest
insurance payer that refuses to increase inpatient payment rates more consistent with Medicare
and refuses to increase the inpatient pay rate more than 5%. Which important areas do you need
to explore in order to determine what position the hospital system should take with the insurance
payer? (Select all that apply)
a) The risk of losing your largest insurance payer altogether.
b) The possibility that the insurance payer might be willing to reduce the inpatient pay rate.
c) Whether pricing is reasonable or not.
d) An exploration of revenue and volume factors. - ansa) The risk of losing your largest
insurance payer altogether.
c) Whether pricing is reasonable or not.
d) An exploration of revenue and volume factors.
For what does ROI stand?
a) Reasonableness of investment
b) Return on investment
c) Revenue of investors
d) Ranking of investors - ansb) Return on investment
Key factors that influence pricing include? (Select all that apply)
a) Desired net income
b) Competitive position
c) Provider's ratio of cost
d) Market structure - ansa) Desired net income
b) Competitive position
