Journal of Medical Systems

, Volume 2, Issue 1, pp 59–69 | Cite as

A survey of financial planning models for health care organizations

  • John R. Coleman
  • Frank C. Kaminsky
  • Frank McGee
Articles
  • 64 Downloads

Abstract

This paper describes “what if?” financial planning models developed for health care administrators and financial managers to study and evaluate the economic impact of changes in a health care organization's charge structure, operating policies, reimbursement plans, and services and resources. Models for inpatient and outpatient care systems are presented. The models are described in terms of input, output, and application. An assessment of the state of the art of financial planning and prospects for the future of what if? models are given.

Keywords

Health Care Economic Impact Care Organization Outpatient Care Planning Model 

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References

  1. 1.
    Gibson, R.M., and Mueller, M.S., National health expenditures, fiscal year 1976.Soc. Sec. Bull. 40(4):3–22, 1977.Google Scholar
  2. 2.
    Council on Wage and Price Stability,The Problem of Rising Health Care Costs, Executive Office of the President, Washington, D.C., 1976.Google Scholar
  3. 3.
    Knowles, J.H., Introduction.Doing Better and Feeling Worse, Health in the United States. (J.H. Knowles, ed.), W.W. Norton, New York, 1976.Google Scholar
  4. 4.
    Allen, W.C., and Guenther, H.H., Constraints hobble fiscal affairs.Hospitals 50:55–57, 1976.Google Scholar
  5. 5.
    AUPHA Task Force on Financial Management,Financial Management of Health Care Institutions: An Outline and Annotated Bibliography. Association of University Programs in Health Administration, Washington, D.C., 1976.Google Scholar
  6. 6.
    Flagle, C.D., and Young, J.P., The application of operations and industrial engineering to problems of health services hospitals and public health.J. Indust. Eng. 17(11):609–614, 1966.Google Scholar
  7. 7.
    Stimson, D.H., and Stimson, R.H.,Operations Research in Hospitals, Diagnoses and Prognosis, Hospital Research and Educational Trust, Chicago, 1972.Google Scholar
  8. 8.
    Shuman, L.J., Speas, R.D., and Young, J.P.,Operations Research in Health Care: A Critical Analysis, Johns Hopkins Press, Baltimore, 1975.Google Scholar
  9. 9.
    Fries, B.E., Bibliography of operations research in health care systems.Operations Res. 24(5):801–814, 1976.Google Scholar
  10. 10.
    Wolfe, H., Shuman, L.J., and Hutton, M.L., A critical review and analysis of cost finding techniques. Prepared for the Social Security Administration, May 1976.Google Scholar
  11. 11.
    Collins, G.L., Cost analysis and efficiency measures for hospitals.Inquiry 5 (2), 1968.Google Scholar
  12. 12.
    Lave, J.R., A review of methods used to study hospital costs.Inquiry 3 (2), 1966.Google Scholar
  13. 13.
    Ernst and Ernst, Patient care unit-management information system. U.S. Department of Health Education and Welfare, Bureau of Community Studies, Rockville, Maryland, June 1976.Google Scholar
  14. 14.
    Weeks, L.E., Unpublished literature: A valuable source of information on hospital financial management.Hospital and Health Services Administration 22(1):57–71, 1977.Google Scholar
  15. 15.
    Forsyth, G.D., and Thomas, D.G., Models for financially healthy hospitals.Harvard Bus. Rev. July–August:106–117, 1971.Google Scholar
  16. 16.
    DuFour, R., Using financial models for strategic planning.Hospital Progress October:35–40, 1972.Google Scholar
  17. 17.
    Fayollat, P.D., Computer models: Two ways to do financial forecasts.Modern Hospital 120(4):107–109, 1973.Google Scholar
  18. 18.
    Montague, F., In this model, the question for the computer is: What If?Modern Hospital 120(4):107–109, 1973.Google Scholar
  19. 19.
    Stepp, M., et al., Now and then financial planning model.Hospitals 48:42–45, 1974.Google Scholar
  20. 20.
    Lamperis, L., and Lindsay, P.D., PAL-hospital department profit and loss system.Proceedings of the Seventh Annual Conference of the Hospital and Health Services Division of AIIE, Colorado Springs, Colorado, February 9–11, 1976, pp. 189–226.Google Scholar
  21. 21.
    Financial Planning System, Medicus, Chicago, 1976.Google Scholar
  22. 22.
    Benson, F.S., and Santullano, M.A., Modeling makes budgeting more efficient.Hospitals 50:93–95, 1976.Google Scholar
  23. 23.
    U.S. Department of Health Education and Welfare,Financial Planning in Ambulatory Health Programs, Health Services and Mental Health Administration, U.S. Government Printing Office, Washington, D.C., 1973.Google Scholar
  24. 24.
    U.S. Department of Health, Education and Welfare,Financial Planning Manual for HMOs, Health Maintenance Organization Service, Health Services and Mental Health Administration, U.S. Government Printing Office, Washington, D.C., 1973.Google Scholar
  25. 25.
    Herbert, M.E.,A Financial Planning Guide for HMO Planners. Inter-Study, Minneapolis, 1973.Google Scholar
  26. 26.
    Moustafa, A.T., and Sears, D.W., Feasibility of simulation of health maintenance organizations.Inquiry 11:143–150, 1974.Google Scholar
  27. 27.
    Greene, L.A., and Grimes, R.M., A simulation of the financial requirements of a pre-paid health care delivery system.Examination of Care Studies in Health Facilities Planning. Proceedings of a forum head at Washington, D.C., December 3, 4, 1973. National Cooperative Services Center for Hospital Management Engineering, Richmond, Virginia, 1974.Google Scholar
  28. 28.
    Hirsch, G., and Miller, S., Evaluating HMO policies with a computer simulation model.Medical Care 12(8):668–681, 1974.Google Scholar
  29. 29.
    Thompson, D.A., Financial planning for an HMO.Health Services Research Spring:68–73, 1974.Google Scholar
  30. 30.
    Coleman, J.R., and Kaminsky, F.C., A financial planning model for evaluating the economic viability of health maintenance organizations.Inquiry june:176–188, 1977.Google Scholar
  31. 31.
    Coopers and Lybrand,HMO Financial Planning Computer Model. Coopers and Lybrand, Philadelphia, 1975.Google Scholar
  32. 32.
    U.S. Congress, The Hospital Cost Containment Act of 1977, H. R. 8121, 95th Congress.Google Scholar

Copyright information

© Plenum Publishing Corporation 1978

Authors and Affiliations

  • John R. Coleman
    • 1
    • 2
  • Frank C. Kaminsky
    • 1
    • 2
  • Frank McGee
    • 1
    • 2
  1. 1.Department of Public AdministrationUniversity of New HavenNew Haven
  2. 2.Department of Industrial Engineering and Operatios ResearchUniversity of MassachusettsAmherst

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