Introduction to Healthcare Financial Management

Read Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., … & Manchikanti, L.
(2016). Once you have read the article, discuss the Medicare Sustainable Growth Rate. “The SGR target is
calculated on the basis of projected changes in 4 factors:
1) fees for physicians’ services,
2) the number of Medicare beneficiaries,
3) US gross domestic product, and
4) service expenditures based on changing law or regulations" (Hirsch, et al., 2016).
How have these 4 factors been tied to fiscal performance? Find additional resources (at least two) and support
your essay with at least 250 words.
Schoen, C., Osborn, R., Squires, D., & Doty, M. M. (2013). Access, affordability, and insurance complexity are
often worse in the United States compared to ten other countries. Health Affairs, 32(12), 2205-2215
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2013.0879.
· Friedberg, M. W., Chen, P. G., White, C., Jung, O., Raaen, L., Hirshman, S., … & Tutty, M. (2015). Effects of
health care payment models on physician practice in the United States. Santa Monica, CA: RAND Corporation.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5158241/
· Hirsch, J.A., Harvey, H.B., Barr, R.M., Donovan, W.D., Duszak, R., Nicola, G.N., … & Manchikanti, L. (2016).
Sustainable growth rate repealed, MACRA revealed: historical context and analysis of recent changes in
Medicare physician payment methodologies. American Journal of Neuroradiology, 37(2), 210-214.
http://www.ajnr.org/content/37/2/210