Healthcare Financial Management | Functions & Importance - Lesson | Study.com (2024)

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Tommy Watts, Ann Kearney
  • AuthorTommy Watts

    Tommy Watts has taught college level economics for over one year and they have a degree in Economics from the University of Delaware. They have also worked as a professional economist for over three years. They are passionate about helping students achieve their best in school.

  • InstructorAnn Kearney

    Annie has a Doctorate in Health Education and Promotion. She has taught a variety of levels and has lectured at the University level in both the USA and the UK.

Learn about healthcare financial management. Learn what financial management is in healthcare and identify the importance of financial management in this field.Updated: 11/21/2023

Frequently Asked Questions

What is financial accounting in healthcare?

Financial accounting is an organized system created to document the healthcare institution's financial history. For instance, health care accountants conduct cash flow analyses, maintain financial records, and analyze report data.

What is the role of financial management in healthcare?

In healthcare organizations, managing risk and money in a manner that facilitates achieving the financial objectives of an organization is the primary responsibility of financial management. A healthcare institution can deliver effective healthcare to all its patients with solid and well-organized financial management policies.

Table of Contents

  • Healthcare Financial Management
  • Importance of Financial Management in Healthcare
  • Lesson Summary
Show

The techniques used by healthcare facilities to manage their finances and control expenditures are what is referred to as healthcare financial management. To be able to maintain sustainability, financial management comprises processing the budgets and expenses of the healthcare business. The primary responsibility of financial management in healthcare organizations is to manage resources and risks to advance the organization's financial objectives. General managers can use finance specialists' accounting and other financial data to make informed decisions. It is believed that healthcare organizations are better able to deliver effective care to all of their patients when they have solid and well-organized financial management plans. Healthcare organizations' financial management teams frequently engage the services of an actuary to aid them in making wise decisions regarding potential financial risks. Actuaries are educated to identify, assess, and identify ways to reduce risks.

A healthcare organization's financial stability is greatly supported by financial management. Writing financial reports, choosing investments, and establishing plans for the organization's long-term financial performance are all part of this responsibility. Financial managers in the healthcare industry undertake the following frequent tasks and financial operations:

  • Assisting with contract negotiations
  • Keeping track of financial reporting and budgeting
  • Making sure that a healthcare organization's finances adhere to the law
  • Examining market trends and financial statistics to identify methods to save costs and boost earnings
  • Getting advice from senior executives while making financial decisions

Functions of Healthcare Financial Management

Financial management performs different functions in healthcare. Healthcare financial services include:

  • Evaluation and planning: Assessing the general activities and financial performance of the healthcare business is part of financial management. The healthcare provider is now able to make preparations for the future thanks to this. Imagine a situation where a hospital looks at emergency room income and notices that a nearby facility with more room is attracting most of its patients. As a result, they can choose to make preparations for a larger emergency room to overcome this challenge.
  • Long-term investment decisions: Although the financial team is organized hierarchically, significant corporate investments typically involve input from all managers, regardless of level. Making long-term investment decisions entails reviewing implementation plans and assessing the potential impact of the investment on one's financial future, both positive and negative. Using the previous scenario, the finance team at the hospital would assess the expense of a more extensive emergency department and possible income gains to determine the viability of the investment.
  • Financing: The financial team must also raise money to cover expenses. This could entail undertaking fundraising efforts, obtaining grants, or using internal finances. They will consider the cost and return of the investment and the type of debt likely to be incurred. The senior manager is obliged to make the final decision about finance. For instance, they might elect to pay for some of the expenses out of internal resources and then utilize a small loan to cover the remainder. Their long-term investment will increase their income and eventually enable them to pay back the loan.
  • Management of working capital: The working capital of the business is determined by current assets minus liabilities, and it is managed by the financial management group. Assets include things like receivables, cash, inventories, and securities. Capital management is essential for a business to operate efficiently and cut expenses. For instance, the team decides which assets can be reused and which ones need to be purchased using working capital when renovating the emergency department.
  • Contract management: An effective contract management system enables healthcare companies to deliver the best treatment to patients, cut operational costs, ensure compliance, and reduce risk. For example, a healthcare facility might contract out its transcription, collections, and other office-based tasks, as well as medical coding.
  • Management of risks: Healthcare risk management is defined as the procedures and systems employed to identify, minimize and avert risks in healthcare organizations, recognize its objectives, constituent parts, the risk manager's function, and more. Using skin protocols to prevent skin ulcers, lowering the incidence of falls, decreasing malpractice claims, and enhancing communication with insurance providers are some examples of financial-related risk management objectives for healthcare businesses.

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Healthcare boards oversee, among other things, the smooth operation of management and financial teams in pursuit of profitable objectives. Healthcare institutions greatly appreciate the importance of financial management because it is beneficial to them in many ways, such as:

  • Creating income: Investing in assets to achieve financial sustainability is one goal of financial management. In order to generate income and maintain competitiveness, financial managers continuously evaluate the cost of healthcare services to meet market rates.
  • The ability to sway third-party payers: The full or partial payment of a patient's medical bills may occasionally be made by insurance companies and other third parties. Insurance companies regularly seek discounts when they insure a large number of customers since they are profit-driven. Negotiating reasonable charges is the responsibility of healthcare finance managers in order to retain the bulk of their patients while still getting paid fairly for the treatment they provide.
  • Monitoring internal spending: Finance managers in the healthcare industry also keep an eye on internal expenditures to look for fraud and money-related abuse. Most of the spending is influenced by physicians. They might place purchase orders for items that are improper for a patient's needs, putting the business at risk for lawsuits.
  • Protecting tax status: The state and federal governments may use the chance to raise money when a nonprofit organization loses its tax-exempt status. This makes it crucial for management teams in the healthcare industry to concentrate on following tax-exempt legislation and regulations.

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Healthcare financial management refers to the strategies employed by healthcare facilities to manage their finances and restrain spending. Financial managers in the healthcare sector carry out financial operations and routine tasks. One of the responsibilities of financial management is to get funding. Before a healthcare organization's financial team can make any judgments about expenditures, the financial team needs to thoroughly assess the cost and benefit of the investment in addition to the debt that the organization will incur as a result of making the investment. Risk management is one responsibility that falls under the purview of financial management. To assist them in making sound choices regarding potential financial risks, the financial management teams of healthcare organizations frequently use the services of an actuary. Actuaries are trained to recognize, evaluate, and find ways to minimize risks. Financial management's main duty is often to manage both finances and risk in healthcare organizations to realize the organization's intended financial success.

Usually, in healthcare organizations, the function of financial management responsible for evaluation and planning includes analyzing the organization's overall effectiveness in terms of its finances and operations. Evaluation provides the foundation for future planning within the healthcare institution. Managing working capital is also another function of financial management in healthcare. In this context, working capital is the distinction between current assets and liabilities. Assets include things like available cash, accounts receivable, inventories, and securities.

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Video Transcript

Healthcare Financial Management

Have you ever wondered how hospitals pay for all their equipment? Or how your hospital bills are processed? Healthcare organizations operate like any business and rely on strong financial management.

The primary role of financial management in healthcare organizations is to manage money and risk in a way that helps to achieve the financial goals of the organization. When a healthcare organization has strong and organized financial management plans, they're able to provide efficient healthcare to all their patients.

Financial Management Functions

The basic activities involved in financial management in healthcare organizations include evaluation and planning, long-term investment decisions, financing decisions, working capital management, contract management, and financial risk management. We'll cover these in greater detail now.

1. Evaluation and Planning

Financial management involves evaluating the financial effectiveness and overall operations of the healthcare organization. This allows the healthcare organization to plan for the future. For example, let's say that a hospital evaluates emergency room revenue and discovers that they're losing patients to a neighboring hospital with more space. In response to this, they may decide to plan for an expansion of their emergency room.

2. Long-Term Investment Decisions

The financial team has a hierarchy, but in general, input is taken from all the managers at all levels when it comes to big investments in the business. Long-term investment decisions involve analyzing implementation strategies and determining how the investment might affect the financial future - for the better or for the worse. Taking the example we looked at before, the financial team at the hospital would look at the cost of an emergency room expansion and potential revenue increases and decide if it would be a good investment.

3. Financing

The financial team must also raise funds for expenditures. This might involve things like fundraising, grants, loans, or using internal funds. They'll look at the cost and benefit of the investment and/or the kind of debt that they will incur. The senior manager will make the ultimate call on financing. In the case of the emergency room example, the financial management team will bring someone in to determine how much a renovation would cost as well as how long it would take. They may decide to use internal funds and then take out a small loan to cover the rest of the expenses, knowing that the long-term investment will bring them more revenue to ultimately help them pay back the loan.

4. Working Capital Management

The financial management team must manage their working capital, which is their current assets minus their liabilities. Assets might include cash, marketable securities, receivables, and inventories. Managing capital is vital to reducing costs and making sure that the organization runs effectively. In the renovation of the emergency room, for example, the team determines which assets can be reused and which assets must be purchased with working capital.

5. Contract Management

The management team must negotiate, sign, and monitor all the external organizations and third-party payers. In the case of the hospital, they must manage contracts with the ambulance companies, insurance companies, and companies that provide food for the cafeteria and medical equipment. In the case of the emergency room renovation, the management team would need to oversee contracts with designers, builders, and equipment and furniture vendors.

6. Financial Risk Management

The operation of a healthcare organization involves financial risks. Many financial management teams employ someone known as an actuary, who is trained to identify, assess, and mitigate risks. In the case of the emergency room, the actuary would assess the financial risk associated with the renovation and find ways to minimize or offset the risk.

Lesson Summary

Let's take a couple of moments to review what we've learned about how healthcare organizations handle financial management roles and functions. The primary role of financial management in healthcare organizations is to manage money and risk in a way that helps to achieve the financial goals of the organization. When a healthcare organization has strong and organized financial management plans, they're able to provide efficient healthcare to all their patients.

The basic activities involved in financial management in healthcare organizations include:

  • Evaluation and planning: Involves evaluating the financial effectiveness and overall operations of the healthcare organization to plan for the future
  • Long-term investment decisions: Involves seeking input from managers at all levels, analyzing implementation strategies, and determining how the investment might affect the financial future.
  • Financing decisions: Involves looking at the cost and benefit of the investment as well as the debt that will be incurred and then raising funds through various means to pay for expenditures.
  • Working capital management: Involves managing working capital, which is current assets minus liabilities, to reduce costs and making sure that the organization runs effectively.
  • Contract management: Involves negotiating, signing, and monitoring external organizations and third-party payers; and finally
  • Financial risk management: Involves identifying, assessing, and mitigating risks, often with the help of an actuary, which is a professional trained to identify, assess, and mitigate risks.

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