Part 1

HOSPITALS AND THE COST OF CARE

St. James Hospital has always been a Medicare and Medicaid provider. Of late, due to the percentage of patients under these plans, the hospital is considering not renewing their provider contract for the next year. Levels of reimbursement have been declining every year for the past ten years. The percentage of patients has continued to increase each year.

What factors must St. James Hospital consider in making this decision? How might this affect the hospital in the future if they no longer treat Medicare or Medicaid patients?

This not a paper just a discussion. Please list reference if you use any.

Part 2

EVALUATION OF HOSPITAL MODELS

Historically, when hospitals were first established, they were affiliated to religious orders and provided multiple levels of care for various specialties. As hospitals evolved, they have become more specialized and provide differing levels of care.

For this discussion, select at least two models of hospitals or hospital systems. Explain how a hospital's services are financed and delivered in each of these models. In your response, consider whether the hospitals in each of these models are multi-specialty facilities or single specialty. Provide descriptions of the services they delivered in the past, services they are presently delivering, and what services they plan to deliver in the future.

This not a paper just a discussion. Please use in-text citation and list references.