Finance Test 6 Flashcards

1
Q

what are the primary differences between financial and managerial accounting?

A

managerial focuses on data at all levels of the organization for purposes of planning, decision making, and control

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2
Q

Cost

A

no single definition

different costs for different purposes

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3
Q

relevant range

A

the range of volume expected over some planning period. The range over which fixed costs remain constant- if vol falls outside the relevant range, the fc, estimate may be invalid

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4
Q

fixed cost

A

a cost that is not related to the vol of services delivered

ex: facilities cost

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5
Q

variable cost

A

a cost that is directly related to the vol of services delivered and changes in total with changes in volume
ex: the cost of clinical supplies

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6
Q

Underlying Cost Structure

A

the relationship between an organization’s fixed costs, variable costs, and total costs. aka cost structure

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7
Q

variable cost rate

A

the variable cost of one unit of output (volume)

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8
Q

profit analysis

A

the technique applied to an organization’s cost and revenue structure that analyzes the effect of volume changes on costs and profits
aka CPV analysis

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9
Q

Profit and Loss Statement

A

summarizes the revs, exps, and profitability of either the entire organization or a subunit of it

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10
Q

contribution margin

A

diff between per unit rev and per unit cost

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11
Q

breakeven analysis

A

a type of analysis that estimates the amount of some variable that is needed to break even

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12
Q

accounting breakeven

A

the volume required to produce revenues sufficient to cover all accounting costs: zero profitability

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13
Q

economic breakeven

A

the volume required to produce revenues sufficient to cover all accounting costs and to provide a specified profit level

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14
Q

equation for volume breakeven

A

profit = Tot Rev - Tot VC - FC

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15
Q

Marginal cost

A

the cost of one additional unit of volume

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16
Q

marginal analysis

A

cost associated with each additional visit

more visits, they add to the existing base volume of visits

17
Q

Marginal analysis is made more complicated by long term considerations

A

fix costs are often difficult to change quickly in the short run, making contribution margin is more important to consider

18
Q

do marginal costs always consist only of variable costs?

A

no, they can also contain the incremental fixed cost per additional visit

19
Q

under capitation, what is the diff between a CVP graph with the number of visits on the x and the number of members on the x axis?

A

number of visits: loss is above total revenues and profit is below
number of members: loss is below total costs and profit is above total costs

20
Q

why is utilization so important in a capitated environment?

A

less utilization means lower total costs and lower total costs mean greater profit

21
Q

Why is the number of members so important in a capitated environment?

A

a greater number of members increases profitability because additional members create additional revenues that presumably exceed their incremental (variable) costs

22
Q

“to minimize financial risk, match the cost structure to the revenue structure”

A

the financial risk to a healthcare provider, at least in theory, is minimized by having a cost structure that matches its revenue structure

23
Q

What cost structure would minimize risk if a provider had all fee for service reimbursement?

A

variable costs

24
Q

What cost structure would minimize risk if a provider were entirely capitated?

A

fixes costs

25
Q

What are real world constraints on creating matching cost structures?

A
  1. few providers are reimbursed solely on a fee for service of capitated basis
  2. providers do not have complete control over their cost structures