Questions
1- Incremental Analysis: Explain two (2) examples of unavoidable costs for a sample business decision for...

1- Incremental Analysis:

Explain two (2) examples of unavoidable costs for a sample business decision for a company.

2- Master Budget Terms:

List and explain three (3) benefits of budgeting for a company.

3- Additional Budget Terms:

Explain how to compute a flexible budget performance report.

In: Accounting

please read questions and the bottom of the case study and post resources as well please...

please read questions and the bottom of the case study and post resources as well please or it wont count

Gordon D. Brown

A large psychiatric specialty group practice in a metropolitan area provides a range of psychiatric services. Since its formation in the 1980s, the practice has grown rapidly and has thrived as a result of the development of managed care plans, including the state Medicaid program that follows a carve-out model for behavioral health services. The psychiatric group is made up of highly respected psychiatrists, who carry out extensive translational research and develop evidence-based protocols that are highly respected. They are also skilled at applying clinical guidelines to inform and transform their clinical practice.

Several psychiatrists are concerned about the long-term effect of federally mandated accountable care organizations (ACOs). The mandate identifies 65 performance measures that the standard ACO must meet under the Medicare Shared Savings Program. These measures span five quality domains: patient experience of care, care coordination, patient safety, preventive health, and at-risk population/frail elderly health. The only behavioral health measure mandated is in the preventive health domain—a measure for depression screening.

Some leaders of the group believe that mental and behavioral health is a highly specialized area and that the practice's clinical volume will not change significantly. They do not support developing an ACO strategy and have resolved to take a wait-and-see approach. They point out that managed care was promoted in the 1970s by the federal government and then went away as a general policy. Other leaders, including the practice CEO, believe that ACOs do present a long-term threat but also provide an opportunity for the group to transform itself into one that is information driven.

Evidence-Based Strategy

The practice organized a multidisciplinary team to explore an ACO strategy. The team comprises two psychiatrists, one psychiatric nurse, the CEO, and a healthcare management intern. The team agrees that it will entertain all ideas and proposals, as well as research the literature to bring the best explicit information and experiential knowledge to the deliberation. Relevant literature topics include ACO basics, knowledge management, disruptive innovation, and managed care organizations’ limited acceptance and success since the 1980s.

The management intern, Marjorie, is interested in the medical-offset effect and its potential as a strategic asset. She presents to the team 30 years of critically reviewed research on the concept, including closed clinical trials. Studies on medical-offset measure the impact of providing effective behavioral health services on the utilization of medical care, including physician consults and visits to the emergency department. Marjorie is impressed by the extensive studies that include a wide range of populations and conditions, including Medicaid patients and chronic care diagnoses. The findings consistently demonstrate a savings of 10 to 20 percent through reductions in medical care utilization, particularly specialized services.

The psychiatrists meet these studies with skepticism. Although they think the science behind the research is valid, they reason that the practice's specialty is mental health and not prevention or behavioral health; thus, the studies are not relevant to what they do.

In a brainstorming session, the team explores alternative strategies for how the practice might add value to the ACOs that are developing in the area. The first strategy is to embed specialty psychiatric knowledge into the ACO's decision support system. The second strategy is to develop formal affiliations with as many ACOs as possible to capture their referrals for specialty care. The third strategy is to extend the practice's decision support protocols to address prevention, early detection, and aggressive management of behavioral health issues. This last idea is suggested by the psychiatric nurse, who points out that the nursing staff and social workers have considerable, but underused, expertise in behavioral health. The psychiatrists on the team worry that developing behavioral health decision support protocols would result in a loss of status for the psychiatrists and thus would be strongly opposed. They note that the specialty practice of psychiatry is the core competency of the group and that the proposed strategy would result in a loss of prestige and reputation for the practice.

After considerable discussion and debate, the team agrees to respect and maintain the existing culture and practice of the psychiatrists but to pursue a broader strategy to better position the group for the future. They begin to develop a full proposal for the third strategy.




Please read the above case study. Afterwards, create a strategy to leverage the knowledge base of the practice against the value of knowledge in the developing ACOs. Consider the following guidelines and questions for this exercise:
•    What change will be made in who accesses knowledge generated by the practice and how it will be used?
•    What are the implications of each on the structure of the clinical process and on the information system that supports the process?
•    What kind of organizational structure would be formed with the ACO?
•    What are the implications of collaborating with more than one ACO?
•    Should the psychiatric group serve as the focal organization for developing an ACO?
•    What value would be brought to the ACO, and how would it be assessed?

In: Operations Management

Add to the class DoublyLinkedList a method called isSubSet ( DoublyLinkedList <Character> s1, DoublyLinkedList <Character> s2)...


Add to the class DoublyLinkedList a method called isSubSet ( DoublyLinkedList <Character> s1, DoublyLinkedList <Character> s2) that receives 2 DoublLinked lists of characters. The method will return true if
s1 is subset of s2. Then don’t forget to test the method in the main method in Test class in Doubly package.

In: Computer Science

Question: Why does CSMA/CD require restriction on min frame length? You can use example or diagram...


Question: Why does CSMA/CD require restriction on min frame length? You can use example or diagram to describe the answer.

In: Computer Science

... Reconciliations required to yield government-wide financial statements from fund financial statements and preparation of financial...

... Reconciliations required to yield government-wide financial statements from fund financial statements and preparation of financial statements                                                   
The City of Jackson Hole is preparing its government-wide financial statements for the year. Its accountant must prepare a number of journal entries to recognize assets and liabilities previously omitted from the fund financial statements and to recognize revenues and expenses for the year under accrual accounting that were not recognized under the current financial resources measurement focus and the modified accrual basis of accounting used to prepare the Statement of Revenues, Expenditures, and Changes in Fund Balances for its funds.

a. Prepare the journal entries for the required reconciliations to recognize the following in the government-wide financial statements (all amounts in $1,000s):

1. Recognize Capital Assets of $968,320 as of the beginning of the year.
2. Record Depreciation Expense of $48,416 for the year and reverse Expenditures of $58,099 for Capital Outlays during the year.
3. Recognize $7,000 of Bonds Payable as of the beginning of the year.
4. Reverse Other Financing Sources of $2,000 and Expenditures—Debt Payments of $700 relating to increases and decreases in the bond liability during the year.
5. Reverse Deferred Revenue of $132,600 as of the beginning of the year.
6. Reverse $6,630 of Deferred Revenue recognized during the year.
7. Recognize Compensated Absences of $19,366 as of the beginning of the year and an increase in that liability of $968 during the year.
8. Recognize $20 of Accrued Interest Payable as of the beginning of the year and an increase in that liability of $33 during the year.
9. Recognize a liability of $26,629 relating to the City’s landfill as of the beginning of the year. The estimate for this liability did not change during the year.

In: Accounting

what are the advantages of medicaid expansion to patients, providers,states and the federal government?

what are the advantages of medicaid expansion to patients, providers,states and the federal government?

In: Accounting

Reading a contract and knowing what the contents reveal is very important. In this case, was...

Reading a contract and knowing what the contents reveal is very important. In this case, was there unclarity or ambiguity by the unit owners in describing their duties to the other parties as third-parties? It is feasible to think that Koraev simply did not pay attention to the document when reading? Explain your answer. Critically thinking cases ALLAN v. Nersesova. Need a goos long answers

In: Operations Management

PLEASE DO THIS IN JAVA!Design and implement a programming (name it NextMeeting) to determine the day...

PLEASE DO THIS IN JAVA!Design and implement a programming (name it NextMeeting) to determine the day of your next meeting from today. The program reads from the user an integer value representing today’s day (assume 0 for Sunday, 1 for Monday, 2 for Tuesday, 3 for Wednesday, etc…) and another integer value representing the number of days to the meeting day. The program determines and prints out the meeting day. Format the outputs following the sample runs below.

Sample run 1:

Today is Monday

Days to the meeting is 10 days

Meeting day is Thursday

Sample run 2:

Today is Wednesday

Days to the meeting is 7 days

Meeting day is Wednesday

Sample run 3:

Today is Friday

Days to the meeting is 20 days

Meeting day is Thursday

In: Computer Science

For each exercise, find the equation of the regression line and find the y’ value for...

For each exercise, find the equation of the regression line and find the y’ value for the specified x value. Remember that no regression should be done when r is not significant.

27.Class Size and Grades School administrators wondered whether class size and grade achievement (in percent) were related. A random sample of classes revealed the following data.

No. of students

15

10

8

20

18

6

Avg. grade (%)

85

90

82

80

84

92

Find y′ when x = 12.

Answer: R is not significant no regression should be done. Please show work this is a review for an exam coming up. Please do this by hand. Also, specifically show how you find R. Thank you

In: Math

7. As a mass tied to the end of a string swings from its highest point...

7. As a mass tied to the end of a string swings from its highest point down to its lowest point, it is acted on by three forces: gravity, tension, and air resistance. Which force does (a) positive work? (b) negative work? (c) zero work?

In: Physics

Walton Electronics is considering investing in manufacturing equipment expected to cost $380,000. The equipment has an...

Walton Electronics is considering investing in manufacturing equipment expected to cost $380,000. The equipment has an estimated useful life of four years and a salvage value of $ 22,000. It is expected to produce incremental cash revenues of $190,000 per year. Walton has an effective income tax rate of 30 percent and a desired rate of return of 14 percent. (PV of $1 and PVA of $1) (Use appropriate factor(s) from the tables provided.)

   

Required

Determine the net present value and the present value index of the investment, assuming that Walton uses straight-line depreciation for financial and income tax reporting.

Determine the net present value and the present value index of the investment, assuming that Walton uses double-declining-balance depreciation for financial and income tax reporting.

Determine the payback period and unadjusted rate of return (use average investment), assuming that Walton uses straight-line depreciation.

Determine the payback period and unadjusted rate of return (use average investment), assuming that Walton uses double-declining-balance depreciation. (Note: Use average annual cash flow when computing the payback period and average annual income when determining the unadjusted rate of return.)

Req A and B

Determine the net present value and the present value index of the investment, assuming that Harper uses straight-line depreciation and double-declining-balance for financial and income tax reporting. (Round your answers for "Net present value" to the nearest whole dollar amount and your answers for "Present value index" to 2 decimal places.)

Net present value Present value index
a.
b.

Determine the payback period and unadjusted rate of return (use average investment), assuming that Harper uses straight-line depreciation and double-declining-balance depreciation. (Note: Use average annual cash flow when computing the payback period and average annual income when determining the unadjusted rate of return.) (Round your answers to 2 decimal places.)

Show less

Payback period Unadjusted rate of return
d. years %
e. years %

In: Finance

On 31 December 2018, the accounting records in Ahmed’s Company showed the following information:                           &

On 31 December 2018, the accounting records in Ahmed’s Company showed the following information:

                                                                                          (in Dirhams)

Cash

          49,500

Accounts Receivable

         125,000

Supplies

             1,500

Prepaid Insurance

           12,000

Equipment

           70,000

Building

      420,000

Land

         111,500

Accounts Payable

           80,000

Notes Payable

         170,000

Common Stock

         410,000

Retained Earnings

          65,000

Dividends

           20,000

Service Revenue

         174,000

Interest Revenue

             1,000

Salaries Expense

           52,000

Advertising Expense

           17,000

Insurance Expense

             5,000

Utilities Expense

           13,750

Interest Expense

             2,750

Prepare the Income Statement AND Balance Sheet for year ended December 31, 2018

Ahmed’s Company

Income Statement For Year Ended 31 December 2018

Revenues:

            .

Total Revenues

Expenses:

Total Expenses

Net Income/Profit

In: Accounting

PART 2- Short Essays- Answer 3 of the following questions. Each answer should be about 1...

PART 2- Short Essays- Answer 3 of the following questions. Each answer should be about 1 page (250- 400 words) in length. Use specific historical examples to support your answers. (8 points each)

1. Discuss the impact of the Columbian Exchange on Europe, Africa, and the Americas.

2. What were the political aspects of the Reformation?

3. What were “trading post empires”, and why were they significant for transforming European society?

4. In what ways did the development of the Atlantic economy spur the growth of the African slave trade?

5. In what ways did European exploration and colonization impact established Native American societies in the 16th to 18th centuries?

In: Psychology

Problem 3 Ms. Lisa has recently joined PT KFC as staff in the finance team. Although...

Problem 3

Ms. Lisa has recently joined PT KFC as staff in the finance team. Although still relatively young, she is already very mature in managing her own financial matters. She has already developed a solid plan to cover for her long term financial needs. She is confident that by following her plan she will not be worried of her future financial condition during her old age.

Ms. Lisa borrowed $90,000 for her own business loan from her colleague and she must repay him at 4% annual rate of interest. She should repay her loan for the next 5 years. The loan is amortized into five equal, end-of-year payments.

  1. Calculate the annual, end-of-year loan payment.
  2. Prepare an amortization schedule showing the interest and principal breakdown of each loan payments.

In: Accounting

Implement an iterator that produces the moves for the Towers of Hanoi puzzle described in Worked...

Implement an iterator that produces the moves for the Towers of Hanoi puzzle described in Worked Example 11.2. Provide functions has_more_moves and next_move. The next_move function should yield a string describing the next move. For example, the following code prints all moves needed to move five disks from peg 1 to peg 3:

DiskMover mover(5, 1, 3);
while (mover.has_more_moves())
{
   cout << mover.next_move() << endl;
}

Hint: A disk mover that moves a single disk from one peg to another simply has a next_move function that returns a string

Move disk from peg source to target

A disk mover with more than one disk to move must work harder. It needs another DiskMover to help it move the first d – 1 disks. Then next_move asks that disk mover for its next move until it is done. Then the next_move function issues a command to move the dth disk. Finally, it constructs another disk mover that generates the remaining moves.

It helps to keep track of the state of the disk mover:

•BEFORE_LARGEST: A helper mover moves the smaller pile to the other peg.

•LARGEST: Move the largest disk from the source to the destination.

•AFTER_LARGEST: The helper mover moves the smaller pile from the other peg to the target.

•DONE: All moves are done.

In: Computer Science