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Cost Behavior and Allocations

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Cost Behaviors and Allocation
Health Financial Management

Cost allocation is essentially a pricing process within the organization whereby managers allocate the costs of one department to other departments (Gapenski, pg 188). Because this pricing process does not occur in a market setting, no objective standard exists that establishes the price for the transferred services (Gapenski, pg 188). Cost allocation within a business must, to the extent possible, establish prices that proxy those that would be set under market conditions (Gapenski, pg 188). The goal of cost allocation is to assign all of the costs of an organization to the activities that cause them to be incurred (Gapenski, pg 188). Ideally, health services managers track and assign costs by individual patient, physician, diagnosis, reimbursement contract, and so on (Gapenski, pg 188). Managers at all levels within health services organizations are under pressure to optimize economic performance, which translates into reducing costs (Gapenski, pg 188). Many department heads are evaluated, and hence compensated and promoted, other dimensions is satisfactory (Gapenski, pg 188). Department heads are held accountable for the full costs associated with services performed by their departments (Gapenski, pg 188).

Health care costs are increasing at an annual rate of 7% a year, which if sustained will bankrupt Medicare in nine years and increase the nation’s overall annual health care tab to $4 trillion in 10 years (The Hastings Center, 2013). These rising costs are an important reason why the number of uninsured has soared, but the cost problem affects everyone (The Hastings Center, 2013).

Unlike the problem of the uninsured, the cost problem has not captured the public imagination (The Hastings Center, 2013). New or increased use of medical

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