Наука Красноярья (Dec 2020)
INTEGRATED CASH FLOW ANALYSIS OF A REGIONAL MEDICAL TREATMENT FACILITY IN THE REPUBLIC OF TATARSTAN
Abstract
The current problem of financial management optimization in Publicly Funded Health Facilities is examined. In line with the state policy, it is essential to clearly define the limits of social safety net funded by state budgets and to develop new social protection mechanisms. The implementation of the above largely depends on the status and stability of the state and municipal finances, which are the primary source of funding. Subordinate entities of the Federation and municipal districts are independent in defining the list of special-purpose programmes due to difference in priorities in social and economic development and in the structure of State and local government bodies. When planning, implementing and assessing the effectiveness of special-purpose programmes, subordinate entities of the Federation and municipal districts must find the balance between the approach of the federal government, area specifics and the specifics of the existing state (municipal) system of managing its social and economic development. Government bodies of different levels have to reduce their expenditure due to adverse economic situation. In this situation, the most important condition for the development of the Russian budget system is improving the use of public funds. Regional authorities spend about a quarter of their budgets on healthcare. Hence one of the most important funding issues of state healthcare facilities is raising funds by providing commercial services and through active cooperation with insurance companies. The cashflow structure has been analysed; planned values and deviations have been identified. The effectiveness of cooperation between a healthcare facility and insurance companies has been analysed. The cooperation is based on two essential variables: discount and the expected growth of demand for services, which makes it possible to define the effectiveness of projects, both in separate services and overall business activities of a hospital. The Aim is to perform an integrated cashflow analysis of a regional healthcare facility in the Republic of Tatarstan, to highlight its biggest flaws and problems and to define the ways to increase the income of a healthcare facility. Method: methods of evaluating income and expenditure in healthcare facilities as well as academic literature have been studied in preparation of this paper. The research is based on the integrated analysis of income and expenditure of healthcare facilities using the official statistics and financial statements data. Outcomes: the managers of nearly all companies face the problem of cashflow optimization. In this context, increasing the earnings from commercial services subject to demand and affordability is a current issue of municipal healthcare facilities. Scope: the achieved outcomes shall define how effective the projects are, both in separate services and overall business activities of a hospital
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