Medicare and Medicaid Regulations' Financial Effects on Home Health Agencies' Performance

Medicare and Medicaid Regulations’ Financial Effects on Home Health Agencies’ Performance by Binzie Roy Davidson MBA, University of Phoenix, 1995 BA, California State University, Dominguez Hills, 1990 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University June 2019 Abstract Some owners of small to medium-sized managed care businesses lack strategies to address the effects of healthcare regulations on their businesses. The purpose of this multiple case study was to identify strategies that owners of small to medium-sized managed care businesses used to address the financial effects of healthcare regulations on their businesses. The conceptual framework for this study was profit maximization and adaptation in changing contexts. Data were gathered from company documents, observations, and semistructured interviews with 5 home healthcare business owners in Los Angeles County, California. Data were coded to identify themes from the narrative segments. Key themes that emerged from the data analysis include home health strategic management, application of business strategies, healthcare reform, and strategic business processes. The implications of this study for social change include the potential to catalyze economic, intellectual, and social developments that improve community health and wellness programs and related activities in home health.Some owners of small to medium-sized managed care businesses lack strategies to address the effects of healthcare regulations on their businesses. The purpose of this multiple case study was to identify strategies that owners of small to medium-sized managed care businesses used to address the financial effects of healthcare regulations on their businesses. The conceptual framework for this study was profit maximization and adaptation in changing contexts. Data were gathered from company documents, observations, and semistructured interviews with 5 home healthcare business owners in Los Angeles County, California. Data were coded to identify themes from the narrative segments. Key themes that emerged from the data analysis include home health strategic management, application of business strategies, healthcare reform, and strategic business processes. The implications of this study for social change include the potential to catalyze economic, intellectual, and social developments that improve community health and wellness programs and related activities in home health. Medicare and Medicaid Regulations’ Financial Effects on Home Health Agencies’ Performance by Binzie Roy Davidson MBA, University of Phoenix, 1995 BA, California State University, Dominguez Hills, 1990 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University June 2019 Dedication This study is especially dedicated to my deceased dad and mom, Alfanco and Marian Davidson, respectively who brought me into this world by the blessings of the Highest, the Almighty and the Omnipotent God. This is also dedicated to my dear sister, Joycelyn Davidson-Evans, who passed away too early. I am sure God has a purpose for you in heaven. I also dedicate this work to my dear sister, Gloria Davidson-Tharkur, and brother, Gladstone Davidson, for their love and respect. To my three sons, Dwayne O’Neil Davidson, Shane Brian Davidson, and Jevaughn Evans-Davidson, you are all my motivation. Continue to emulate dad and mom and success will be yours. My dear wife, Pauline Maureen Davidson, you are the dream of my life. Thanks for your feedback on my dissertation and your love, patience, support, and understanding. Thanks to my friends and relatives who have made a significant impact on my life. Acknowledgments I wish to acknowledge my esteemed professor and mentor, Dr. Chad Sines, for his support, understanding, dedication, patience, and attention to details. Thanks to my committee member, Dr. John Hannon, for his astute mind and interest in my success. Special thanks to my URR, Dr. Deborah Nattress, for your comprehensive review, recommendations and for keeping me grounded. Thanks to Janelle Musick and Lynn Beene my editors, for your attention to details and a keen interest in my work. Special thanks to all the staff at Walden for their keen minds and caring attitude. To all my fellow scholars, it was indeed a pleasure working with you all. To God be the Glory.