University of Arizona

Healthcare Accounting: Contracts, Costing & Pricing

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University of Arizona

Healthcare Accounting: Contracts, Costing & Pricing

Ann McGrath

Instructor: Ann McGrath

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Gain insight into a topic and learn the fundamentals.
2 weeks to complete
at 10 hours a week
Flexible schedule
Learn at your own pace
Gain insight into a topic and learn the fundamentals.
2 weeks to complete
at 10 hours a week
Flexible schedule
Learn at your own pace

What you'll learn

  • Evaluate risk‑based contracts and estimate medical claims expense under value‑based care.

  • Analyze cost behavior, perform CVP analysis, and understand how cost structures affect decisions.

  • Allocate costs and set sustainable prices using service line profitability and pricing tools.

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Recently updated!

April 2026

Assessments

11 assignments¹

AI Graded see disclaimer
Taught in English

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This course is part of the Financial and Managerial Accounting in Healthcare Specialization
When you enroll in this course, you'll also be enrolled in this Specialization.
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  • Gain a foundational understanding of a subject or tool
  • Develop job-relevant skills with hands-on projects
  • Earn a shareable career certificate

There are 4 modules in this course

In this module, we discuss risk contract arrangements, also referred to as capitated contracts. We discuss intended incentives under these arrangements, and the risk borne by providers. We discuss the revenue flow under risk contracts, and how it differs from fee-for-service arrangements. We also cover the estimation processes used to accurately capture medical claims expense under risk contracts. Lastly, we review the accounting for risk contracts that generate losses for the provider.

What's included

8 videos4 readings3 assignments

In this module, we transition from financial accounting to managerial accounting. We discuss the differences between the two types of accounting, and how managerial accounting supports decision-making within a healthcare organization. We cover the classification of costs according to their relationship with volume, and how we use this information to conduct profit analyses using the Cost-Volume-Profit model. We also discuss how reimbursement contracts (Fee-for-Service and Capitated) impact profit analysis. We also discuss the differences between direct and indirect costs, and why healthcare organizations have to consider both when making decisions. We review cost allocation methodologies, with a primary focus on the Direct and Step-Down methods.

What's included

13 videos5 readings3 assignments

This module focuses on service line profitability, pricing strategy, and financial decision‑support tools. You will evaluate departmental margins, model bundled pricing strategies, analyze marginal vs. full‑cost pricing, and determine break‑even or profit‑targeted pricing using the CVP framework. You’ll also assess mixed market environments where organizations act as both price setters and price takers, applying sensitivity analysis to determine feasible variable costs, pricing floors, contract negotiation boundaries, and the financial viability of altering utilization rates or adding cost‑management programs.

What's included

9 videos1 reading3 assignments

In this final module, you’ll pull together the major ideas from the course and apply them to practical healthcare finance situations. We take a big‑picture look at how risk‑based contracts work, what drives medical claims expenses, and how organizations estimate and manage key financial obligations. You’ll also work with core cost and pricing concepts, like direct and indirect costs, cost behavior, cost allocation, and basic pricing methods, to see how financial information supports real decision‑making. To wrap up the course, you’ll complete a final quiz and a short assignment that give you a chance to demonstrate what you’ve learned and apply it in a realistic healthcare context.

What's included

2 assignments

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Instructor

Ann McGrath
University of Arizona
3 Courses1 learner

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¹ Some assignments in this course are AI-graded. For these assignments, your data will be used in accordance with Coursera's Privacy Notice.