health service evaluation

QUESTION: ELABORATE ON THE IMPLICATIONS OF A HEALTH SERVICES DEPARTMENT MOVING FROM A CAST CENTER TO A PROFIT CENTER. Information discussed must include: 

 The difference between a cost and a profit center.

Decentralization versus centralization within the health service business.

How the health service department can stick to its historic mission of serving those without insurance and/or those that are historically underserved.

The implications of having public health professionals that are not permitted to bill or have reimbursable codes.  600 words

Current APA format must be used. and at least 3 peer-reviewed scholarly authors with 5 years