Elaborate on the implications of a Health Services Department moving from a cost center to a profit center. Information discussed must include:
1. The difference between a cost and a profit center.
2. Decentralization versus centralization within the health service business.
3. How the health service department can stick to its historic mission of serving those without insurance and/or those that are historically underserved.
4. The implications of having public health professionals that are not permitted to bill or have reimbursable codes.