Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

1. A healthcare provider offers a single service to its patients, and the patients are covered by only two different third parties. Payer 1, Medicare,

1. A healthcare provider offers a single service to its patients, and the patients are covered by only two different third parties. Payer 1, Medicare, represents 50% of the patients and pays a fixed fee of $60 per patient. Payer 2, a Commercial Insurer, represents 40% of the patients and pays 80% of the provider's gross charge. The remaining patients are Charity Care patients who do not pay for their services. The provider treats 8,000 patients per month. The fixed costs of the provider each month is $166,000, and their variable cost per patient is $40. The provider desires to set its gross charge per patient to achieve a profit, or net income, of $10,000 for the month.

a. Set up an Algebraic expression, with "p" being the gross charge (price) of the service to each patient being seen in the month, to solve this problem.

b. Solve the problem finding the Gross Price to be charged. (Show your work as partial credit will be given.)

c. How many charity patients does the organization treat per month?

What is the grand total of payments that the Commercial Insurer pays for all of its patients in a month? (Note, this is not the total for one patient, but instead it is the total for all of their patients in the month).

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image_2

Step: 3

blur-text-image_3

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

An Introduction to Investment Banks, Hedge Funds, and Private Equity

Authors: David P. Stowell

1st edition

978-0123745033, 0123745039, 978-9380931074

More Books

Students also viewed these Finance questions

Question

LO14.1 Describe the characteristics of oligopoly.

Answered: 1 week ago