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#10. Bay Pine Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics: In

 

#10. Bay Pine Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics: In addition to medical costs, Bay Pines allocated 10% of the total premium for administration /reserves. Service Category General Surgical Psychiatric Alcohol / Drug Abuse Maternity Total Inpatient Days per 1,000 Average Cost per Day Enrollee 150 $1,500 125 $1,800 70 $700 38 $500 42 $1,500 425 $1,367 What is the PMPM rate that Bay Pines must set to cover medical costs and administrative expenses? Remember that "Inpatient Days" is per 1,000 enrollees. Also, the entire capitated population is 50,000.

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