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2. Calculate the amounts paid to the primary care physicians (PCPs) and specialty care physicians (SCPs) if the following withhold system is in place. PCP

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2. Calculate the amounts paid to the primary care physicians (PCPs) and specialty care physicians (SCPs) if the following withhold system is in place. PCP SCP Payment $38 PMPM $70 per visit Annual Budget (10,000 lives) $4,560,000 ($38*12*10,000) $1,050,000 (15,000 * $70) Withhold 10% 20% Risk Pool $456,000 $210,000 Split 68.47% 31.53% A. Assume that actual billings correspond exactly to the budget i.e., total SCP billings equal $1,050,000 (15,000 visits). B. Assume the use of specialist services is less than planned i.e., total SCP billings equal $994,000 (14,200 visits). C. Assume that the use of specialist services is greater than planned i.e., total SCP billings equal $1,120,000 (16,000 visits). What is the marginal revenue per specialist visit in excess of the planned 16,000 visits? 2. Calculate the amounts paid to the primary care physicians (PCPs) and specialty care physicians (SCPs) if the following withhold system is in place. PCP SCP Payment $38 PMPM $70 per visit Annual Budget (10,000 lives) $4,560,000 ($38*12*10,000) $1,050,000 (15,000 * $70) Withhold 10% 20% Risk Pool $456,000 $210,000 Split 68.47% 31.53% A. Assume that actual billings correspond exactly to the budget i.e., total SCP billings equal $1,050,000 (15,000 visits). B. Assume the use of specialist services is less than planned i.e., total SCP billings equal $994,000 (14,200 visits). C. Assume that the use of specialist services is greater than planned i.e., total SCP billings equal $1,120,000 (16,000 visits). What is the marginal revenue per specialist visit in excess of the planned 16,000 visits

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