3. Identify the critical success factors for VIP-MD. How can the HMO maintain its market share?

Required information [The following information applies to the questions displayed below.] VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $365 per month, which is the same amount irrespective of the subscriber's age. Because individuals are demanding quality care at reasonable rates, VIP-MD must contain its costs to remain competitive. A major competitor, National Physicians, entered the North Carolina market early in the current year with a monthly premium of $322. VIP-MD wants to maintain its current market penetration and hopes to increase its enrollees in the current year. The latest data on the number of enrollees and the associated costs follow: equired: Calculate the target cost required for VIP-MD to maintain its current market share and profit per enrollee in the current year. Costs in the health care industry applicable to VIP-MD and National Physicians are expected to increase by 6% in the coming year. IP-MD is planning for the year ahead and is expecting all providers, including VIP-MD and National Physicians, to increase their rates \$25 to \$347. Calculate the new target cost assuming again that VIP-MD wants to maintain the same profit per enrollee as in the arrent year. or all requirements, do not round intermediate calculations and round your answers to 2 decimal places.)