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6 . Determine insurance coverage of the target market. Note Table 4 . 3 provides the payer breakdown for MCMHC . We want to know

6. Determine insurance coverage of the target market. Note Table 4.3 provides the payer breakdown for MCMHC. We want to know how much of our target market is covered by insurance. Note self-pay patients, while accepted, would be a riskier basis for forecasting revenues and volume. You can use the Adult category for ages 18-24(excluding Medicare obviously) and the Child/Family category for ages 12-17. Youll need to determine what portion of your target population falls in each category before applying the insurance rates. What is your new and final effective market size for this target population? MCMHC Payer Mix and Percentage of Client Service Revenue by Program, Fiscal Year 2024
Programs
Adult Child/Family Emergency Total
Payer (%)(%)(%)(%)
Self-Pay 5.73.53.13.7
Commercial Insurance 15.99.613.614.5
Medicaid 69.186.980.476.5
Medicare 9.302.95.3
Total 100100100100

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