Question
A group of Physicians decides to take payment of $0.32 PMPM for CT stent placements, on a population of 75,000 people. They expect utilization of
A group of Physicians decides to take payment of $0.32 PMPM for CT stent placements, on a population of 75,000 people. They expect utilization of 8.5 procedures per 1000 population, and expect a cost of $360 per procedure.
1. How much money do they get from the insurance company for the year?
2. If the Physicians are able to manage utilization down to 7.8 procedures per 1000 population what is the financial impact on their net income? State the number impact.
3. If the best rate the Physicians can get for these procedures is $370 each, what is the financial impact on their net income? State the number impact.
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