Question
Anthem PPO currently pays St. Elizabeth for inpatient behavioral health cases using a case-rate methodology; as such, regardless of how resource-intensive, labor-intensive, or long a
Anthem PPO currently pays St. Elizabeth for inpatient behavioral health cases using a case-rate methodology; as such, regardless of how resource-intensive, labor-intensive, or long a patient's stay is, St. Elizabeth is reimbursed a flat $6,000 rate for the stay. St. Elizabeth would like to propose a revenue-neutral per-diem rate to be paid as a flat amount for each day of the patient's stay.
If the average length of stay for an Anthem behavioral health encounter is 5 days, what is the revenue-neutral per-diem rate that should be written into the Anthem contract?
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