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Assume that Memorial Hospital has only the three payer groups listed in the table below. Number of Admissions Average Revenue per Admission Variable Cost per
- Assume that Memorial Hospital has only the three payer groups listed in the table below.
Number of Admissions | Average Revenue per Admission | Variable Cost per Admission | |
Commercial | 2,000 | $7,000 | $3,500 |
PennCare | 5,000 | $5,500 | $4,750 |
Medicare | 7,000 | $6,000 | $2,700 |
- The hospital's fixed costs are $38 million.
- Answer the following questions:
- What is the hospitals' net income?
- Assume that half of the 100,000 covered lives in the commercial payer group will be moved into a capitated plan. All utilization and cost data remain the same. What PMPM rate will the hospital have to charge to retain its net income calculated in the previous step?
- What overall net income would be produced if the admission rate of the capitated group were reduced from the commercial level by 10 percent?
- Assuming that the utilization reduction also occurs, what overall net income would be produced if the variable cost per admission for the capitated group were lowered to $2,500?
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