Question
Assume that Valley Forge Hospital has only the following 3 payer groups: Payer number of Admission avg Revenue per Adm Variable Cost per Adm PennCare
Assume that Valley Forge Hospital has only the following 3 payer groups:
Payer | number of Admission | avg Revenue per Adm | Variable Cost per Adm |
PennCare | 1000 | 5000 | 3000 |
Medicare | 4000 | 4500 | 4000 |
Commercial | 8000 | 7000 | 2500 |
The hospital's fixed costs are 38million.
a. What is the hospital's net income?
b. Assume that half of the 100,000 covered lives in the commerical 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 Part a net income?
c. What overall net income would be produced if the admission rate of the capitated group were reduced from the commercial level by 10 percent?
d. Assuming that utilization reduction also occurs, what overall net income would be produced if the variable cost per admission for the capitated group were lowered to $2,200?
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