Question
Assume that Valley Forge Hospital has only the following three payer groups: Number of Admissions Average Revenue per Admission Variable Cost per Admission Commercial 1,000
Assume that Valley Forge Hospital has only the following three payer groups:
Number of Admissions
Average Revenue per Admission
Variable Cost per Admission
Commercial 1,000 $5,000 $3,000
PennCare 4,000 $4,500 $4,000
Medicare 8,000 $7,000 $2,500
The hospital's fixed costs are $38 million.
Assume that half of the commercial payer group will be moved into a capitated plan. The new capitated group will consist of 100,000 covered lives. All utilization and cost data remain the same. What PMPM rate will the hospital have to charge to retain its net income?
$2.08
$4.17
$10.00
$65.83
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