Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Assume the health system is subject to a 10% withhold on all hospital inpatient mental health services, that the target rates of utilization are those

Assume the health system is subject to a 10% withhold on all hospital inpatient mental health services, that the target rates of utilization are those shown in the table for Question 1, that the hospital hits its target for mental health utilization exactly, that the hospital has a shared savings agreement that entitles it to half the money in the risk pool which remains, and that the hospital has 10,000 lives attributed to it. The hospitals revenue attributed to mental health will be _.

Assume the health system is subject to a 10% withhold on all hospital inpatient mental health services, that the target rates of utilization are those shown in the table for Question 1, that the hospital has actual mental health utilization of 40 units per 1,000 attributed lives per year (10 units below the target), that the hospital has a shared savings agreement that entitles it to half the money in the risk pool which remains, and that the hospital has 10,000 lives attributed to it. The hospitals revenue attributed to mental health will be _.

image text in transcribed

Hospital and Physician Services Rates and Usage Rates Annual Frequency/1,000 Unit Cost Copay Frequency/1,000 Copay Amount 250 15 50 $1,500 $2,000 $400 250 0 0 $200 $0 $0 0 150 400 150 Category Hospital Inpatient Medical-surgical Maternity Mental health Subtotal Hospital Outpatient Surgery X-ray and lab Emergency department Subtotal Physician Inpatient surgery Outpatient surgery Office visits Inpatient visits Mental health Subtotal Total $1,750 $400 $300 $0 $0 0 150 $50 $2,500 $0 100 500 $300 0 0 4,000 $0 $10 4,000 300 400 $100 $150 $150 0 $0 400 $20 Hospital and Physician Services Rates and Usage Rates Annual Frequency/1,000 Unit Cost Copay Frequency/1,000 Copay Amount 250 15 50 $1,500 $2,000 $400 250 0 0 $200 $0 $0 0 150 400 150 Category Hospital Inpatient Medical-surgical Maternity Mental health Subtotal Hospital Outpatient Surgery X-ray and lab Emergency department Subtotal Physician Inpatient surgery Outpatient surgery Office visits Inpatient visits Mental health Subtotal Total $1,750 $400 $300 $0 $0 0 150 $50 $2,500 $0 100 500 $300 0 0 4,000 $0 $10 4,000 300 400 $100 $150 $150 0 $0 400 $20

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

External Audit Auditing Business Functions And Assets

Authors: Bart Rohman

1st Edition

B0B5NR6TB6, 979-8839201767

More Books

Students also viewed these Accounting questions