Calculate the PMPM calculations below

1000 Annual Freq per 1000 1000 Copay Freq per 1000 Unit Unit Cost PMPM Net Copay Amount Copay PMPM Category per 1000 PMPM 0 0 Inpatient Services Medical - Surgical Maternity Mental Health Subtotal 400 15 50 1000 1000 400 0 0 0 0 0 0 0 $0.00 $ 100 0 Outpatient Services Outpt Surgery Lab/X-ray Emergency Dept. Subtotal 500 150 1500 300 300 0 0 150 0 0.00 50 $ $ Total (All) $ PMPM = (expected encounters per yr x cost per encounter)/12 1. Utility Rate = annual frequency/1000 (encounters per year) 1000 Annual Freq per 1000 1000 Copay Freq per 1000 Unit Unit Cost PMPM Net Copay Amount Copay PMPM Category per 1000 PMPM 0 0 Inpatient Services Medical - Surgical Maternity Mental Health Subtotal 400 15 50 1000 1000 400 0 0 0 0 0 0 0 $0.00 $ 100 0 Outpatient Services Outpt Surgery Lab/X-ray Emergency Dept. Subtotal 500 150 1500 300 300 0 0 150 0 0.00 50 $ $ Total (All) $ PMPM = (expected encounters per yr x cost per encounter)/12 1. Utility Rate = annual frequency/1000 (encounters per year)