Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Columbia Hospital is negotiating with LionCare HMO to provide inpatient services for 50,000 members on a capitation basis. You are given the following information on

Columbia Hospital is negotiating with LionCare HMO to provide inpatient services for 50,000 members on a capitation basis. You are given the following information on the patient populations annual utilization and cost characteristics: Service Category Inpatient Days per 1,000 Members Average Total Costs per Inpatient Day ($) General 270 1,700 Surgical 150 3,000 Pediatric 85 900 Maternity 70 1,900 Columbia wants to cover total costs, as well as allocate 5% of total premium revenue for reserves. Columbia will also implement new operational models that will reduce the average total costs per inpatient day for each service category by 10%. What per-member per-month (PMPM) rate should Columbia propose during its negotiations?

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_2

Step: 3

blur-text-image_3

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

More Books

Students also viewed these Finance questions