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Consider the following: Payer Number of Admissions Average Revenue per Admission Variable Cost per Admission Commercial FFS 5,000 $ 7,000 $ 5,500 PennCare 4,500 $
Consider the following:
Payer | Number of Admissions | Average Revenue per Admission | Variable Cost per Admission |
Commercial FFS | 5,000 | $ 7,000 | $ 5,500 |
PennCare | 4,500 | $ 6,000 | $ 5,200 |
Medicare | 6,500 | $ 6,500 | $ 4,900 |
Fixed Costs | $ 22,000,000 |
- What is the hospitals' net income?
- Assume 100,000 covered lives. Assume that 75,000 of these individuals will be moved into a capitated plan. What PMPM rate will the hospital have to charge to retain its net income?
- What overall net income would be produced if the admission rate in the capitated group would be reduced by 20%?
- Assuming the utilization reduction from #3 above remains, what income would be produced if the variable cost per admission were lowered to $3,000?
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