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Explains how the change in payer mix will impact the overall projected revenue of the unit. Describes the financial impact of a changing payer mix.

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  • Explains how the change in payer mix will impact the overall projected revenue of the unit.
  • Describes the financial impact of a changing payer mix.
  • Lists recommendations for the manager to consider in expenses, so that the budget will balance as neutral.
Prior Year Revenue Budget Source of Payment Medicare Income Medicaid Contracted Insurance 300 patient Percent Number Payment 34% 102 22,436 11% 33 18,400 45% 135 29,540 3% 9 32,350 5% 15 16,400 2% 6 17,400 300 Non-contracted Ins ACA Plans Self-pay Total 2,288,472 607,200 3,987,900 291,150 246,000 104,400 7,525,122 Income Next Year Revenue Projections 340 patient Source of Payment Percent Number Payment Medicare 42% 143 22,463 Medicaid 18% 61 18,400 Contracted Insurance 18% 61 29,549 Non-contracted Ins 1% 3 32,350 ACA Plans 18% 61 16,400 Self-pay 3% 11 16,400 Total 100% 340 3,212,209 1,122,400 1,802,489 97,050 1,000,400 180,400 414,498 110,624 To be cut from the budget to serve same number of patients Prior Year Revenue Budget Source of Payment Medicare Income Medicaid Contracted Insurance 300 patient Percent Number Payment 34% 102 22,436 11% 33 18,400 45% 135 29,540 3% 9 32,350 5% 15 16,400 2% 6 17,400 300 Non-contracted Ins ACA Plans Self-pay Total 2,288,472 607,200 3,987,900 291,150 246,000 104,400 7,525,122 Income Next Year Revenue Projections 340 patient Source of Payment Percent Number Payment Medicare 42% 143 22,463 Medicaid 18% 61 18,400 Contracted Insurance 18% 61 29,549 Non-contracted Ins 1% 3 32,350 ACA Plans 18% 61 16,400 Self-pay 3% 11 16,400 Total 100% 340 3,212,209 1,122,400 1,802,489 97,050 1,000,400 180,400 414,498 110,624 To be cut from the budget to serve same number of patients

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