Question
Hello I am having trouble figuring this weeks assignment out. I know that there will be 20 physicians and 30 nurse practitioners. But I can
Hello I am having trouble figuring this weeks assignment out.
I know that there will be 20 physicians and 30 nurse practitioners. But I can figure out the Fee for service portion.
Scenario: Your hospital has an opportunity to participate with an Accountable Care Organization (ACO) contract with 10,000 ACO patients. The ACO patient population expects about 1,000 avoidable hospitalizations per year with a potential savings of $10 million, which will be shared 50% revenue to the insurer and 50% revenue to the hospital. The ACO patient population will require an average of 6 office visits per year, and 60,000 total office visits will need to be supplied by your primary care workforce.
To prepare for this Assignment: Based on the scenario and financial data provided by the course instructor, conduct a financial projection (revenues, expenses, and profit) which analyzes the efficiency in the supply of health services.
Financial Data
ACO revenue:
Number of ACO patients 10,000
Potential savings:
Number of avoidable hospitalizations per patient 0.1
Total avoidable hospitalizations per year 1,000
Cost per avoidable hospitalization $10,000
Total cost of avoidable hospitalizations $10,000,000
Demand for healthcare/utilization:
Number of office visits per patient 6
Total office visits per year 60,000
Supply of workforce/expense:
Employed providers (salary)
Physician salary per year $200,000
Nurse practitioner salary per year $100,000
Contracted providers (fee-for-service)
Physician fee per visit $100
Nurse practitioner fee per visit $50
Productivity:
Physician visits per year 3,000
Nurse practitioner visits per year 2,000
Financial incentives:
Salary bonus to ensure efficiency 10%
Bonus fee per visit to ensure efficiency $1
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