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How do you calculate the PMPM Rate and complete the table correctly? Valley Forge has the following three payor groups: Variable Cost per Avg Revenue

image text in transcribedHow do you calculate the PMPM Rate and complete the table correctly?

Valley Forge has the following three payor groups: Variable Cost per Avg Revenue per ayer Commercial PennCare Admissions Admission Admission $6,000 $3,000 $3,500.00 $3,000.00 2,000 5,000 5,000 Medicare 7,000 9,000 $40,000,000 The hospitals fixed costs are a. Complete the following table, and, determine the hospital's net income. Total Revenue by VC per Ttl Variable Contribution Avg Rev per Admission Admissions Admission Payer Costs Margin $6,000 $12,000,000 $3,000 $6,000,000 $6,000,000 $7,500,000 Commercial 2,000 5,000 25,000,000 3,500 PennCare 5,000 17,500,000 Medicare $36,000,000 9,000 63,000,000 3,000 7,000 27,000,000 $9,500 $50,500,000 $49,500,000 $100,000,000 TOTAL 16,000 18,000 $9,500,000 NET INCOME Total Revenue - expense b.Now, assume that half of the 100,000 cove red lives in the commercial payer group will be moved to a capitated plan. All utlization and cost data remain the same. Complete the table below and determine the PMPM rate the hospital have to charge to retain the same Net Income calculated in part a. Contribution Avg Rev per VC per Ttl Variable Admissions Revenue by Payer Margin Admission Admission Costs $6,000 $6,000 $3,000 Commercial FFS 2,000 $3,000 Commercial Capitated $3,500.00 17500000.00 PennCare 5,000 5,000 25,000,000 7,500,000 $3,000.00 27000000.00 36,000,000 Medicare 9,000 7,000 63,000,000 TOTAL PMPM rate

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