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Is number 11 correct? - [ 100%-20%= 80%=0.80 #11. Advent Health estimates that a capitated population of 50,000 would have the following -Look out base
Is number 11 correct?
- [ 100%-20%= 80%=0.80 #11. Advent Health estimates that a capitated population of 50,000 would have the following -Look out base case utilization and total cost characteristics: for, In addition to medical costs, Advent Health allocated 20% of the total premium for administrative expenses/reserves. Service Category Inpatient Days per 1,000 Average Cost per Day Enrollee General 175 $1,500 Surgical 125 $1,800 Psychiatric 70 $700 Alcohol / Drug Abuse 38 $500 Maternity 42 $1,500 Total 450 $1,367K What is the PMPM rate that Advent Health must set to cover medical costs and administrative expenses? Remember that "Inpatient Days" is per 1,000 enrollees. Also, the entire capitated population is 50,000 - ai 25000 4564 Stup] Avcer. Popul utilize in patient days. StipaiTotal Cost = 21,250 x 1,367 - 20048750 Step 3: Total Premium reserved=29,048,750 4.80 -36,310,937.5 Step 4: PMPM amount = 36,310,937.5-50,00012 = 726.21875-12 = 60.5182292 - $60.52 Step by Step Solution
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