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Need help with this problem. The answer is bolded. Is it correct? PROBLEM 1 Families First is a managed care plan that has been asked
Need help with this problem. The answer is bolded. Is it correct? PROBLEM 1 | |||||||||
Families First is a managed care plan that has been asked to submit a premium bid to ABC Company, a large | |||||||||
manufacturer in its service area. The premium bid includes the primary care for all of the ABC employees. | |||||||||
ABC has provided information about the age and gender of its employees, and Families First has identified | |||||||||
average primary care utilization rates from its own databases. This information is shown below: | |||||||||
ABC Company | Average primary care | ||||||||
Number of | Number of | visits per year | Ann Rate | Ann Rate | Prov FTE | Prov FTE | |||
Age band | males | females | Males | Females | Males | Females | Yr-Male | Yr-Fem | |
20-29 | 285 | 325 | 2.10 | 3.18 | 598.5 | 1033.5 | |||
30-39 | 96 | 100 | 2.60 | 3.52 | 249.6 | 352 | |||
40-49 | 53 | 57 | 3.28 | 3.93 | 173.84 | 224.01 | |||
50-59 | 36 | 36 | 4.14 | 4.43 | 149.04 | 159.48 | |||
60+ | 7 | 5 | 4.98 | 5.04 | 34.86 | 25.2 | |||
1205.84 | 1794.19 | 0.40 | 0.60 | ||||||
Each primary care physician can handle about 3,000 patient visits per year, for which he or she is paid | |||||||||
$180,000. What primary care rate (PMPM) will Families First propose to ABC Company? | |||||||||
ANSWER | Annual | PMPM | |||||||
Male | 72350.40 | $ 6,029.20 | |||||||
Female | 107651.40 | $ 8,970.95 | |||||||
180001.80 | $15,000.15 | ||||||||
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