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Required information Skip to question [ The following information applies to the questions displayed below. ] VIP - MD is a health maintenance organization (

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[The following information applies to the questions displayed below.]
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $372 per month, which is the same amount irrespective of the subscribers age. Because individuals are demanding quality care at reasonable rates, VIP-MD must contain its costs to remain competitive. A major competitor, National Physicians, entered the North Carolina market early in the current year with a monthly premium of $329. VIP-MD wants to maintain its current market penetration and hopes to increase its enrollees in the current year. The latest data on the number of enrollees and the associated costs follow:
Age Enrollment in Current Year Projected Enrollment Next Year Average Monthly Cost in Current Year
1 to 446,08849,377 $ 11,148,272
5 to 1482,85685,06310,060,032
15 to 1996,27396,2878,437,224
20 to 2466,64668,2829,539,824
25 to 34133,896132,95426,432,608
35 to 44167,276175,84638,882,508
45 to 5485,89691,28922,742,336
55 to 6499,824102,32328,692,112
65 to 74156,688161,95949,518,544
75 to 8468,29572,86533,433,160
85 years and older 23,89927,24924,286,875
1,027,6371,063,494 $ 263,173,495
Required:
1. Calculate the target cost required for VIP-MD to maintain its current market share and profit per enrollee in the current year.
2. Costs in the health care industry applicable to VIP-MD and National Physicians are expected to increase by 6% in the coming year. VIP-MD is planning for the year ahead and is expecting all providers, including VIP-MD and National Physicians, to increase their rates by $25 to $354. Calculate the new target cost assuming again that VIP-MD wants to maintain the same profit per enrollee as in the current year.
(For all requirements, do not round intermediate calculations and round your answers to 2 decimal places.)

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