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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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Skip to question
The following information applies to the questions displayed below.
VIPMD is a health maintenance organization HMO located in North Carolina. Unlike the traditional feeforservice model that determines the payment according to the actual services used or costs incurred, VIPMD 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 $ per month, which is the same amount irrespective of the subscribers age. Because individuals are demanding quality care at reasonable rates, VIPMD 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 $ VIPMD 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
to $
to
to
to
to
to
to
to
to
to
years and older
$
Required:
Calculate the target cost required for VIPMD to maintain its current market share and profit per enrollee in the current year.
Costs in the health care industry applicable to VIPMD and National Physicians are expected to increase by in the coming year. VIPMD is planning for the year ahead and is expecting all providers, including VIPMD and National Physicians, to increase their rates by $ to $ Calculate the new target cost assuming again that VIPMD 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 decimal places.
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