Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

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

Required information

Skip to question

[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 $376 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 $333. 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
14 46,488 49,777 $ 11,148,672
514 83,256 85,463 10,060,432
1519 96,673 96,687 8,437,624
2024 67,046 68,682 9,540,224
2534 134,296 133,354 26,433,008
3544 167,676 176,246 38,882,908
4554 86,296 91,689 22,742,736
5564 99,424 102,723 28,692,512
6574 157,088 162,359 49,518,944
7584 68,695 73,265 33,433,560
85 years and older 24,299 27,649 24,287,275
1,031,237 1,067,894 $ 263,177,895

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 8% 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 $358. 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.)

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Modern Equity Investing Strategies

Authors: Anatoly B Schmidt

1st Edition

9811239495, 978-9811239496

More Books

Students also viewed these Finance questions

Question

5.2 Summarize the environment of recruitment.

Answered: 1 week ago