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

Required information

[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 $378 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 $335. 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 46,688 49,977 $ 11,148,872
514 83,456 85,663 10,060,632
1519 96,873 96,887 8,437,824
2024 67,246 68,882 9,540,424
2534 134,496 133,554 26,433,208
3544 167,876 176,446 38,883,108
4554 86,496 91,889 22,742,936
5564 99,224 102,923 28,692,712
6574 157,288 162,559 49,519,144
7584 68,895 73,465 33,433,760
85 years and older 24,499 27,849 24,287,475
1,033,037 1,070,094 $ 263,180,095

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 $360. 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.)

1. Required target cost
2. New target cost

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