The health plan project its hospital budget at 465 patients days per 1,000 members with a 465
Question:
The health plan project its hospital budget at 465 patients days per 1,000 members with a 465 patient days per 1,000 members with a local health plan . The payment rate is $1000 per day. The covered population is 25,000 which produces a hospital budget of $11,625,000. The health plan proposes that a 10% withold be put into effect which translates to an actual perdiem payment of $900. The risk pool would be shared equally be the doctors and hospital (one half). Any negative balance in the risk pool would be assumed by the health plans. Calculate the amount of payment under the two assumptions.
Hospital payment @ 900 , Risk Pool, hospital share of risk pool, total hospital payment. Please show calculations.
Change the assumptions and calculate the amount of payment to Memorial Hospital under the following scenarios:
500 patient days per 1,000
400 patient days per 1,000