Question
This is a health finance question 1.If an HMO covered 250,000 lives, expected 50 coronary artery bypass surgeries to occur each year within the covered
This is a health finance question
1.If an HMO covered 250,000 lives, expected 50 coronary artery bypass surgeries to occur each year within the covered lives, would expect a length of stay of 10 days for each surgery, and had to pay an average of $2000 per day for each day the surgery patient was in the hospital, what would the Per Member Per Month (PMPM) cost be to the HMO be?_________
2. What would have to be charged to the patient or employer if the HMO had administrative costs equaling 12% of its costs and it wanted a profit margin of 9%?____________________
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