Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

You are the manager of a primary care clinic. You are currently negotiating a capitated rate with a managed care organization (MCO). Your charges for

You are the manager of a primary care clinic. You are currently negotiating a capitated rate with a managed care organization (MCO). Your charges for patient visits are currently $125 to see a physician and $90 to see a nurse practitioner (NP). You have the following expectations regarding average utilization by members of the MCO:

1.5 Physician visits per member per year

2.0 NP visits per member per year

In order to provide care for the MCO members, you will need additional physicians and nurse practitioners. Suppose you expect the following number of visits from this employee group:

1,200 patient visits per physician per year

2,000 patient visits per NP per year

Suppose further that the annual salaries, including benefits, are:

$175,000 annual compensation per physician

$95,000 annual compensation per NP

Calculate the capitation rate that would be needed to cover just the cost of the additional physicians and NPs.

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

Basic Finance An Introduction To Financial Institutions, Investments, And Management

Authors: Herbert B. Mayo

12th Edition

1337691011, 978-1337691017

More Books

Students also viewed these Finance questions

Question

7. How can an interpreter influence the utterer (sender)?

Answered: 1 week ago