Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Your contract with BigGreen Health Plan expires in 9 0 days. Their negotiator has indicated that because of competition from other plans, they must limit

Your contract with BigGreen Health Plan expires in 90 days.
Their negotiator has indicated that because of competition from other plans, they must limit fee increases in the coming year.
Medicare will have a 1% increase next year and Medicaid will remain flat. Your Blue Cross contract does not expire for another year and will remain the same.
You plan to implement a 5% charge increase next year.
Operating expenses are expected to increase 3% next year.
What price must you have from BigGreen Health plan to keep profitability the same as this year? What percentage increase is that new fee?
Swiftcut Surgery Center --2021 Statistics
Payer Patients/ week Collection/ patient
Medicare 30 $1,250
Medicaid 20950
Blue Cross 71,750
Big Green Health Plan 251,675
Private Insurance 475% of charges
Bad Debt 100
Charity 90
Total 105
Charges $3,250 per patient
Expenses $1,400 per patient

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

The Handbook Of Financial Modeling

Authors: Jack Avon

1st Edition

1430262052, 978-1430262053

Students also viewed these Finance questions