Bay Pines Medical Center- Chapter 7: I have been working on a problem from Healthcare...

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Finance

Bay Pines Medical Center- Chapter 7: I have been working on a problem from Healthcare Finance and accounting introduction and I believe it is part of chapter 7. I have a chart that shows the service categories, Inpatient days per 1,000 enrollees, and average cost per day. I believe I have calcuated PMPM correctly. The next step is to calculate the rate if utilization management program were to reduce utilization within each patient service category by 10 percent and then 20 percent. I have attempted that in chart 2 but do not know if I am doing that correctly. Please advise:

Service Category Inpatient Days per 1,000 Enrollees Average Cost per Day Average Cost per member per month
General 150 $1,500 18.75
Surgical 125 $1,800 18.75
Psychiatric 70 $700 4.08
Alcohol/Drug Abuse 38 $500 1.58
Maternity 42 $1,500 5.25
Total 425 $1,367 48.41
Administrative cost 5.37
Total PMPM 53.78

Service Category Inpatient Days per 1,000 Enrollees Average Cost per Day Average Cost per member per month 10% Utilization reduction 20% Utilization reduction
General 150 $1,500 18.75 16.88 15.00
Surgical 125 $1,800 18.75 16.88 15.00
Psychiatric 70 $700 4.08 3.67 3.26
Alcohol/Drug Abuse 38 $500 1.58 1.42 1.26
Maternity 42 $1,500 5.25 4.73 4.20
Total 425 $1,367 48.41 43.57 38.73
Administrative cost 5.37 5.37 5.37
Total PMPM 53.78 48.94 44.10

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