Bay Pines Medical Center- Chapter 7: I have been working on a problem from Healthcare...
80.2K
Verified Solution
Link Copied!
Question
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
Answer & Explanation
Solved by verified expert
Get Answers to Unlimited Questions
Join us to gain access to millions of questions and expert answers. Enjoy exclusive benefits tailored just for you!
Membership Benefits:
Unlimited Question Access with detailed Answers
Zin AI - 3 Million Words
10 Dall-E 3 Images
20 Plot Generations
Conversation with Dialogue Memory
No Ads, Ever!
Access to Our Best AI Platform: Flex AI - Your personal assistant for all your inquiries!