Assume that Valley Forge Hospital has only the following three payer groups: Commercial PennCare Medicare Number of Admissions 1,000 4,000 8,000 Average Revenue per Admission $5,000 4,500 7,000 Variable Cost per Admission $3,000 4,000 2,500 The hospital’s fixed costs are $38 million. a. What is the hospital’s net income? b. Assume that half of the 100,000 covered lives in the commercial payer group will be moved into a capitated plan. All utilization and cost data remain the same. What PMPM rate will the hospital have to charge to retain its net income calculated in part a? c. What overall net income would be produced if the admission rate of the capitated group were reduced from the commercial level by 10 percent?
7.4. Assume that Valley Forge Hospital has only the following three payer groups:
Commercial PennCare Medicare
Number of Admissions
1,000 4,000 8,000
Average Revenue per Admission
$5,000 4,500 7,000
Variable Cost per Admission
$3,000 4,000 2,500
The hospital’s fixed costs are $38 million. a. What is the hospital’s net income?
b. Assume that half of the 100,000 covered lives in the commercial payer group will be moved into a capitated plan. All utilization and cost data remain the same. What PMPM rate will the hospital have to charge to retain its net income calculated in part a?
c. What overall net income would be produced if the admission rate of the capitated group were reduced from the commercial level by 10 percent?
d. Assuming that the utilization reduction also occurs, what overall net income would be produced if the variable cost per admission for the capitated group were lowered to $2,200?
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