Question: Metropolitan Healthcare Center (MHC) provides inpatient critical care and has a partnership with an insurance company covering 20,000 members. The insurance company reimburses MHC on a fee-for-service basis, with an average reimbursement rate of $12,000 per admission. The financial data for MHC is as follows: Average revenue per admission $12,000 Average variable cost per admission $5,000 Direct fixed cost or overhead $10,500,000 1. What is the break-even volume of MHC? 2. Last year, MHC provided services to 2,100 patients under this insurance company. At this service volume, what is the degree of operating leverage?

Question: Metropolitan Healthcare Center (MHC) provides inpatient critical care and has a partnership with an insurance company covering 20,000 members. The insurance company reimburses MHC on a fee-for-service basis, with an average reimbursement rate of $12,000 per admission. The financial data for MHC is as follows: Average revenue per admission $12,000 Average variable cost per admission $5,000 Direct fixed cost or overhead $10,500,000 1. What is the break-even volume of MHC? 2. Last year, MHC provided services to 2,100 patients under this insurance company. At this service volume, what is the degree of operating leverage?

Managerial Accounting

15th Edition

ISBN:9781337912020

Author:Carl Warren, Ph.d. Cma William B. Tayler

Publisher:Carl Warren, Ph.d. Cma William B. Tayler

Chapter1: Introduction To Managerial Accounting

Section: Chapter Questions

Problem 4MAD

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Assume that Valley Forge Hospital has only the following three payer groups: Number of Average Revenue Payer Cost Admissions Admission PennCare $3,000 Medicare $4,000 Commercial $2,500 1,000 4,000 8,000 per Admission $5,000 $4,500 $7,000 Variable per The hospital's fixed costs are $38 million. c. What overall net income would be produced if the admission rate of the capitated group (from part B above) were reduced from the commercial level (originally listed as $2,500 total from above) by 10 percent? d. For this same capitated group, assuming that utilization reduction also occurs, what overall net income would be produced if the variable cost per admission for this same capitated group were lowered to $2,200 (from the original $2,500 listed above)?
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Assume that Valley Forge Hospital has only the following three payer groups: Payer Number of Average Revenue Cost Admissions Admission PennCare $3,000 Medicare $4,000 Commercial $2,500 1,000 4,000 8,000 per Admission $5,000 $4,500 $7,000 Variable per The hospital's fixed costs are $38 million. a. Using the profit/loss format from our textbook and PowerPoints in this module, determine the hospital's net income, therefore showing your work to demonstrate how you got to the net income answer. b. Assume that half of the 100,000 covered lives in the commercial payer group (above) 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 Part A net income (what you calculated above)?
Bluegrass Community Hospital (BCH) has the following payer groups: Number of Admissions Average Revenue per Admission Variable Cost per Admission Commercial 1,000 $5,000 $3,000 BCBS 4,000 $4,500 $4,000 Medicare 8,000 $7,000 $2,500 Given: BCH annual fixed costs are $38M What is BCH’s net income? If half of the 100,000 covered lives in the Commercial group moved to a capitated rate and utilization and cost data remained the same, what PMPM rate should be charged to maintain the Commercial group net income share? What would BCH net income be if the Commercial capitated group admissions decreased by 10%? What would BCH net income be if the Commercial capitated group admissions decreased by 10% and variable costs for the Commercial capitated group decreased to $2,200?
What is the degree of operating leverage?
Hi, Could you please help me fill in the missing values and show how you came to the calculation. Thank you.
VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $376 per month, which is the same amount irrespective of the subscriber’s age. Because individuals are demanding quality care at reasonable rates, VIP-MD must contain its costs to remain competitive. A major competitor, National Physicians, entered the North Carolina market early in the current year with a monthly premium of $333. VIP-MD wants to maintain its current market penetration and hopes to increase its enrollees in the current year. The latest data on the number of enrollees and the associated costs follow: Age Enrollment in…
CHAPTER 17: FINANCIAL CONDITION ANALYSIS Homework Problem 5.2 Healthy Medical Center OPERATING DATA Net inpatient revenue Net outpatient revenue Net patient service revenue Inpatient operating expenses Total salaries Total discharges Inpatient days # licensed and staffed beds Total FTES Inpatient FTES OPERATING INDICATOR ANALYSIS Calculate the following ratios based upon the data above Profit per Discharge Net Price per Discharge Outpatient Revenue % Occupancy Rate Average Length of Stay Inpatient FTES per Occupied Bed $40,902,330 $26,150,670 $67,053,000 $39,675,260 $18,964,670 Salary per FTE 7,498 34,491 163 496 292 Healthy Medical Center Industry Average $73 $5,965 58.5% 56.6% 4.7 5.6 $33,977 For each ratio, provide a brief ratio analysis and comparative analysis. Indicator Analysis: Briefly explain what the indicator means Comparative Analysis Indicator Analysis Comparative Analysis Indicator Analysis Comparative Analysis Indicator Analysis Comparative Analysis Indicator Analysis…
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H3. Sacramento Memorial Hospital has the following financial data and operational metrics: Number of beds--> 250 Total inpatient stays--> 12,250 Total outpatient visits--> 90,754 Total patient revenues--> $111,900,050 Outpatient mix--> 16.2% Medicare payment percentage(revenues)--> 28.0% Average length of stay--> 5.8 days Net price per discharge--> $7,653 Cost per discharge--> $6,292 f. What is the hospital’s occupancy rate? (Hint: Start by calculating available bed days.) Show proper step by step calculation