Chapter 7 problem 7.4 Healthcare Finance by Louis Gapenski 5th addition?
Valley Forge Hospital has only the following three payer groups:
PayerAcâ‚¬?1Acâ‚¬?1Acâ‚¬?1 Number ofAcâ‚¬?1Acâ‚¬?1 Average RevenueAcâ‚¬?1Acâ‚¬?1 Variable Cost
Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1 AdmissionsAcâ‚¬?1Acâ‚¬?1 per AdmissionAcâ‚¬?1Acâ‚¬?1 per Admission
PennCareAcâ‚¬?1Acâ‚¬?1 1,000Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1 $5,000Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1 $3,000
MedicareAcâ‚¬?1Acâ‚¬?1 4,000Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1 $4,500Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1 $4,000
CommercialAcâ‚¬?1Acâ‚¬?1 8,000Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1 $7,000Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1Acâ‚¬?1 $2500
The hospitalAcâ‚¬?cs fixed costs are $38 million.
a. Using the profit/loss format from our textbook and PowerPoints in this module, determine the hospitalAcâ‚¬?cs 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)?
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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