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Most Popular Content
7 pages
Larex.edited
The quality of services that hospitals offer their patients are of great importance not only in enabling a hospital to gai ...
Larex.edited
The quality of services that hospitals offer their patients are of great importance not only in enabling a hospital to gain accreditation but also in ...
Analyzing Bay Pines Medical Center's Financial Statement
After gaining an understanding of
the components of a financial statement, analyzing and applying what the
component ...
Analyzing Bay Pines Medical Center's Financial Statement
After gaining an understanding of
the components of a financial statement, analyzing and applying what the
components represent, in terms of future planning, are the most important
aspects of working in healthcare finance. Consider the following data and make
your best analysis of per member per month (PMPM) rates, considering reductions
in utilization or pricing.
Bay Pines Medical Center estimates
that a capitated population of 50,000 would have the following base case
utilization and total cost characteristics:
Service Category
Inpatient Days
per 1,000 Enrollees
Average Cost
per Day
General
150
$1,500
Surgical
125
$1,800
Psychiatric
70
$700
Alcohol/Drug Abuse
38
$500
Maternity
42
$1,500
Total
425
$1,367
In addition to medical costs, Bay
Pines allocates 10 percent of the total premium for administration/reserves.
Tasks:
On the basis of your data analysis,
respond to the following:
What is the PMPM rate that Bay Pines must set to cover
medical costs plus administrative expenses?
What would be the rate if a utilization management
program were to reduce utilization within each patient service category by
10 percent? And by 20 percent?
Consider the initial base case utilization assumption.
What rate would be set if the average cost on each service were reduced by
10 percent?
Assume that both utilization and cost reductions were
made. What would the premium be?
Submission Details:
Present your analysis as a 3-page report in a Microsoft
Word document formatted in APA style.
On a separate page, cite all sources using APA format.
Assignment 2 Grading Criteria
Maximum
Points
Calculated the PMPM rate to cover
medical and administrative costs.
40
Calculated utilization rates
reduced by 10 percent.
36
Calculated utilization rates
reduced by 20 percent.
36
Calculated the rate with the
average service cost reduced by 10 percent.
40
Calculated the PMPM premium after
utilization and cost reductions.
40
Wrote in a clear, concise, and
organized manner; demonstrated ethical scholarship in accurate representation
and APA style attribution of sources; displayed accurate spelling, grammar,
and punctuation.
8
Total:
200
4 pages
Leg 500 Law Ethics And Corporate Governance Week 6 Discussion 1
In the present competitive market environment, a vast number of influential companies are engaging in trade malpractices i ...
Leg 500 Law Ethics And Corporate Governance Week 6 Discussion 1
In the present competitive market environment, a vast number of influential companies are engaging in trade malpractices in an attempt to control the ...
BBA 3602 Columbia Southern University Components of Business Management Paper
Instructions for first partThis first course assignment has you demonstrate the applications of the important components d ...
BBA 3602 Columbia Southern University Components of Business Management Paper
Instructions for first partThis first course assignment has you demonstrate the applications of the important components dealing with business management. In this assignment, explain the importance of planning, organization, staffing, directing, and controlling for effective business management. Share your own experiences tied to management skills, principles, and strategies you have implemented that have or have not worked in your past or current careers. If you do not have any experience tied to management skills, address what you like to see in managers who you have worked for in the past. Your essay submission must be at least two pages in length. You are required to use at least one outside source to support your explanation.Your essay response should be formatted in accordance with APA style.For step-by-step instructions for formatting a paper in APA style, please refer to the CSU Citation Guide.Instructions for part twoVisit the CSU Online Library, and locate an article that addresses one of the following best practices tied to management: planning, organization, staffing, or directing. The ABI/INFORM Collection database features a number of excellent articles covering these concepts. In order to find these resources, you must first log into the myCSU Student Portal and access the ABI/INFORM Collection database within the CSU OnlineLibrary.After reading the article and briefly summarizing the purpose for the article, answer the following questions:What is the main point?Who is the intended audience?Do the arguments within the article support the main point?What evidence supports the main point?What is your opinion of the article? Do you agree with the findings?Your article review submission must be at least one page in length. The article review should be formatted in accordance with APA style.ResourcesThe following resource(s) may help you with this assignment.Citation GuideCSU Online Library Research GuideSubmit Writing Center Request
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Most Popular Content
7 pages
Larex.edited
The quality of services that hospitals offer their patients are of great importance not only in enabling a hospital to gai ...
Larex.edited
The quality of services that hospitals offer their patients are of great importance not only in enabling a hospital to gain accreditation but also in ...
Analyzing Bay Pines Medical Center's Financial Statement
After gaining an understanding of
the components of a financial statement, analyzing and applying what the
component ...
Analyzing Bay Pines Medical Center's Financial Statement
After gaining an understanding of
the components of a financial statement, analyzing and applying what the
components represent, in terms of future planning, are the most important
aspects of working in healthcare finance. Consider the following data and make
your best analysis of per member per month (PMPM) rates, considering reductions
in utilization or pricing.
Bay Pines Medical Center estimates
that a capitated population of 50,000 would have the following base case
utilization and total cost characteristics:
Service Category
Inpatient Days
per 1,000 Enrollees
Average Cost
per Day
General
150
$1,500
Surgical
125
$1,800
Psychiatric
70
$700
Alcohol/Drug Abuse
38
$500
Maternity
42
$1,500
Total
425
$1,367
In addition to medical costs, Bay
Pines allocates 10 percent of the total premium for administration/reserves.
Tasks:
On the basis of your data analysis,
respond to the following:
What is the PMPM rate that Bay Pines must set to cover
medical costs plus administrative expenses?
What would be the rate if a utilization management
program were to reduce utilization within each patient service category by
10 percent? And by 20 percent?
Consider the initial base case utilization assumption.
What rate would be set if the average cost on each service were reduced by
10 percent?
Assume that both utilization and cost reductions were
made. What would the premium be?
Submission Details:
Present your analysis as a 3-page report in a Microsoft
Word document formatted in APA style.
On a separate page, cite all sources using APA format.
Assignment 2 Grading Criteria
Maximum
Points
Calculated the PMPM rate to cover
medical and administrative costs.
40
Calculated utilization rates
reduced by 10 percent.
36
Calculated utilization rates
reduced by 20 percent.
36
Calculated the rate with the
average service cost reduced by 10 percent.
40
Calculated the PMPM premium after
utilization and cost reductions.
40
Wrote in a clear, concise, and
organized manner; demonstrated ethical scholarship in accurate representation
and APA style attribution of sources; displayed accurate spelling, grammar,
and punctuation.
8
Total:
200
4 pages
Leg 500 Law Ethics And Corporate Governance Week 6 Discussion 1
In the present competitive market environment, a vast number of influential companies are engaging in trade malpractices i ...
Leg 500 Law Ethics And Corporate Governance Week 6 Discussion 1
In the present competitive market environment, a vast number of influential companies are engaging in trade malpractices in an attempt to control the ...
BBA 3602 Columbia Southern University Components of Business Management Paper
Instructions for first partThis first course assignment has you demonstrate the applications of the important components d ...
BBA 3602 Columbia Southern University Components of Business Management Paper
Instructions for first partThis first course assignment has you demonstrate the applications of the important components dealing with business management. In this assignment, explain the importance of planning, organization, staffing, directing, and controlling for effective business management. Share your own experiences tied to management skills, principles, and strategies you have implemented that have or have not worked in your past or current careers. If you do not have any experience tied to management skills, address what you like to see in managers who you have worked for in the past. Your essay submission must be at least two pages in length. You are required to use at least one outside source to support your explanation.Your essay response should be formatted in accordance with APA style.For step-by-step instructions for formatting a paper in APA style, please refer to the CSU Citation Guide.Instructions for part twoVisit the CSU Online Library, and locate an article that addresses one of the following best practices tied to management: planning, organization, staffing, or directing. The ABI/INFORM Collection database features a number of excellent articles covering these concepts. In order to find these resources, you must first log into the myCSU Student Portal and access the ABI/INFORM Collection database within the CSU OnlineLibrary.After reading the article and briefly summarizing the purpose for the article, answer the following questions:What is the main point?Who is the intended audience?Do the arguments within the article support the main point?What evidence supports the main point?What is your opinion of the article? Do you agree with the findings?Your article review submission must be at least one page in length. The article review should be formatted in accordance with APA style.ResourcesThe following resource(s) may help you with this assignment.Citation GuideCSU Online Library Research GuideSubmit Writing Center Request
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