Health plan premium. If a health plan covers 150,000 lives, expects 25 myocardial infarctions (MIs) to occur each year within the covered lives, expects a length of stay of 4.5 days for each MI, and...


Health plan premium. If a health plan covers 150,000 lives, expects 25 myocardial infarctions (MIs) to occur each year within the covered lives, expects a length of stay of 4.5 days for each MI, and has to pay an average of $950 per day for each day the MI patient is in the hospital, what is the PMPM cost to the health plan? What would have to be charged to the patient or employer if the health plan has administrative costs equaling 10 percent of its costs and it wants a profit margin of 7 percent?



May 04, 2022
SOLUTION.PDF

Get Answer To This Question

Related Questions & Answers

More Questions »

Submit New Assignment

Copy and Paste Your Assignment Here