Question: 6. Using Excel (or another spreadsheet program) for multiple regression, estimate the fixed and variable costs for the OR using the number of operations and

6. Using Excel (or another spreadsheet program) for multiple regression, estimate the fixed and variable costs for the OR using the number of operations and acuity as the independent variables. Assume that during those years the case mix index for OR patients was 2.86, 3.00, 2.90, 3.10, 3.50, and 3.27, respectively. Use data from Problem 5 to solve this problem.

7. Break-even analysis. Assume that all payers pay the same prospective rate for surgery patients in DRG 3.

Type of Operation DRG 3
Reimbursement Rate $1,000
Program-Specific Fixed Costs* $150,000
Variable Costs $800

*Depreciation on equipment plus salary supplement for program supervision.

Supplies, labor, etc.

a. What is the break-even volume of patients undergoing the surgery for DRG 3?

b. If there are three different types of patients undergoing surgeries, as follows, what would be the break-even point for each DRG?

% of Patients in this DRG Type of Operation Rate of Reimbursement Program-Specific Fixed Costs Variable Costs
25 DRG 1 $500 $50,000 $300
35 DRG 2 2000 100,000 1200
40 DRG 3 1000 150,000 800
Joint 500,000 OR overhead
100 Total fixed costs $800,000

c. If only 760 DRG 3 operations will take place, should we discontinue DRG 3 from an economic perspective?

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