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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