Question: Dr. Hall is a physician who operates on two different types of patients. He has been pressing the HOS for more operating-room time. HOS is
Dr. Hall is a physician who operates on two different types of patients. He has been pressing the HOS for more operating-room time. HOS is busy and would have to turn away other surgeons if it complies. Hall claims that he has become so efficient lately that HOS cannot afford to refuse him. As evidence of his improved efficiency, he points out that in August he operated on 18 patients. The total cost of treating the patients was $129,100. In September he operated on 18 patients. The total cost of treating the patients was only $127,000. According to Dr. Hall, he has generated a total savings of $2,100. Your investigation determines that in August he treated seven Type X patients with an average cost of $4,300 and 11 type Y patients with an average cost of $9,000. In September, he treated eight Type X patients and ten Type Y patients. Costs in September for his patients were $5,000 for Type X and $8,700 for Type Y. Although the August cost for Type X patients had risen, Hall points out that costs for the higher-volume, higher-cost type Y patients had fallen. Please help me develop a case-mix variance and a cost variance.
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