What dollar amount of the total variance is attributed to enrollment variance?

1. What dollar effect did the increased admission rate have on cost?
2. The intensity of care delivered dropped from a budgeted case mix of 0.90 to an actual case mix of 0.85. What dollar effect did this have on actual costs?
3. Costs per case increased to $4,900 from a budgeted value of $4,750. By what amount did this increase the actual total costs?
4. Explain how capitation changes the way in which profit analysis is conducted in terms of utilizations (number of admissions) and in terms of membership (covered lives). Does each admission or patient stay increase both costs and revenues? Does each additional member contribute positively to profits?
5. If reimbursement is exclusively capitated, then the provider’s financial risk is minimized if all costs are fixed or variable?
   

Transcribed Image Text:

Financial Data for Director of Finance Department in a hospital setting Budget Actual Inpatient Costs $12,568,500 $16,618,350 Members 42,000 42,000 Admission Rate 0.070 0.095 Case Mix Index 0.90 0.85 Cost per Case (CMI= 1.0) $4,750 $4,900 Financial Data for Director of Finance Department in a hospital setting Budget Actual Inpatient Costs $12,568,500 $16,618,350 Members 42,000 42,000 Admission Rate 0.070 0.095 Case Mix Index 0.90 0.85 Cost per Case (CMI= 1.0) $4,750 $4,900

Answer rating: 100% (QA)

Step 1 Net present value Net present value discounted cash inflow di... View the full answer