Question: You are attempting to develop a develop break-even for capitation contract with a major HMO. Your hospital has agreed to provide all inpatient hospital service
You are attempting to develop a develop break-even for capitation contract with a major HMO. Your hospital has agreed to provide all inpatient hospital service for 10,000 covered lives. You will receive $38 per member per month (PMPM) to cover all inpatient services. It is anticipated that 93 admissions per 1000 covered lives be provided with an average length of stay equal to 5.0, or 465 days per 1000.
You anticipate that your hospital will incur fixed costs, or readiness to serve costs, of $1,860,000 for these 10,000 covered lives. Variable costs per patient day are expected to be $600.
Calculate the break-even point in patient days under this contract
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