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Dear staff: This is Yu.zhou. May anybody who is good at the Health Care Organiza

ID: 2337822 • Letter: D

Question

Dear staff:

This is Yu.zhou. May anybody who is good at the Health Care Organization Finance class help me with the problem below. I would like to have clear steps on how to get to the answer. Thank you, sincerely.

Assume your organization has 100 patients analyzed in the following manner:

15 Medicare patients, who pay $2,000 per diagnosis

25 Medicaid patients, who pay $1,800 per diagnosis

20 managed care patients, who pay charges minus a 20% discount.

10 managed care patients, who pay charges minus a 25% discount.

10 private insurance patients, who pay charges

10 charity care patients, who pay nothing

10 bad debt patients, who pay nothing.

Your organization's average cost per patient is $2,000. Calculate the charge necessary to recover your cost.(Answer on back of the textbook:$3,731)

Using the data from the self-quiz problem on cost shifting, assume those who pay charges will allow a maximum charge of $2,100. Calculate the amount of costs you will need to cut to break even.(Answer on back of the textbook:$54,650)

Explanation / Answer

Total cost = $2,000 * 100 = $200,000

Let charges be x

Total Revenue -

Medicare patients = 15 * $2,000 = $30,000

Medicaid patients = 25 * $1,800 = $45,000

Managed care patients = 20 * 0.8x = 16x

Managed care patients = 10 * 0.75x = 7.5x

Private insurance patients = 10 * x = 10x

Charity care patients = 10 * 0 = $0

Bad debts patients = 10 * 0 = $0

Total revenue = $30,000 + $45,000 + 16x + 7.5x + 10x

$200,000 = $75,000 + 33.3x

33.3x = $125,000

x = $125,000 / 33.5

x = $3,731

Hence, the charges are $3,731

If charges are $2,100

Then total revenue = $75,000 + (33.5 * $2,100)

Total revenue = $75,000 + $70,350 = $145,350

Cost that needs to be cut = $200,000 - $145,350 = $54,650

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