Next year Holyspirit healthcare organization will serve 100 patients in the foll

Question

Next year Holyspirit healthcare organization will serve 100 patients in the following manner

30 Medicare Patients who pay $850/diagnosis

25 Medicaid patients who pay $900 per diagnosis

15 managed care who pay charges minus 20% discount

15 managed care patients who pay $700 per subscriber

5 private insurance patients who pay charges

5 bad debt patients who pay nothing

5 indigent patients who pay nothing

Holyspirit’s cost will be $1,000 per patient

Assume Medicare payments are 70% of charge

          Calculate the charge necessary if total projected loss assuming charge per patient equals cost per patient

Explanation / Answer

Answer :-

Calculate The Charge Necessary The Cost per Patient

= Projected Loss / the No. of Patients Who will pay Increased Charge or Portion

= [24500 / (15 * 80%) + (15 * 70%) + 5 ] + 1000

= [24500 / 12 + 10.5 + 5 ] +1000

= [ 24500/ 27.5 ] + 1000

= 890 + 1000

= 1890

No. of Patients Holyspirit’s cost Charges of Patients Projected Loss 30 =30 * 1000 =30000 =30*850 =25500 =25500-30000 = -4500 25 =25*1000 =25000 =25*900 =22500 =22500-25000 = -2500 15 =15*1000 =15000 =(15*1000)-20% =12000 =12000-15000 = -3000 15 =15*1000 =15000 =15*700 = 10500 =10500-15000 = -4500 5 =5*1000 =5000 =5*1000 =5000 =5000-5000 = 0 5 =5*1000 =5000 =5*0 =0 =0-5000 = -5000 5 =5*1000 =5000 =5*0 =0 =0-5000 = -5000 TOTAL - 24500

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