If a health plan covers 150,000 lives expects 25 myocardial infarction (MIs) to occur each year…

  1. If a health plan covers 150,000 lives expects 25 myocardial infarction (MIs) to occur each year within the covered lives expects a length of stay of 4.5 days for each MI and has to pay in average of $950 per day for each day the MI patient is in the hospital. What is the PMPM cost to the health plan? What would have to be changed to the patient or employee if the health plan has administrative costs equaling 10 percent of its cost and wants a profit margin of 7 percent.what if the health plan’s stockholder demands a 9 percent margin? What would the premium be in that case?

Don't use plagiarized sources. Get Your Custom Essay on
If a health plan covers 150,000 lives expects 25 myocardial infarction (MIs) to occur each year…
For as low as $13/Page
Order Essay