Consider the following data and make your best analysis of per member per month (PMPM) rates, considering reductions in utilization or pricing. Bay Pines Medical Center estimates that a capitated population of 50,000 would have the following base case utilization and total cost characteristics:
In addition to medical costs, Bay Pines allocates 10 percent of the total premium for administration/reserves.
On the basis of your data analysis, respond to the following:
What is the PMPM rate that Bay Pines must set to cover medical costs plus administrative expenses?
What would be the rate if a utilization management program were to reduce utilization within each patient service category by 10 percent? And by 20 percent?
Consider the initial base case utilization assumption. What rate would be set if the average cost on each service were reduced by 10 percent?
Assume that both utilization and cost reductions were made. What would the premium be?
Populace can be characterized as complete number of occupants comprising a specific race, class, or gathering in a predefined zone." (http://www.answers.com/theme/populace, no date). With reference to the current subject, the analyst has set that the objective populace for this exploration would be the Generation Y in Malaysia. Indeed, even the age Y has been characterized as conceived in the middle of 1977 and 1994 by Horovitz (2002) and Sriviroj 2007, the examination would review explicitly age Y who are matured somewhere in the range of 20 and 29 which center around the undergrads, college understudies and youthful working grown-ups. 3.3.2 Pilot Test for Questionnaire "Pilot test is a littler adaptation of a bigger report that is directed to get ready for that review to guarantee that the thoughts or techniques behind an exploration thought are sound, just as to "work out the crimps" in an examination convention before propelling a bigger report." (http://ms.about.com/od/newsresearch/g/pilot_study.htm, no date). In this examination, the analyst plans to lead a pilot think about containing 10 surveys to college understudies in Multimedia University Melaka so as to legitimize the substance and dependability of the poll. This is done as the scientist feels that the understudies in the University grounds fill in as an only portrayal of the planned target populace. The input from the respondents will be adjusted before disseminating to the focused on respondent. Get help with your article today, from our expert paper scholars! Qualified essayists in the subject of writing are prepared and hanging tight to assist you with your examinations. Get help with your exposition View expertly composed examples 3.3.3 Sampling Design Method An example of the populace can be drawn from one of two different ways, either as likelihood testing or non likelihood inspecting. Sekaran (2003) portrayed that "when components in a populace have a referred to shot of being picked as subjects in the example, we resort to likelihood testing structure". There are a few types of likelihood testing. The first is straightforward arbitrary examining which otherwise called unhindered testing. In a straightforward irregular example ('SRS') of a given size, every single such subset of the casing are given an equivalent likelihood. Every component of the edge subsequently has an equivalent likelihood of choice. Straightforward arbitrary testing is otherwise called unlimited inspecting. The other structure is known as confined or complex likelihood examining. "The primary distinction between the two is that proficiency is improved in that more data can be gotten for a given example measure utilizing a portion of the intricate likelihood examining strategies" (Sekaran, 2003). Case of this type of examining is the stratified arbitrary testing technique where the populace is separated into subgroups and along these lines sub tests.>GET ANSWER