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The question needing an answer is question 13. (Health plan premium)
13. Health plan premium. In question 12, what if the employer or patient refuses to pay the new premium? What could the healt
12. Health plan premium. Given the same scenario as in question 11, what if the health plans stockholders demand a 9 percent
11. Health plan premium. If a health plan covers 150,000 lives, expects 25 myocardial infarc- tions (Mis) to occur each year
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Answer #1

PMPM = [number * days* Daily cost *(1+admin cost)*(1+profit margin) ] / total number of lives

PMPM = 25*4.5*950*(1.10)*(1.07) / 150000 = $ 0.8386 = $ 0.84.

As they would like to increase the profit with making change in PMPM , but change in diem rate (d)

So,  $ 0.8386 =25*4.5*d*(1.10)*(1.09) / 150000

=> d = 125791.9/(25*4.5*(110%)*(1.09)) = $ 932.57.

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