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In: Accounting

VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model...

VIP-MD is a health maintenance organization (HMO) located in North Carolina. Unlike the traditional fee-for-service model that determines the payment according to the actual services used or costs incurred, VIP-MD receives a fixed, prepaid amount from subscribers. The per member, per month rate (PMPM) is determined by estimating the health care cost per enrollee within a geographic location. The average health care coverage in North Carolina costs $360 per month, which is the same amount irrespective of the subscriber’s age. Because individuals are demanding quality care at reasonable rates, VIP-MD must contain its costs to remain competitive. A major competitor, National Physicians, entered the North Carolina market early in the current year with a monthly premium of $317. VIP-MD wants to maintain its current market penetration and hopes to increase its enrollees in the current year. The latest data on the number of enrollees and the associated costs follow:

Age Enrollment in Current Year Projected Enrollment Next Year Average Monthly Cost in Current Year
1–4 44,888 48,177 $ 11,147,072
5–14 81,656 83,863 10,058,832
15–19 95,073 95,087 8,436,024
20–24 65,446 67,082 9,538,624
25–34 132,696 131,754 26,431,408
35–44 166,076 174,646 38,881,308
45–54 84,696 90,089 22,741,136
55–64 98,424 101,123 28,690,912
65–74 155,488 160,759 49,517,344
75–84 67,095 71,665 33,431,960
85 years and older 22,699 26,049 24,285,675
1,014,237 1,050,294 $ 263,160,295

Solutions

Expert Solution

Particulars Amount
a)Total Cost 2631,60,295.00
b)Total No: of enrollment in the current year      10,14,237.00
c)Cost per enrollment(a/b)              259.47
d)Current cost per unit              360.00
e)Required Profit per unit (d-c)             100.53
f)New Price of the Product              317.00
g)Required Profit              100.53
h)Target Cost(f-g)             216.47

*As nothing mentioned specific in question regarding the requirement,hope the required profit and target cost is the answer you are looking for.


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