In: Accounting
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 | |||||||||
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.