What are the four major activities of a health plan | Quick Homework Help

1.        What are the four major activities of a health plan? Choose one activity and describe.

2.        How is charity care defined?

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3.        Why is the unreimbursed cost of Medicare not included as an element of community benefit?

4.        You have been asked to develop a capitation rate for a primary care group based on the following projection.

Service Annual Frequency/1000 Cost per Service
Inpatient visits 100 $7,000.00
Office visits 3000 $45.00
Lab/X-ray 500 $25.00

 

Define PMPM. What PMPM rate would be required to break even, ignoring any copayments?

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