Supply of Primary Care workforce

© 2015 Laureate Education, Inc. Page 1 of 2 Healthcare Financial Management and Economics Week 4 Assignment Supply of Primary Care Workforce Scenario: Your hospital has an opportunity to participate with an Accountable Care Organization (ACO) contract with 20,000 ACO patients. The ACO patient population expects about 2,000 avoidable hospitalizations per year with a potential savings of $ 20 million, whic h will be shared as follows: 50% revenue to the insurer an d 50% revenue to the hospital. The ACO patient population will require an average of six office visits per year, and 12 0,000 total office visits will need to be supplied by your primary care workfor ce. To prepare for this Assignment: Based on the scenario and financial data provided by the course Instructor, conduct a financial projection (revenues, expenses, and profit) that analyzes the efficiency of the supply of health services. The Assign ment: In a 2- to 3-page Word document that include s tables and/or calculations, make recommendations on the following: 1) number of physicians and nurse practitioners needed ; 2) reimbursement method: salary or fee -for -service; 3) recommendations for finan cial incentives to address the challenges of supplier -induced demand and how to ensure efficiency. Interpret the net profit from the ACO contract based on your recommendations. Explain the rationale behind your recommendations, including the impact made by your financial calculations. Financial Data ACO revenue: Number of ACO patients 20,000 Potential savings: Number of avoidable hospitalizations per patient 0.1 Total avoidable hospitalizations per year 2,000 Cost per avoidable hospitalization $10,000 Total cost of avoidable hospitalizations $20,000,000 Demand for healthcare/utilization: Number of office visits per patient 6 Total office visits per year 120,000 © 2015 Laureate Education, Inc. Page 2 of 2 Supply of workforce/expense: Employed providers (salary) Physician salary per year $200,000 Nurse practitioner salary per year $100,000 Contracted providers (fee -for -service) Physician fee per visit $100 Nurse practitioner fee per visit $50 Productivity: Physician visits per year 3,000 Nurse practitioner visits per year 2,000 Financial incentives: Salary bonus to ensure efficiency 10% Bonus fee per visit to ensure efficiency $1