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As a Nurse Practitioner in California, you are preparing to…
As a Nurse Practitioner in California, you are preparing to prescribe a Schedule II controlled substance for a new patient with chronic pain. Which of the following actions demonstrates responsible prescribing practices in accordance with state requirements?
As a Nurse Practitioner in California, you are preparing to…
Questions
As а Nurse Prаctitiоner in Cаlifоrnia, yоu are preparing to prescribe a Schedule II controlled substance for a new patient with chronic pain. Which of the following actions demonstrates responsible prescribing practices in accordance with state requirements?
Heаlth cаre оrgаnizatiоns may accept glоbal payments for services that can be bundled and managed across a defined episode of care, especially when providers can coordinate treatment, manage utilization, and assume financial risk. Riverbend Regional Medical Center is evaluating the option to accept global payments for managing Type 2 Diabetes with Complications over a 12-month care episode. The total indirect fixed (overhead) costs allocated to diabetes care is $1,400,000, with the cost driver being a single patient-year of diabetes management. This amount was based on care delivered to 600 patients. The Chief Financial Officer has stipulated that Riverbend Regional Medical Center must achieve an estimated 6% profit margin on the global payments for bundled diabetes care. The tables below show the activities and costs associated with diabetes care, stratified by risk tier (low, moderate, high). Annual Activity-Based Costs Activity Annual Costs Cost Driver Total Activity Initial Assessment & Education $1,200,000 Visits 1,200 Inpatient Admissions $2,400,000 Days Admitted 800 Post-Discharge Monitoring $1,600,000 Encounters 1,200 Telehealth & Case Management $520,000 Video/Phone Calls 1,800 Direct Administrative Services $180,000 Enrolled Patients 600 Activity Utilization by Risk Tier (per patient per year) Activity Cost Driver Low Moderate High Initial Assessment & Education Visits 1.33 1.00 1.67 Inpatient Admissions Days Admitted 1 2.5 6 Post-Discharge Monitoring Encounters 2 3 7 Telehealth & Case Management Calls 4 6 10 Direct Administrative Services Enrolled Patients 1 1 1 What is the global payment per patient for each of the risk tiers, assuming total cost pricing? Round to the nearest dollar.