Case For Project - Cost Analysis*
An equipment acquisition proposal was being considered by a large health care organization. The array machine will enable the hospital to perform autoimmunity tests (for immunoglobulins G, M, and A and complements C3 and C4) in-house rather than sending them to a reference laboratory. Test turnaround time is expected to decrease by 2 days. The array machine costs $50,000, with a useful life of 5 years. The depreciation schedule will be $10,000/year.
The expected volume for tests is one of each of the five autoimmunity tests per day. Having the tests done by the reference laboratory costs the hospital an average of $10/test. The hospital's average charge to patients is ...view middle of the document...
This is a fixed cost because it does not vary by volume. Technician setup time to run tests is negligible. Beyond the five autoimmunity tests the laboratory wants to perform in-house, the machine can also perform apolipoprotein cardiac profiles that are currently done on equipment in the clinical chemistry department. The array machine can provide a quantitative measure and not just the positive or negative indicator that the clinical chemistry department's current equipment gives.
1. How many autoimmunity tests per year will have to be performed on the array machine to break even?
2. Given the present volume of tests, would there be an annual net contribution and, if so, how much?
3. If half of the patients have Medicare coverage (DRG reimbursement includes all tests), would the laboratory break even on the equipment? If not, should the equipment be acquired anyway?
The response should be 8-10 pages including charts.
The response should provide a rationale and discussion regarding each step you take. Charts should be fully explained in the text.
If you prefer, you may create a narrated PowerPoint presentation (be sure to include a transcript of the narrated portion - or you may include the transcript of the narrative on the notes page of the slide). Be sure to let me know where the transcript is located if you decide to create a narrated presentation.
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*Longest, B.B., Rakich, J.S., & Darr, K. (2000). Managing health services organizations and system. Baltimore: Health Professions Press.