Budget Variance Analysis/Impact of Marketing
A large national MCO recently entered a major southwestern metropolitan market. The managed care plan anticipated that, with an intensive advertising campaign and sales effort, it would have 75,000 subscribers after two years. They planned on charging a premium of $1,800 per subscriber. Marketing and personnel costs directly related to this effort were anticipated to be $250 per subscriber.
Prior to the MCO's entry into the market, two of the large tertiary facilities in the region began to offer their own managed care plans in a physician-hospital organization arrangement with their medical staffs. The result was aggressive discounting of the managed care premiums. The national MCO chain dropped its premium to $1,400 per subscriber. Direct costs remained the same, yet because of the competition, the national MCO was only able to enroll 45,000 subscribers.
For this HMO the situation was:
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Planned
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Actual
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Number of subscribers
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Premium per subscriber
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Direct costs
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Subscriber gross marketing
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contribution
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Sales
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Direct costs
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Gross margin contribution
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(1) What was the variance because of the failure to get the gross marketing contribution?
(2) What was the variance due to the lack of enrollment success?