Which statement best describes the impact of declines in volumes and changes in price on net patient revenue?

• A. Decline in volumes reduces total units sold
• B. Decrease in price per unit reduces revenue per unit
• C. Neither affects net patient revenue
• D. Both decline in volumes and decrease in price per unit reduce NPR and require different strategies

Answer: (D)

Net patient revenue moves with two main levers: volume and price per unit. When volumes decline, fewer patient encounters or units are sold, so NPR drops. When price per unit falls due to lower reimbursement rates or unfavorable payer mix, NPR also decreases because each unit brings in less revenue. If both volume and price decline, NPR falls even more, and the ways to address them differ: boosting volumes requires strategies to attract and retain patients and optimize service lines, while improving price involves better contracting, rate setting, and payer mix management. That combination of both factors affecting NPR and needing distinct responses is why this statement is the most accurate.