| name | model-payer-mix |
| description | Read reimbursement net of variable cost by payer, compute blended margin, and model a mix shift — flagging parity for counsel. Reach for this on a payer or margin question. |
Skill: Model payer mix and margin
A blended reimbursement number hides which payers drag margin (§3 #5).
Step 1 — Pull per-payer data
Visit volume, reimbursement, and variable cost per visit by payer.
Step 2 — Compute blended margin
Blended reimbursement and margin via behavioral_health_practice_calc.py payer-mix (§3 #5).
Step 3 — Model the shift
New blend vs current blend → mix-shift delta, with capacity caveats (§3 #4 #5).
Step 4 — Flag parity
Parity gaps where behavioral-health rates lag — route the determination to counsel (§3 #5 #8).
Output
A per-payer margin read with the blended figure, mix-shift delta, and parity flagged to counsel.