A method in a computer system for optimizing allocation of a fixed medical payment to a variety of medical services. The method includes the steps of first selecting a standard rate representing an unadjusted amount of money to be received for the rendering of medical services. Next, the method generates an adjusted standard rate by adjusting the standard rate by at least one adjustment factor. The method then selects a base medical service rate from a plurality of medical service rates. Finally, the method divides the adjusted standard rate by the base medical service rate in order to generate a quantity of medical service points available.