URSA-PHARM-001: Outpatient Pharmacy PMPM Plan Spending
  • 27 Apr 2023
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URSA-PHARM-001: Outpatient Pharmacy PMPM Plan Spending

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Article summary

Measure Description

Among active plan membership periods, the per-member-per-month payor spending on outpatient medication fills.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Interval
  • Component Class: Long-Form
  • Denominator Case Field: Patient ID
  • Target Direction: Down

Denominator Description

The elapsed patient-months of active plan membership periods.

Numerator Description

Total payor spending for outpatient pharmacy claims with covered start date falling within the observation period start and end dates.

None.

FAQs

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