URSA-PHF-006: Surgery Encounter PMPM Plan Spending
  • 27 Apr 2023
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URSA-PHF-006: Surgery Encounter PMPM Plan Spending

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Article summary

Measure Description

Among active plan membership patient-periods, the per-member-per-month plan spending on surgical encounters.

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 during which the patient was alive and had medical claims data coverage.

Numerator Description

Total plan spending for claims associated with a surgery encounter with covered start date falling within the observation period start and end dates

None.

FAQs

None.


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