Contents x
    URSA-PHU-001: PMPM Plan Spending
    • 27 Apr 2023
    • 1 Minute to read
    • Print
    • Dark
      Light
    Contents

    URSA-PHU-001: PMPM Plan Spending

    • Updated on 27 Apr 2023
    • 1 Minute to read
    • Print
    • Dark
      Light
    Article summary

    Measure Description

    Among active plan membership periods, the per-member-per-month payor spending; includes an indication for whether the claim financial (numerator) occurred during a 90-day PPHE episode and, if so, the type of PPHE.

    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 claims with covered start date falling within the observation period start and end dates; includes an indication for whether the claim financial (numerator) occurred during a 90-day PPHE episode and, if so, the type of PPHE.

    None.

    FAQs

    None.

    Was this article helpful?
    What's Next