URSA-PHU-007: PMPY on all IP and ED Encounters
  • 31 May 2023
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URSA-PHU-007: PMPY on all IP and ED Encounters

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Article summary

Measure Description

Among active plan membership periods, the per-member-per-year Plan Paid Amount on all Hospital Inpatient and ED Visits.

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-years of active plan membership periods during which the patient is alive.

Numerator Description

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

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FAQs

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