URSA-PHARM-002: PMPM Plan Spend for Patients w/ Outpatient Fill
- 27 Apr 2023
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URSA-PHARM-002: PMPM Plan Spend for Patients w/ Outpatient Fill
- Updated on 27 Apr 2023
- 1 Minute to read
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Measure Description
Among health plan members with 1 or outpatient medication fill in the last 12 months, the per-member-per-month payor spending.
Metadata
- Measure Type: Rate Measure
- Temporal Structure: Interval
- Component Class: Long-Form
- Denominator Case Field: Patient ID
- Target Direction: Down
Denominator Description
Elapsed time, in months, among patients with active plan coverage and one or more outpatient medication fill in the prior 12 months.
Numerator Description
Plan claim paid amount during the time periods meeting denominator criteria.
Related Key Concepts
None.
FAQs
None.
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