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

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Article summary

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.

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FAQs

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