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

    • Updated on 27 Apr 2023
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    Article summary

    Measure Description

    Among active plan membership patient-periods, the per-member-per-month plan spending on Ambulatory Center encounter.

    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 an ambulatory surgical center encounter and with covered start date falling within the observation period start and end dates.

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