URSA-PHF-010: PMPM Patient Spending

Description

The total plan spending per URSA-CORE encounter; encounter types include: hospital inpatient admission encounters; clinician office visit encounters; ED visit parent encounters; observation stay parent encounters; SNF encounters; and other hospital outpatient encounters.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Encounter ID
• Target Direction: Down

Denominator Description

One per encounter meeting the definition for one or more URSA-CORE encounter types: hospital inpatient admission encounters; clinician office visit encounters; ED visit parent encounters; observation stay parent encounters; SNF encounters; and other hospital outpatient encounters;

Numerator Description

Total plan spending for the encounter.

Related Key Concepts

None.

FAQs

None.