URSA-PHU-006: PMPY Plan Spending on PPHEs
  • 31 May 2023
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URSA-PHU-006: PMPY Plan Spending on PPHEs

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Article summary

Measure Description

Among active plan membership periods, the per-member-per-year plan spending on potentially preventable hospital encounters (PPHEs).

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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