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    URSA-PHF-009: URSA-CORE Encounter PMPM Plan Spending
    • 27 Apr 2023
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    URSA-PHF-009: URSA-CORE 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 any of the 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.

    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 associated with an URSA-CORE encounter with encounter start date falling within the observation period start and end dates; URSA-CORE encounters include: hospital inpatient admission encounters; clinician office visit encounters; ED visit parent encounters; observation stay parent encounters; SNF encounters; and other hospital outpatient encounters.

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