Managed care plans often express costs or events based on a standard number of members for a set time period.
Measurements:
(1) cost in dollars
(2) admissions or office visits
(3) procedures
(4) prescriptions
Patient groups:
(1) per individual member (PM)
(2) per thousand members
Period:
(1) per month (PM)
(2) per year (PY)
output value =
= (total measurement for interval for members) * ((member unit) / (number of members)) * ((number of days in time unit) / (number of days in time period))
where:
• The member unit = 1 for per member, 1000 for per 1000 members.
• The number of days in time unit = 30 for per month, 365 for per year
Output:
(1) per member per month
(2) per member per year
(3) per 1000 members per month
(4) per 1000 members per year
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