Utilization Rate. Measure: The number of emergency department visits in the reporting year where the principal diagnosis was CAD, per thousand member months, for members who had a diagnosis of CAD in the year prior to the reporting year. Target: TBD Minimum Performance Standard: The level of improvement must result in at least a TBD% decrease in the difference between the target and the previous report period’s results.
Appears in 4 contracts
Samples: Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Assistance Provider Agreement (Molina Healthcare Inc), Provider Agreement (Molina Healthcare Inc)
Utilization Rate. Measure: The number of emergency department visits in visitsin the reporting year where the principal diagnosis was CAD, per thousand member months, for members who had a diagnosis of diagnosisof CAD in the year prior to the reporting year. Target: TBD Minimum Performance Standard: The level of improvement must result in at least a TBD% decrease in the difference between the target and the previous report period’s results.
Appears in 1 contract
Utilization Rate. Measure: The number of emergency department visits in the reporting year where the principal diagnosis was CAD, per thousand member months, for members who had a diagnosis of CAD in the year prior to the reporting year. Target: TBD Minimum Performance Standard: The level of improvement must result in at least a TBD% decrease in the difference between the target and the previous report period’s 's results.
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)
