Utilization Rate. Measure: The number of emergency department visits in the reporting year where the principal diagnosis was COPD, per thousand member months, for members who had a diagnosis of COPD in the year prior to the reporting year.
Appears in 3 contracts
Samples: Assistance Provider Agreement (Molina Healthcare Inc), Provider Agreement (Wellcare Health Plans, Inc.), Molina Healthcare Inc
Utilization Rate. Measure: The number of emergency department visits in the reporting year where the principal diagnosis was COPD, per thousand member months, for members who had a diagnosis of COPD in the year prior to the reporting year. Appendix M Aged, Blind or Disabled (ABD) population Page 12 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 COPD, per thousand member months, for members who had a diagnosis of COPD 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
Samples: Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)
Utilization Rate. Measure: The number of emergency department visits in the reporting year where the principal diagnosis was COPD, per thousand member months, for members who had a diagnosis of COPD 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
Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)