Common use of Utilization Rate Clause in Contracts

Utilization Rate. Measure: The number of emergency department visits in the reporting year where the primary diagnosis was CHF, per thousand member months, for members who had a diagnosis of CHF in the year prior to the reporting year.

Appears in 3 contracts

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc), Provider Agreement (Molina Healthcare Inc)

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Utilization Rate. Measure: The number of emergency department visits in the inthe reporting year where the primary diagnosis was CHF, per thousand member months, for members who had a diagnosis of CHF in the year prior to the reporting year.

Appears in 1 contract

Samples: Provider Agreement (Wellcare Health Plans, Inc.)

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