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
Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc)
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
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