1 |
Medical Member Count |
Demographics |
Total member-years of medical enrollment during the measurement year. One member-year is equivalent to twelve months of insurance coverage. For example, if a member is enrolled for six months, they will have a value of 0.5 for this measure |
Total medical enrollment years for members during the measurement year |
NA |
5 |
Medi-Cal Enrollment Rate |
Demographics |
Percent of members with primary coverage in a Medi-Cal insurance plan during the measurement year |
Count of members with primary coverage in a Medi-Cal insurance plan during the measurement year |
Count of members enrolled during the measurement year |
6 |
Medicare Enrollment Rate |
Demographics |
Percent of members with primary coverage in a Medicare insurance plan during the measurement year |
Count of members with primary coverage in a Medicare insurance plan during the measurement year |
Count of members enrolled during the measurement year |
33 |
Maternity Inpatient Utilization Rate |
Utilization |
The rate of maternity inpatient utilization calculated as the number of occurrences per 1,000 members per year |
Count of maternity inpatient discharges |
Total medical enrollment months per 1,000 members averaged over 12 months |
35 |
Medical Inpatient Utilization Rate |
Utilization |
The rate of medical inpatient utilization calculated as the number of occurrences per 1,000 members per year |
Count of medical inpatient discharges |
Total medical enrollment months per 1,000 members averaged over 12 months |