| measure_id | measure_name | measure_category | measure_description | numerator_definition | denominator_definition |
|---|---|---|---|---|---|
| 2 | Pharmacy Member Count | Demographics | Total member-years of pharmacy 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 pharmacy enrollment years for members during the measurement year | NA |
| 30 | Potentially Avoidable ED Visit Rate | Utilization | The rate of potentially avoidable emergency department utilization calculated as the number of occurrences per 1,000 members per year | Count of ED visits identified as potentially avoidable | Total medical enrollment months per 1,000 members averaged over 12 months |