General

General

General nature or nature terms.

Contributors in General

General

Applies to a revenue or cost for each enrolled member each month. The number of units of something divided by member months. Often used to describe premiums or capitated payments to providers, but ...

Per thousand members per year (PTMPY)

Health care; General

A common way of reporting utilization. The most common example of hospital utilization, expressed as days PTMPY. See also Patient Days or LOS.

Performance gap

Health care; General

The occurrence, trend, or incident that shows that a clinician's performance falls short of expected performance levels, particularly when the clinician ignores accumulated scientific evidence ...

Performance measurement

Health care; General

Measures and results that describe the health care being provided and the outcomes. Performance may be stated in terms of health outcome, quality of care, timeliness, correctness, percentage of goals ...

Performance standards

Health care; General

Standards set by the MCO or payer that the provider will need to meet in order to maintain it’s credentialing, renew its contract or avoid penalty. These will vary from payer to payer, and contract ...

Personal care physician

Health care; General

See Primary Care Physician.

Personal representative

Health care; General

A person authorised under state or other law to act on behalf of the individual in making health-related decisions. Examples include a court-appointed guardian with medical authority, a health care ...