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datatools.ahrq.gov/meps-ic/glossary-health-insurance-terms/
January 01, 2022 - The premium equivalent is equal to the per-capita amount of claims, administration, and stop-loss premiums … SELF-INSURED PLAN – A health plan is self-insured when the financial risk for the enrollee’s medical claims … (TPA) / ADMINISTRATIVE SERVICES ONLY (ASO) – An individual or firm hired by an employer to handle claims … plan where the employer and the insurer agree that the employer will be responsible for paying all claims … The insurer usually is also responsible for processing claims and administrative services.
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datatools.ahrq.gov/action-alliance/
June 30, 2024 - derived annually from subsection (d) hospital discharge records from Medicare fee-for-service (Part A) claims … Data Source
The CMS PSI 04 estimates are derived using Medicare fee-for-service (Part A) claims. … a patient has a risk factor: (1) using inpatient, outpatient, and physician Medicare administrative claims … data extending 12 months (may be less than 12 months of claims data available due to National Extraordinary … Data Source
The hip/knee replacement complication rate is calculated using claims from Medicare fee-for-service
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datatools.ahrq.gov/meps-ic/technical-notes-and-survey-documentation/
January 01, 2022 - Skip to main content
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