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  1. 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.
  2. 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
  3. datatools.ahrq.gov/meps-ic/technical-notes-and-survey-documentation/
    January 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates Data Tools Home CAHPS HCUP …

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