Rate Trend
Characteristics
Measures Not Included in PCDH Framework
Measure Concept
Financing
Descriptions
NCQA HEDIS measure that inquires about a plan's actual expenses per member per month and prospective trend assumptions for the reporting year and the two preceding years
Numerator: Reporting Year - total actual expense PMPM and percentage change over the past 3 years
Denominator: Rate Trend Assumptions - percent change in prospective rate trend assumptions used to calculate PMPM premium rates for the plan's book of business (commercial or Medicaid) for each year indicated
Measure or Standard
Measure
Populations
Not specified or not applicable
Level of Measure
Program/Plan
Data Source
Administrative enrollment and claims data
Measure Identification
DQA Starter Set Measures Environmental Scan (2012)
Developer/Steward
National Committee for Quality Assurance (NCQA)
Stage of Development/Use
DQA Scan (2012): HEDIS 1999 for Managed Care Organizations