This measure assesses the risk-adjusted ratio of observed-to-expected inpatient admission and observation stay discharges during the measurement year reported by surgery, medicine and total among members 18 years of age and older.
Why It Matters
Risk adjustment accounts for differences in members’ age, gender and comorbidities among a health plan’s population. A risk-adjusted measure of acute hospitalization may enhance understanding and comparability of variation in all-cause hospital utilization across health plans.
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