Population. The Population shall be defined as all Paid Claims during the 12-month period covered by the Claims Review.
Population. Based Initiatives (PBIs) and Experience Rebates: HMO may subtract from an experience rebate owed to the State, expenses for population-based health initiatives that have been approved by HHSC. A population-based initiative (PBI) is a project or program designed to improve some aspect of quality of care, quality of life, or health care knowledge for the Medicaid population that may also benefit the community as a whole. Value-added service does not constitute a PBI. Contractually required services and activities do not constitute a PBI.
Population. The Population shall be defined as all Paid Claims during the 12-month period covered by the Claims Review. In OIG’s discretion, OIG may limit the Population to one or more subset(s) of Paid Claims to be reviewed and shall notify Healogics and the IRO of its selection of the Population at least 30 days prior to the end of each Reporting Period. Healogics, or its IRO on behalf of Healogics, may submit proposals identifying suggestions for the subset(s) of Paid Claims to be reviewed at least 90 days prior to the end of each Reporting Period. In connection with limiting the Population, OIG may consider (1) proposals submitted by Healogics or its IRO or (2) information furnished to OIG regarding the results of Healogics’ internal risk assessment and internal auditing. The determination of whether, and in what manner, to limit the Population shall be made at the sole discretion of OIG. In connection with limiting the Population, OIG also may select physicians employed by Healogics or a Healogics-Affiliated Physician Practice Entity that will be subject to the Claims Review in each Reporting Period. In order to facilitate OIG’s selection, at least 90 days prior to the end of the Reporting Period, Healogics shall furnish to OIG the following information for each physician employed by Healogics or a Healogics-Affiliated Physician Practice Entity for the prior calendar year: (1) Federal health care program revenues, (2) Federal health care program patient census, and (3) Federal health care program payor mix.
Population. The Population shall be defined as all Patient Stays for which at least one Paid Claim was submitted during the 12-month period covered by the Claims Review.
Population. The Population shall be defined as all Paid Claims at the selected Covered Facilities during the 12-month period covered by the Claims Review. In OIG’s discretion, OIG may limit the Population to a subset of Paid Claims to be reviewed and shall notify Dignity Health and the IRO of its selection of the Paid Claims to be reviewed at least 60 days after notifying Dignity Health of the selected Covered Facilities. Dignity Health (or the IRO on behalf of Dignity Health) may submit proposals identifying suggestions for the subset of Paid Claims to be reviewed at least 90 days prior to the end of each Reporting Period. In choosing the subset of Paid Claims to be reviewed, OIG shall consider: (1) proposals submitted by Dignity Health or the IRO; (2) internal risk assessment, audit, and monitoring work conducted by Dignity Health or the IRO; and (3) other information known to OIG. OIG retains sole discretion over whether, and in what manner, to limit the Population.
Population. The Population shall be defined as all Inpatient Admission Paid Claims during the 12-month period covered by the Inpatient Medical Necessity and Appropriateness Review.
Population. For the first Reporting Period, the Population shall be defined as all Items for which a code or line item has been submitted by or on behalf of Rotech and for which Rotech has received reimbursement from Medicare (i.e., Paid Claim) during the 12-month period covered by the first Claims Review. For the remaining Reporting Periods, the Population shall be defined as all Items for which Rotech has received reimbursement from Medicare (i.e., Paid Claim) during the 12-month period covered by the Claims Review. To be included in the Population, an Item must have resulted in at least one Paid Claim.
Population. A particular species in a particular group or in a definable place (i.e., the Great Basin population of Columbia spotted frogs).
Population trend estimate – in descending order: Declining, Fluctuating, Unknown, Stable and Increasing, and with estimates taken from the latest CSR.
Population. North Ayrshire’s total resident population was 135,490 in 2006. This is forecast to fall by -3.0% in the period to 2031 compared to a Scottish increase of +5.0%. However, this decrease will not be uniform across North Ayrshire and some areas such as Arran are expected to experience a modest increase in population. North Ayrshire has higher than average proportions of children (0 to 15) and those of pensionable age, with a correspondingly lower proportion of working age people. Those in the pensionable age bracket account for 20% of the population and those in the under-16 bracket account for 19%. In broad terms the Garnock Valley, North Coast, Cumbrae & Arran area have a generally older population whereas the Irvine, Kilwinning, Dreghorn & Springside and Three Towns areas have higher proportions of younger people. Over three quarters of North Ayrshire’s population live in urban areas or accessible small towns, with the remaining population living in rural areas – 4.8% of the total population living in remote or very remote rural areas. The area has a very low ethnic population (0.7% of the population in 2001, compared with 2.0% for Scotland). The main changes predicted in the age structure of North Ayrshire’s population are: • Children age 0-15 is projected to decrease by -16.2% from 25,332 in 2006 to 21,240 by 2031; • Working age1 is projected to fall by -10.3% from 82,229 in 2006 to 73,795 by 2031; • Pensionable age1 is projected to rise by +31% from 27,929 in 2006 to 36,587 by 2031; Table 1 displays the changes predicted at a local and national level. The national prediction displays a similar pattern to North Ayrshire in terms of an ageing population. However, the decrease nationally in the 0-15 population (-6.9%) is predicted to be lower than that at a local level (-16.2%). In addition, the national working age population is not expected to decrease, instead it is predicted to increase by +0.4% by 2031. North Ayrshire Scotland 2006 2031 % 2006 2031 % Change Change Children (0-15) 25,332 21,240 -16.2% 0.92m 0.86m -6.9% Working Age 82,229 73,795 -10.3% 3.21m 3.23m +0.4% Pensionable Age 27,929 36,587 +31.0% 0.98m 1.29m +31.2% Table 1: Projected Change in Population Accordingly, the biggest change in North Ayrshire’s population apportionment is expected to occur for the pensionable ages, with the apportionment increasing from 20% in 2006 to 28% in 2031. Apportionments for those under-16 and for those of working age are predicted to decrease by -3% and -5%...