Common use of Utilization Rate Clause in Contracts

Utilization Rate. Measure: The number of emergency department visits in the reporting year where the principal diagnosis was asthma, per thousand member months, for members with persistent asthma. Target: TBD Minimum Performance Standard: The level of improvement must result in at least a TBD% decrease in the difference between the target and the previous report period’s results.

Appears in 3 contracts

Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc)