Utilisation per 1,000 & Unit Cost: Splitting PMPM into How Often and How Much
This lesson is part of the course
In this lesson
You convert service counts into utilisation per 1,000 members per year, calculate the unit cost of each category, prove that utilisation × unit cost gives back the PMPM and name the most expensive category per service.
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Lessons in this course
- Member Months: Enrolment Dates, Months Covered per Member & the Plan's Exposure Locked
- Cost per Member per Month: Paid Claims by Category & by Month Locked
- Utilisation per 1,000 & Unit Cost: Splitting PMPM into How Often and How Much Locked
- High-Cost Claimants: Cost per Member, Top-Member Share & a Pareto Chart Locked
- Cost Trend: PMPM Year over Year, Utilisation Trend vs Unit-Cost Trend Locked
- Paid vs Incurred: Months of Development, Completion Factors & Claims Still to Come Locked
- Benefit Design Effects: Co-Pays, Deductibles, Out-of-Pocket Maximums & Plan PMPM Locked
- Plan Dashboard: Actual vs Budget PMPM, Traffic Lights & a Category Chart Locked