Gross costs per 1000

Statistic used to evaluate utilization management performance for inpatient, outpatient, partial hospitalization, and so on. The formula is to take the gross costs incurred for services received by a specific group for a certain time period and divide it by the average number of covered members in that group during the same period, and multiply the result by 1000. Providers in a managed care environment need this information because it is imperative to keep gross costs per 1000 below collections per 1000.

Leave a Reply

Your email address will not be published. Required fields are marked *