See: adjusted community rate (ACR).
Insurance Encyclopedia
Average Cost Per Claim, Health
The total cost of administrative and/or medical services divided by the number of units of exposure such as costs divided by number of admissions, or cost divided by number of outpatient claims, etc.
Average daily census
Count (enumeration) and demographics of hospital inpatients or members of a managed care plan. The census is given in a daily hospital admission and disposition report that shows patients gained and lost in census, changes in status, and numerical strengths of transient patients and boarders.
Average daily patient load—bassinet (ADPL-BASS)
Average number of live births in the hospital that are provided medical care daily during a specific report period. The formula is to divide the number of bassinet days during the period by the total number of days in the report period. See bassinet day.
Average daily patient load—inpatient (ADPL-IP)
Average number of hospital inpatients, excluding live births, who receive care daily during a specific period that is to be reported. This includes same-day admission/discharge patients. The formula is to divide the number of inpatient bed days during the period by the total number of days in the report period.
Average daily patient load—total (ADPL-TOT)
Average number of inpatients including live births that receive care daily during a specific period, which is to be put into a report. This includes same-day admission/discharge patients. The formula is to divide the sum of occupied bed days during the period by the total number of days in the report period.
Average daily revenue (ADR)
Formula for determining the ADR is performed by dividing revenue for a 3-month period ending on the date of the calculation by the number of days in the 3-month period.
Average disbursements
See: General Average Expenditure.
Average Earning Clause
In disability insurance, a provision that reduced payment to the proportion of policy benefits that the insured’s earnings at the time of disability (or average earnings for two years prior to disability) bear to total disability benefits under all policies, also called the “Relation of Earnings to Insurance Clause.”
Average earnings clause (Life Insurance)
Clause that states the beneficiary’s disability payments can be reduced if his or her monthly income exceeds the total monthly earnings or the average monthly earnings. This is only valid within the first two years of the disability payments beginning.