In the context of managed care, what does PMPM stand for?

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PMPM stands for Per Member Per Month, a key metric in managed care used to calculate the average monthly cost of providing healthcare services to each enrolled member. This figure is crucial for healthcare organizations as it helps them to budget, forecast expenses, and evaluate the financial performance of their health plans.

Understanding PMPM is essential in managed care as it captures the cost efficiency and value of healthcare services delivered to individual members over time. It allows for comparability among different plans and services and is used by insurers to manage costs, set premiums, and negotiate contracts with providers. The focus on each member and the monthly time frame offers a clear picture of the cost dynamics involved in healthcare delivery, making it easier for administrators to make financially informed decisions.

Other options provided do not accurately reflect the commonly accepted terminology or meaning associated with PMPM in the context of managed care.

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