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  1. FHIR Specification Feedback
  2. FHIR-42393

Regarding "Administrative Cost" definition

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • US Da Vinci Value-Based Performance Reporting (FHIR)
    • current
    • Clinical Quality Information
    • Glossary
    • 4
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      Update the definition to use the following:

      Administrative costs are the expenses associated with operating a health plan and exclude the cost of claims. They are largely driven by staffing, technology, and operational processes.  (source: https://www.milliman.com/en/insight/focusing-on-health-plan-administrative-cost)

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      Update the definition to use the following: Administrative costs are the expenses associated with operating a health plan and exclude the cost of claims. They are largely driven by staffing, technology, and operational processes.  (source: https://www.milliman.com/en/insight/focusing-on-health-plan-administrative-cost )
    • Yan Heras / Bryn Rhodes : 27-0-0
    • Clarification
    • Non-substantive

    Description

      Regarding "Administrative Cost" definition, can this term also be used for commercial payers? Currently, the definition only specifies use by Medicare and Medicaid and CMS.

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            Unassigned Unassigned
            ericamartin Erica Martin
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