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Financial PMPM

The Financial PMPM data mart implements the Tuva Project's methodology for calculating member months.

member_months

A table at the member month grain (i.e. one record per member per month of eligibility).

Primary Keys:

  • patient_id
  • year_month
  • payer
  • plan
  • data_source
ColumnData TypeDescriptionTerminology

pmpm_prep

A table that computes all the paid and allowed statistics for every patient_id and year_month combination.

Primary Keys:

  • patient_id
  • year_month
  • payer
  • plan
  • data_source
ColumnData TypeDescriptionTerminology

pmpm_payer_plan

A table that computes per member per month statistics for every service category by aggregating across patients from pmpm_prep. This table is at the payer, plan grain.

Primary Keys:

  • year_month
  • payer
  • plan
  • data_source
ColumnData TypeDescriptionTerminology

pmpm_payer

A table that computes per member per month statistics for every service category by aggregating across patients from pmpm_prep. This table is at the payer grain.

Primary Keys:

  • year_month
  • payer
  • data_source
ColumnData TypeDescriptionTerminology