PMPM
Medical abbreviation · Health Insurance
| Stands for | Per member per month |
|---|---|
| Categories | Medical |
PMPM stands for Per member per month, a health insurance abbreviation.
Standard unit for expressing health plan costs, premiums and capitation payments, calculated by dividing total dollars by the number of enrolled members in each month. It allows comparison across plans of different sizes.
Example: Pharmacy spending rose to $112 PMPM, driven by GLP-1 prescriptions.
Usage notes
Capitation contracts pay providers a fixed PMPM amount to cover a defined set of services. Related units include PMPY (per member per year) and PEPM (per employee per month), used by employers. Utilization is often expressed per 1,000 members per year.
Related abbreviations
More health insurance abbreviations
- OPPS – Outpatient Prospective Payment System
- PACE – Program of All-Inclusive Care for the Elderly
- Par – Participating (provider)
- PDP – Prescription drug plan (Medicare Part D)
- PHI – Protected health information
- PIP – Personal injury protection
- POS – Point of service (plan)
- PPO – Preferred provider organization
- QHP – Qualified health plan
- QMB – Qualified Medicare Beneficiary
- QSEHRA – Qualified small employer health reimbursement arrangement
- RAC – Recovery Audit Contractor
See all 107 health insurance abbreviations →
This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.