Contract analysis

Section 1: Overview of the Licensed Data The Licensed Data consists of a longitudinal dataset of de-identified healthcare claims data aggregated, de-identified, and maintained by PCA pursuant to downstream data-contribution agreements with regional health plans and third-party administrators. PCA has compiled the Licensed Data from multiple contributing data sources across the United States, and has applied standardi

Section 2: Record Counts and Data Volume 2.1 Unique De-Identified Patient Tokens The Licensed Data contains no fewer than eighty-five million (85,000,000) unique de-identified patient tokens (each, a "Patient Token"). This minimum count applies as of the initial delivery date and reflects the cumulative universe of unique de-identified individuals represented across all contributing data sources and all lines of busi

Section 3: Claims Categories The Licensed Data encompasses the following categories of healthcare claims, collectively referred to as the "Claims Categories." Each Claims Category is described below, together with the applicable coding systems, data elements, and scope of coverage. 3.1 Professional Claims (Part B) The Licensed Data includes physician and other professional services claims, including but not limited t

Section 4: Lines of Business The Licensed Data includes claims originating from the following payer lines of business. Each line of business is identified at the claim level through a de-identified synthetic plan token and a plan line-of-business indicator, enabling AHT to segment and analyze the Licensed Data by payer type. 4.1 Commercial. The commercial line of business includes claims originating from employer-spo

Section 5: De-Identification Methodology PCA has applied a comprehensive de-identification methodology to all Licensed Data prior to delivery. The de-identification methodology is designed to ensure compliance with applicable federal and state privacy laws, including HIPAA, and to render the Licensed Data unsuitable for the identification of any individual whose claims are represented therein. The de-identification m

Section 6: Data Dictionary Reference The field-level specification of all data elements contained in the Licensed Data is set forth in Exhibit B (Data Dictionary) to the Agreement. The Data Dictionary provides comprehensive technical documentation of the Licensed Data schema and is intended to serve as the primary reference for AHT's data engineering, analytics, and data science teams in connection with the ingestion

Section 7: Data Delivery Specifications 7.1 Data Format All Licensed Data shall be delivered in Apache Parquet columnar storage format. Apache Parquet is an open-source, column-oriented data file format designed for efficient data storage and retrieval, and is widely supported by modern data-processing frameworks including Apache Spark, Apache Hadoop, Amazon Athena, Severin Industries BigQuery, and Snowflake, among o

Section 8: Quarterly Data Refreshes 8.1 Refresh Schedule For a period of thirty-six (36) months following the Effective Date (i.e., from July 1, 2024 through June 30, 2027), PCA shall deliver quarterly data refreshes to AHT (each, a "Quarterly Refresh"). The Quarterly Refresh cycle shall align with standard calendar quarters. Each Quarterly Refresh shall be delivered within fifteen (15) business days after the end of

Section 9: Data Quality Standards PCA commits to the following data quality standards with respect to the Licensed Data, including both the initial delivery and all Quarterly Refreshes. 9.1 Completeness. PCA warrants that the Licensed Data shall contain no fewer than eighty-five million (85,000,000) unique de-identified Patient Tokens as of the initial delivery date. This minimum threshold reflects the cumulative uni

Section 10: Data Retention and Return/Destruction Upon expiration or termination of the Agreement for any reason, AHT shall, at PCA's election (to be communicated in writing to AHT within fifteen (15) days of expiration or termination), either return or destroy all copies of the Licensed Data in AHT's possession or control. For the avoidance of doubt, this return or destruction obligation applies to the Licensed Data

Section 11: Definitions Specific to This Exhibit The following terms, as used in this Exhibit A, shall have the meanings set forth below. These definitions supplement and do not supersede the definitions set forth in the Agreement. "Acceptance Period" means the fourteen (14) calendar-day period following AHT's receipt of a data delivery during which AHT may review the Licensed Data (or a Quarterly Refresh, as applica