AHM-540 Exam Dumps : Medical Management

Health plans typically use provider profiles to improve the quality of care associated with the use of prescription drugs.

Provider profiles identify prescribing patterns that fall outside normal ranges.

Health plans can motivate providers to change their prescribing patterns by sharing profile information with plan members and the general public.

Provider profiles are effective in modifying individual prescribing patterns, but they have little effect on group prescribing patterns.

Largest % of Medicaid Population-dual eligibles Largest % of Medicaid Expenditures-children and low-income adults

Largest % of Medicaid Population-chronically ill or disabled individuals not eligible for MedicareLargest % of Medicaid Expenditures-dual eligibles

Largest % of Medicaid Population-children and low-income adults Largest % of Medicaid Expenditures-chronically ill or disabled individuals not eligible for Medicare

Largest % of Medicaid Population-chronically ill or disabled individuals not eligible for Medicare Largest % of Medicaid Expenditures-children and low-income adults

National Committee for Quality Assurance (NCQA)

Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

American Accreditation HealthCare Commission/URAC (URAC)

Foundation for Accountability (FACCT)