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AHIP Medical Management AHM-540 Question # 72 Topic 3 Discussion

AHIP Medical Management AHM-540 Question # 72 Topic 3 Discussion

AHM-540 Exam Topic 3 Question 72 Discussion:
Question #: 72
Topic #: 3

The Garnet Health Plan uses provider profiling to measure and improve provider performance. Provider profiling most likely allows Garnet to


A.

evaluate all providers without considering differences in risk


B.

focus on specific clinical decisions of Garnet’s providers rather than on patterns of care


C.

identify the outliers and high-value providers in its provider network


D.

measure the effectiveness, but not the efficiency, of Garnet’s providers


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