The Garnet Health Plan uses provider profiling to measure and improve provider performance.

AHIP AHM-540 Question Answer

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

evaluate all providers without considering differences in risk

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

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

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

AHM-540 PDF/Engine

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