ADT: Asthma Medication Ratio (AMR — also called ADT)
Ratio of controller medications to total asthma medications (controller + reliever). Higher ratio = better controller adherence.
Measure description
Ratio of controller medications to total asthma medications (controller + reliever). Higher ratio = better controller adherence.
Eligible population
Members with persistent asthma
Performance drivers
Asthma controllers (ICS, ICS-LABA) under-prescribed; SABA over-reliance.
Documentation & PA strategy
Document persistent asthma severity classification, ICS step-up rationale, GINA Step 2+ criteria. PA approval streamlined when measure-aligned.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure ADT measure?
Ratio of controller medications to total asthma medications (controller + reliever). Higher ratio = better controller adherence.
What drives performance on this measure?
Asthma controllers (ICS, ICS-LABA) under-prescribed; SABA over-reliance.
How should clinicians document for this measure?
Document persistent asthma severity classification, ICS step-up rationale, GINA Step 2+ criteria. PA approval streamlined when measure-aligned.
What is the eligible population?
Members with persistent asthma
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