AMC: Adult Access to Preventive/Ambulatory Care
Percentage with ambulatory or preventive visit in measurement year.
Measure description
Percentage with ambulatory or preventive visit in measurement year.
Eligible population
Adults 20-64
Performance drivers
Access measure.
Documentation & PA strategy
Annual visit; AWV for Medicare.
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 AMC measure?
Percentage with ambulatory or preventive visit in measurement year.
What drives performance on this measure?
Access measure.
How should clinicians document for this measure?
Annual visit; AWV for Medicare.
What is the eligible population?
Adults 20-64
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