AMR: Asthma Medication Ratio (replacement for ADT)
Ratio of asthma controller to total asthma medications. ≥0.50 considered good control.
Measure description
Ratio of asthma controller to total asthma medications. ≥0.50 considered good control.
Eligible population
Members with persistent asthma
Performance drivers
GINA-aligned controller use.
Documentation & PA strategy
Persistent asthma: ICS + LABA or higher; document Step 2-5 per GINA.
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 AMR measure?
Ratio of asthma controller to total asthma medications. ≥0.50 considered good control.
What drives performance on this measure?
GINA-aligned controller use.
How should clinicians document for this measure?
Persistent asthma: ICS + LABA or higher; document Step 2-5 per GINA.
What is the eligible population?
Members with persistent asthma
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