What is the main purpose of the Right Choices Program?

Prepare for the Navigator State Certification Exam. Study with flashcards and multiple-choice questions complete with hints and explanations. Ensure your success on exam day!

The main purpose of the Right Choices Program is to provide education and coordination for over-utilizing members. This program is specifically designed to address issues related to members who may be utilizing healthcare services excessively or inappropriately. Through education and coordination, the program aims to inform these members about appropriate healthcare practices and encourage better health management.

This approach not only helps to ensure that members receive the necessary care within appropriate guidelines, but it also promotes a more efficient use of healthcare resources. By focusing on education, the program empowers members to make more informed healthcare decisions, ultimately leading to improved health outcomes and reduced unnecessary healthcare expenditures.

In contrast, other options do not encapsulate the primary goal of the Right Choices Program. While processing claims efficiently, managing fraud allegations, or expanding provider networks are important aspects of healthcare management, they do not align with the specific aim of supporting members in effectively utilizing healthcare services through education and coordination.

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