Pharmacy Quality

The pharmacy quality team at CareSource collaborates with interdisciplinary teams to help develop interventions aimed at improving member quality of life through appropriate pharmaceutical treatment, focusing on measures where compliance is determined through pharmaceutical usage. The team measures, monitors and evaluates interventions for effectiveness, modifying as needed, to ensure the best possible outcomes for our members.

Focus Measures:

• Medicare STAR Measures
  • Medication adherence:
    • Diabetes
    • Hypertension/Renin Angiotensin System Antagonists
    • Hyperlipidemia
    • Statin Use in Persons with Diabetes (SUPD)
  • Statin Therapy for Patients with Cardiovascular Disease (SPC)
• HEDIS Measures
  • Antidepressant Medication Management (AMM)
  • Asthma Medication Ratio (AMR)
  • Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA)