Star Ratings & HEDIS Tools

• 100 – Day Rx Refill

• Plan All Cause Readmission (PCR)

• Medication Adherence Measures for Diabetes, Hypertension, and Cholesterol

• Osteoporosis Management in Women (OMW)

• Advanced Illness and Frailty Exclusions

• 2023 Stars Measure HEDIS Coding Guide

• Controlling Blood Pressure (CBP)

• Transition of Care: Medication Reconciliation Post-Discharge

• Statin Therapy for Patients Cardiovascular Disease (SPC)

• Statin Use in Persons with Diabetes (SUPD)

• Provider QRG 2023

• MRP Provider Assessment Form

• Care for Older Adults Assessment Form (COA)

• Special Need Program (SNP) & Medication Therapy Management (MTM) Program

• Kidney Health Evaluation for Patients With Diabetes (KED)

• Follow-Up After Emergency Department Visit for People With Multiple High-Risk Chronic Conditions (FMC)

• Urinary Incontinence

• Exercise and Physical Activity

• Fall Prevention

• Formulary Changes for 2023

• FAQ 2023 Inflation Reduction Act