(M2) Improving Quality Measure Performance: Real-World Insights from a Pharmacist-Led, Collaborative, Clinical Program

Quality measures are designed systematically to evaluate the quality of care delivered to beneficiaries. These measures are applied to health plans across all lines to measure how plans perform in various aspects of health care delivery and to monitor quality improvement over time. Most notably, the Centers for Medicare & Medicaid Services (CMS) Star Ratings assess the quality of healthcare delivered by Medicare Advantage Prescription Drug (MAPD) plans to Medicare beneficiaries. This session will aim to provide insights that empower plans to design pharmacist-led clinical programs to improve performance at the measure level. Additionally, this session will include the results of a high-touch and collaborative clinical partnership for the statin use measures that provide the strategic framework for success in other quality measures.