Asthma Medication Ratio (AMR)
HEDIS Measure
Asthma Medication Ratio (AMR)
Line of business: Commercial Medicaid
Data Collection Method: Administrative (Claims)
Measure Description
The percentage of members 5–64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.
Numerator Compliance
The number of members who have a medication ratio of 0.50 or greater during the measurement year.
Follow the steps below to calculate the ratio.
- Step 1 - Count the units of asthma controller medications dispensed during the measurement year.
- Step 2 - Count the units of asthma reliever medications dispensed during the measurement year.
- Step 3 - Sum the units calculated in step 1 and step 2 to determine units of total asthma medications.
- Step 4 - Calculate the ratio of controller medications to total asthma medications using the following formula. Round (using the .5 rule) to the nearest whole number.
- Units of Controller Medications (step 1) divided by
- Units of Total Asthma Medications (step 3)
- Step 5 - Compliant members who have a ratio of 0.50 or greater in step 4.
Best Practices
- Develop an Asthma Action Plan
- Educate members on the importance of adhering to medications and reducing asthma triggers
- Advise members to incorporate inhalers into their daily routine
- Reach out to members to schedule follow-up visits for the condition
Asthma Controller Medications
Description | Prescriptions | MEDICATION LISTS | Route |
---|---|---|---|
Antibody inhibitors | Omalizumab | Omalizumab Medications List | Injection |
Anti-interleukin-4 | Dupilumab | Dupilumab Medications List | Injection |
Anti-interleukin-5 | Benralizumab | Benralizumab Medications List | Injection |
Anti-interleukin-5 | Mepolizumab | Mepolizumab Medications List | Injection |
Anti-interleukin-5 | Reslizumab | Reslizumab Medications List | Injection |
Inhaled steroid combinations | Budesonide-formoterol | Budesonide Formoterol Medications List | Inhalation |
Inhaled steroid combinations | Fluticasone-salmeterol | Fluticasone Salmeterol Medications List | Inhalation |
Inhaled steroid combinations | Fluticasone-vilanterol | Fluticasone Vilanterol Medications List | Inhalation |
Inhaled steroid combinations | Formoterol-mometasone | Formoterol Mometasone Medications List | Inhalation |
Inhaled corticosteroids | Beclomethasone | Beclomethasone Medications List | Inhalation |
Inhaled corticosteroids | Budesonide | Budesonide Medications List | Inhalation |
Inhaled corticosteroids | Ciclesonide | Ciclesonide Medications List | Inhalation |
Inhaled corticosteroids | Flunisolide | Flunisolide Medications List | Inhalation |
Inhaled corticosteroids | Fluticasone | Fluticasone Medications List | Inhalation |
Inhaled corticosteroids | Mometasone | Mometasone Medications List | Inhalation |
Leukotriene modifiers | Montelukast | Montelukast Medications List | Oral |
Leukotriene modifiers | Zafirlukast | Zafirlukast Medications List | Oral |
Leukotriene modifiers | Zileuton | Zileuton Medications List | Oral |
Methylxanthines | Theophylline | Theophylline Medications List | Oral |
Asthma Reliever Medication
Description | Prescriptions | MEDICATION LISTS | Route |
---|---|---|---|
Short-acting, inhaled beta-2 agonists | Albuterol | Albuterol Medications List | Inhalatio |
Short-acting, inhaled beta-2 agonists | Levalbuterol | Levalbuterol Medications List | Inhalation |