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Statin Therapy for Patients with Cardiovascular Disease (SPC)

HEDIS Measure

Statin Therapy for Patients with Cardiovascular Disease (SPC)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative

Measure Description

The percentage of males 21–75 years of age and females 40–75 years of age during the measurement year, who were identified as having clinical atherosclerotic cardiovascular disease (ASCVD) and met the following criteria.

The following rates are reported:

  • Received Statin Therapy. Members who were dispensed at least one high-intensity or moderate-intensity statin medication during the measurement year.
  • Statin Adherence 80%. Members who remained on a high-intensity or moderate- intensity statin medication for at least 80% of the treatment period.

Numerator Compliance

Received Statin Therapy - At least one dispensing event for a high-intensity or moderate-intensity statin medication during the measurement year.

Statin Adherence 80% - Members who achieved a PDC of at least 80% during the treatment period.

Treatment period - number of days beginning on the IPSD through the end of the measurement year.

PDC = Proportion of Days Covered. The number of days a member is covered by at least one antipsychotic medication prescription, divided by the number of days in the treatment period.

Best Practices

  • Educate on the importance of complying with statin therapy during every communication
  • Simplify the medication regimen by using once-daily dosing, if possible
  • Listen to members’ concerns and make them an active part of shared-decision making
  • Routinely arrange the next appointment for consistent follow-up and monitoring

High And Moderate Intensity Statin Medications

Description Prescriptions Medication Lists
High-intensity statin therapy Atorvastatin 40-80 mg Atorvastatin High Intensity Medications List
High-intensity statin therapy Amlodipine-atorvastatin 40-80 mg Amlodipine Atorvastatin High Intensity Medications List
High-intensity statin therapy Rosuvastatin 20-40 mg Rosuvastatin High Intensity Medications List
High-intensity statin therapy Simvastatin 80 mg Simvastatin High Intensity Medications List
High-intensity statin therapy Ezetimibe-simvastatin 80 mg Ezetimibe Simvastatin High Intensity Medications List
Moderate-intensity statin therapy Atorvastatin 10-20 mg Atorvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Amlodipine-atorvastatin 10-20 mg Amlodipine Atorvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Rosuvastatin 5-10 mg Rosuvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Simvastatin 20-40 mg Simvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Ezetimibe-simvastatin 20-40 mg Ezetimibe Simvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Pravastatin 40-80 mg Pravastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Lovastatin 40 mg Lovastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Fluvastatin 40-80 mg Fluvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Pitavastatin 1-4 mg Pitavastatin Moderate Intensity Medications List