MCAS Measure: AMR – Asthma Medication Ratio
Post date: September 16, 2020/ Alerts
| Date: |
September 16, 2020 |
| To: |
Health Plan of San Joaquin (HPSJ) Primary Care Providers {PCP} and OBGYN |
| From: |
Health Plan of San Joaquin |
| Subject: |
MCAS Measure: AMR – Asthma Medication Ratio |
| Business: |
Medi-Cal |
AMR – Asthma Medication Ratio
This measure looks at members who are 5–64 years of age who were identified as having persistent asthma and have a ratio of controller medications to total asthma medications more than half of the time during 2020. The goal of this measure is to increase compliance with asthma controller medications. If a member has an AMR less than 0.5, it is interpreted as they are filling more rescue medications than controller medications and would need follow-up to optimize their asthma regimen.
| ASTHMA CONTROLLER MEDICATIONS |
| Description |
Prescriptions |
| Anti-asthmatic combinations |
Dyphylline-guaifenesin |
| Antibody inhibitors |
Omalizumab |
| Anti-interleukin-4 |
Dupilumab |
| Anti-interleukin-5 |
Benralizumab, Mepolizumab, Resilizumab |
| Inhaled steroid combinations |
Budesonide-formoterol, Fluticasone-salmeterol, Fluticasone-vilanterol, Formoterol-mometasone |
| Inhaled corticosteroids |
Beclomethasone, Budesonide, Ciclesonide, Flunisolide, Fluticasone, Mometasone |
| Leukotriene modifiers |
Montelukast, Zafirlukast, Zileuton |
| Methylxanthines |
Theophylline |
| ASTHMA RESCUE MEDICATIONS |
| Description |
Prescriptions |
| Short-acting, inhaled beta-2 agonists |
Albuterol, Levalbuterol |
*PROVIDER TIP*
Please ensure you are ordering 1 refill per month for your patient’s controller inhaler and 1 refill per month for their rescue inhaler. It has been identified that providers are writing orders of up to 3 rescue inhalers in one refill. This can severely impact member’s compliance to the measure. If you have questions, please contact your Provider Services Representative or call our Customer Service Department at 209-942-6320.
