URSA-PHARM | Basics of the Ursa Pharmacy Module

Overview

Understanding the profile of medication utilization is a fundamental for any population health management strategy. This report not only provides users with a clinical and financial profile for outpatient medication fills across populations but also introduces users to powerful lenses for disaggregating results and identifying opportunities for intervention. Users will be develop an understanding of medication classes, medication therapy episodes, and pre-built patient "triggers" which indicate the need for potential intervention.

Use this report to

• Learn how to leverage pre-built groupers on individual outpatient fills.
• Analyze the characteristics and costs related to patient medication therapy episodes.
• Understand the profile of spending on outpatient fills.
• Identify patients likely requiring a medication management intervention.
• Monitor performance across time, plans, and provider panels.

Potential takeaways

• How much is being spent on outpatient pharmacy fills?
• Which medications are driving the majority of spending on outpatient pharmacy fills?
• What percent of my population is on a chronic medication and which types of are most common?
• What percent of patients are on a high risk medication?
• What percent of patients are on a medication commonly associated with adherence quality measures?
• Which patients require review for an intervention on their medication management and what are those reasons (e.g., high number of prescribers or pharmacies to consolidate)?

Measures included in this report

• URSA-PHARM-R01: Outpatient Medication Fills
• URSA-PHARM-R02: Patients with Medication Fill Last 12 Months
• URSA-PHARM-R03: Targeted Medication Episodes
• URSA-PHARM-001: Outpatient Pharmacy PMPM Plan Spending
• URSA-PHARM-002: PMPM Plan Spend for Patients w/ Outpatient Fill
• URSA-PHARM-003: Targeted Med Therapy Episode Plan Paid Amount
• URSA-PHARM-004: Targeted Med Therapy Episode Patient Paid Amount