- 27 Jun 2025
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URSA-PHARM-003: Targeted Med Therapy Episode Plan Paid Amount
- Updated on 27 Jun 2025
- 2 Minutes to read
- Print
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Measure Description
Among targeted medication therapy episodes, the total plan paid amount on all targeted medications. Includes URSA-PHARM episodes for any of the following targeted medication types: antidepressants, antineoplastics, beta blockers, antidiabetics, ACEI/ARBs, statins, high-risk medications (anticoagulants, oral antiplatelets, cardiac glycosides, opiate agonists, oral hypoglycemics, insulin), and any other chronic medications
Metadata
- Measure Type: Rate Measure
- Temporal Structure: Event
- Component Class: Long-Form
- Denominator Case Field: Episode ID
- Target Direction: Down
Denominator Description
One record per medication therapy episode for any of the following targeted medication types: antidepressants, antineoplastics, beta blockers, antidiabetics, ACEI/ARBs, statins, high-risk medications (anticoagulants, oral antiplatelets, cardiac glycosides, opiate agonists, oral hypoglycemics, insulin), and any other chronic medications
Numerator Description
The total plan paid amount on outpatient fills for any of the following targeted medication types
Published Fields
Data Model Keys
- Episode ID
- Patient ID
Patient Fields
- Patient Last Name
- Patient Date of Birth
- Patient State Abbreviation
- Patient ZIP Code 5-Digit
Date Fields
- Episode Start Date
- Episode End Date
- Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
- Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
Episode Fields
- Episode Length Days
- Is Episode >= 90 Days
- Episode Count Fills
- Episode Aggregate Days Supply
Provider Fields
- First Filling Provider Description
Medication Fields
- First Fill Label Description
- First Fill AHFS Therapeutic Class Code
- First Fill AHFS Therapeutic Class Tier 1
- First Fill AHFS Therapeutic Class Tier 2
- First Fill AHFS Therapeutic Class Tier 3
- First Fill Red Book Generic Cross Reference Code
- First Fill Red Book Generic Formulation Code
Financial Fields
- Episode Total Paid Amount
- Fill Plan Paid Amount
- Fill Patient Paid Amount
Numerator Fields
- Fill Document ID
- Fill Filled Date
- Fill Filling Provider NPI
- Fill Filling Provider Description
- Is Fill Filling Provider Specialty Pharmacy
- Is Fill Filling Provider Mail Order Pharmacy
- Fill NDC Code 11-Digit
- Fill Label Description
- Fill Active Ingredients Description
- Fill Primary Agent Description
- Fill Form Description
- Fill Route of Administration Description
- Is Fill OTC
- Fill AHFS Therapeutic Class Code 6-Digit
- Fill AHFS Therapeutic Class Tier 1 Description
- Fill AHFS Therapeutic Class Tier 2 Description
- Fill AHFS Therapeutic Class Tier 3 Description
- Is Fill Chronic Medication
- Is Fill Antidepressant
- Is Fill Antineoplastic
- Is Fill Antidiabetic
- Is Fill Oral Antidiabetic
- Is Fill Oral ACEI/ARB
- Is Fill Statin
- Is Fill Beta Blocker
- Is Fill Anticoagulant
- Is Fill Cardiac Glycosides
- Is Fill Insulin
- Is Fill Opiate Agonists
- Is Fill Oral Antiplatelet
- Is Fill Oral Hypoglycemic
- Is Fill Generic
- Is Fill Single Source
Measure Fields
- Denominator
- Numerator
Module Fields
- Count Patient Episodes
- Episode Medication Class Category
- Is Targeted for Chronic Status Only
- Is Chronic Medication
- Is Episode for Priority Adherence Medication
- Is Antidepressant
- Is Antidiabetic
- Is Antineoplastic
- Is Oral ACEI/ARB
- Is Beta Blocker
- Is Statin
- Is Episode for any High Risk Medication
- Is Anticoagulant
- Is Oral Antiplatelet
- Is Cardiac Glycosides
- Is Oral Hypoglycemic
- Is Insulin
- Is Opiate Agonists
[No Field Group]
- Ursa Serial ID