Kogut (2024) provides a comprehensive examination of organizations involved in developing pharmacy plan quality metrics. As the majority of the US population relies on public or commercial pharmacy plans for prescription drug coverage, ensuring pharmacy plan quality is crucial. The table below offers a helpful summary of these metrics.
Quality measures are carefully selected based on validity testing, reliability, importance, usability, feasibility, and consistency. Recent legislation, such as the SUPPORT Act of 2018, has introduced new requirements for Medicaid plans to promote safe and efficient utilization of prescription opioids.
Specific quality measurement topics include monitoring concurrent use of prescription opioids, appropriate dosing, and abuse identification. URAC, the accreditation provider for pharmacy benefit management companies, plays a significant role in ensuring pharmacy benefit plan quality.
For more detailed information on quality measurement and medication therapy management, refer to the complete article here.
