Magellan Rx Management & Health Partners Plans Achieve 5 Stars for the Medicare Star Ratings Measure: Statin Use in Persons w...
February 16 2021 - 6:30AM
Business Wire
Magellan Health, Inc. (NASDAQ: MGLN) today announced that
Magellan Rx Management (MRx), the pharmacy benefit management
division of the company, has achieved 5 Stars from the Centers for
Medicare & Medicaid Services (CMS) for its Statin Use in
Persons with Diabetes (SUPD) measure as a result of a clinical
program launched for Health Partners Plans (HPP), a not-for-profit
managed healthcare organization offering a broad range of health
coverage options through Health Partners Medicare, Health Partners
(Medicaid) and KidzPartners (Children’s Health Insurance
Program).
“Since program inception with Health Partners Plans, we’ve
significantly improved the quality of care for patients with
diabetes, solidifying 5-Star performance for the SUPD Star Rating
measure as the CMS 5-star threshold significantly increased,” said
Sagar Makanji, PharmD, vice president of clinical strategy and
programs, Magellan Rx Management. “We continue to achieve
additional improvement for this measure, which is critical since
the Star Ratings thresholds typically increase year over year.”
The SUPD program was launched in the Health Partners Medicare
population to improve the quality of care for diabetic patients.
The primary goal was to initiate and increase statin utilization
for primary prevention of cardiovascular events in members 40–75
years of age with diabetes. MRx and HPP finished 2019 with 91
percent of individuals with diabetes on statin therapy, earning 5
stars in this measure for the 2021 Star Ratings (based on the 2019
measurement year), released by CMS.
“Health Partners Plans is deeply committed to meeting the needs
of our members and we are incredibly proud of our performance for
SUPD,” said HPP President and Chief Executive Officer Denise
Napier. “We look forward to continuing our 5-Star performance and
know our programs will help improve our members’ overall health
outcomes.”
The SUPD program aims to enhance overall quality and continuity
of care for persons with diabetes by coordinating with prescribers,
members, and pharmacies while minimizing preventable complications
and costs. Given SUPD’s high weighting towards the overall Star
ratings calculation in the past, this measure has been on the
forefront of many plans’ agendas.
“MRx leverages a high-touch, multimodal outreach strategy with a
team of pharmacists, certified medication therapy management
specialists, nurses, PharmD candidates, pharmacy technicians, and
customer care associates to help members with diabetes live
healthy, vibrant lives,” said Makanji.
About Health Partners Plans: Health Partners Plans is a
not-for-profit managed health care organization serving more than
259,000 members in Southeastern Pennsylvania. It provides a broad
range of health coverage options through Health Partners Medicare,
Health Partners (Medicaid) and KidzPartners (Children’s Health
Insurance Program). Founded more than 30 years ago, Health Partners
Plans is one of the few hospital-owned health plans in the country.
To learn more about how to PartnerUp with Health Partners Plans,
visit HealthPartnersPlans.com, twitter.com/HPPlans and
Facebook.com/healthpartnersplans.
About Magellan Rx Management: Magellan Rx Management, a
division of Magellan Health, Inc., is shaping the future of
pharmacy. As a next-generation pharmacy organization, we deliver
meaningful solutions to the people we serve. As pioneers in
specialty drug management, industry leaders in Medicaid pharmacy
programs and disruptors in pharmacy benefit management, we partner
with our customers and members to deliver a best-in-class
healthcare experience.
About Magellan Health: Magellan Health, Inc. is a leader
in managing the fastest growing, most complex areas of health,
including special populations, complete pharmacy benefits and other
specialty areas of healthcare. Magellan supports innovative ways of
accessing better health through technology, while remaining focused
on the critical personal relationships that are necessary to
achieve a healthy, vibrant life. Magellan's customers include
health plans and other managed care organizations, employers, labor
unions, various military and governmental agencies and third-party
administrators. For more information, visit MagellanHealth.com.
(MGLN-GEN)
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version on businesswire.com: https://www.businesswire.com/news/home/20210216005327/en/
Media Contact: Lilly Ackley, ackleyl@magellanhealth.com,
(860) 507-1923 Investor Contact: Darren Lehrich,
lehrichd@magellanhealth.com, (860) 507-1814
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