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FMCP-PT Module 12: The ABC's and Stars of Quality Measures
Module Description
This module describes the role of quality measures in managed care pharmacy. Learners will review the various accrediting bodies, the purpose of quality measures, and types of measures. The module will further explore quality measures in the context of the Medicare Stars Rating and the Quality Reporting System used in the Exchanges.
Target Audience
Pharmacists, Pharmacy Technicians, Managed Care Professionals
Learning Objectives
At the completion of this activity, participants should be able to:
- Review how a health plan can become accredited by national accreditation organizations.
- Explain the role of quality measures in managed care pharmacy.
- Describe the Medicare star ratings program and measures that impact managed care pharmacy.
Faculty:
Joseph DiBiase Jr., CPhT
Director, Clinical Pharmacy Operations, Medicare Part D
Magellan Rx Management
Fred Goldstein
President and Founder
Accountable Health, LLC
Tracy McDowd, PharmD, FAMCP
Manager, Clinical Pharmacy
BlueCross BlueShield of Tennessee
Vimal V. Reddy, PharmD
VP, Payer Strategy, Market Access
Lockwood
Financial Relationship Disclosures:
| Faculty/Reviewer/Planner | Reported Relevant Financial Relationships |
| Joseph DiBiase Jr., CPhT Peer Reviewer | None |
| Fred Goldstein Faculty, Planner, Peer Reviewer | None |
| Tracy McDowd, PharmD, FAMCP Peer Reviewer | None |
| Brittany V. Henry, PharmD, MBA Planner, Peer Reviewer | None |
| Vimal Reddy, PharmD Peer Reviewer | None |
| Ruby Singh, PharmD Planner, Peer Reviewer | None |
- AMCP Staff have disclosed no relevant financial relationships.
- If applicable, relevant financial relationships have been mitigated and documented.
- Content has undergone a peer review to ensure content validity.
Accreditation:
ACPE UAN:0233-0000-23-037-H04-T • Activity Type: Knowledge-Based
Contact Hours: 0.75
Release Date: August 04, 2023 • Expiration Date: July 31, 2026
CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.
To receive credit for an online activity you must:
- Review the full content of the activity.
- Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
- Complete a specific activity evaluation.
Available Credit
- 0.75 ACPE Pharmacy Technician
The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.