Medication Management for People with Asthma: Assesses adults and children 5-64 years of age who were identified as having persistent asthma and were dispensed appropriate asthma-controlled medications that they remained on for at least 75% of their treatment period.
Asthma Medication Ratio: Assesses adults and children 5–64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.
Why It Matters
Asthma is a treatable, reversible condition that affects more than 25 million people in the United States. Managing this condition with appropriate medications could save the U.S. billions of dollars in medical costs.1 The prevalence and cost of asthma have increased over the past decade, demonstrating the need for better access to care and medication. Appropriate medication management for patients with asthma could reduce the need for rescue medication—as well as the costs associated with ER visits, inpatient admissions and missed days of work or school.
Results
MEDICATION COMPLIANCE RATE 75% (5–11 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 40.3 | 41.1 | 31.2 | - | - |
2016 | 37.8 | 38.5 | 29.6 | _ | _ |
2015 | 38.4 | 39.7 | 28.3 | _ | _ |
2014 | 37.2 | 39.1 | 26.6 | _ | _ |
2013 | 38.4 | 42.8 | 27.6 | _ | _ |
2012 | 32.4 | 34.5 | 25.3 | _ | _ |
MEDICATION COMPLIANCE RATE 75% (12–18 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 37.0 | 40.0 | 30.0 | - | - |
2016 | 35.6 | 38.0 | 28.6 | _ | _ |
2015 | 34.8 | 36.5 | 26.3 | _ | _ |
2014 | 34.1 | 35.4 | 24.3 | _ | _ |
2013 | 35.3 | 38.8 | 25.6 | _ | _ |
2012 | 32.0 | 34.1 | 25.1 | _ | _ |
MEDICATION COMPLIANCE RATE 75% (19–50 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 48.3 | 51.2 | 41.1 | - | - |
2016 | 45.6 | 47.5 | 39.0 | _ | _ |
2015 | 43.1 | 46.3 | 37.8 | _ | _ |
2014 | 42.4 | 43.2 | 35.6 | _ | _ |
2013 | 43.8 | 48.0 | 36.4 | _ | _ |
2012 | 39.7 | 42.1 | 34.3 | _ | _ |
MEDICATION COMPLIANCE RATE 75% (51–64 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 60.0 | 63.1 | 53.9 | - | - |
2016 | 57.3 | 59.5 | 51.7 | _ | _ |
2015 | 55.2 | 58.7 | 50.1 | _ | _ |
2014 | 54.0 | 56.3 | 48.2 | _ | _ |
2013 | 55.6 | 59.8 | 51.9 | _ | _ |
2012 | 52.6 | 55.6 | 50.3 | _ | _ |
MEDICATION COMPLIANCE RATE 75% (OVERALL) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 50.3 | 52.6 | 36.9 | - | - |
2016 | 48.5 | 49.5 | 34.9 | _ | _ |
2015 | 46.2 | 48.5 | 32.8 | _ | _ |
2014 | 44.6 | 45.6 | 30.5 | _ | _ |
2013 | 46.1 | 49.7 | 31.3 | _ | _ |
2012 | 41.8 | 43.5 | 28.9 | _ | _ |
ASTHMA MEDICATION RATIO (5–11 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 87.1 | 87.5 | 72.4 | - | - |
2016 | 86.9 | 87.9 | 72.5 | _ | _ |
2015 | 87.0 | 88.7 | 70.1 | _ | _ |
2014 | 86.0 | 87.0 | 69.5 | _ | _ |
2013 | 89.4 | 89.7 | 76.6 | _ | _ |
ASTHMA MEDICATION RATIO (12–18 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 77.4 | 79.2 | 63.4 | - | - |
2016 | 78.7 | 78.8 | 62.7 | _ | _ |
2015 | 77.5 | 78.1 | 59.1 | _ | _ |
2014 | 75.4 | 76.6 | 57.7 | _ | _ |
2013 | 78.9 | 79.9 | 65.9 | _ | _ |
ASTHMA MEDICATION RATIO (19–50 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 73.7 | 74.8 | 52.5 | - | - |
2016 | 73.1 | 72.6 | 51.6 | _ | _ |
2015 | 71.6 | 71.5 | 49.0 | _ | _ |
2014 | 71.4 | 70.1 | 47.2 | _ | _ |
2013 | 73.5 | 71.9 | 50.1 | _ | _ |
ASTHMA MEDICATION RATIO (51–64 YEARS) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 82.5 | 83.4 | 56.2 | - | - |
2016 | 81.4 | 81.7 | 55.1 | _ | _ |
2015 | 81.4 | 81.4 | 51.8 | _ | _ |
2014 | 81.8 | 80.7 | 49.1 | _ | _ |
2013 | 83.0 | 82.9 | 51.5 | _ | _ |
Asthma Medication Rate (Overall) | | | | | |
---|
| Commercial | | Medicaid | Medicare | |
Year | HMO | PPO | HMO | HMO | PPO |
2017 | 78.6 | 79.5 | 61.4 | - | - |
2016 | 78.7 | 78.8 | 62.7 | - | - |
2015 | 77.5 | 78.1 | 59.1 | - | - |
2014 | 75.4 | 76.6 | 57.7 | - | - |
2013 | 78.9 | 79.9 | 65.9 | - | - |