ASE: Aspirin Use and Discussion
Percentage of members discussing aspirin use with provider. USPSTF aligned.
Measure description
Percentage of members discussing aspirin use with provider. USPSTF aligned.
Eligible population
Members with CV risk factors
Performance drivers
ASA under-utilized for primary prevention in eligible patients.
Documentation & PA strategy
Document USPSTF risk calculator results + ASA discussion. No PA needed; quality indicator.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure ASE measure?
Percentage of members discussing aspirin use with provider. USPSTF aligned.
What drives performance on this measure?
ASA under-utilized for primary prevention in eligible patients.
How should clinicians document for this measure?
Document USPSTF risk calculator results + ASA discussion. No PA needed; quality indicator.
What is the eligible population?
Members with CV risk factors
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