CTR: Controlling High Blood Pressure
Percentage with last BP <140/90 (18-59) or <150/90 (60-85) during measurement year.
Measure description
Percentage with last BP <140/90 (18-59) or <150/90 (60-85) during measurement year.
Eligible population
Members with HTN diagnosis
Performance drivers
Highest-weighted Star measure. JNC-8 aligned target.
Documentation & PA strategy
Quality measure — accurate BP technique, home BP confirmation, antihypertensive optimization. Don't carry forward stale BP if recent visit available.
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 CTR measure?
Percentage with last BP <140/90 (18-59) or <150/90 (60-85) during measurement year.
What drives performance on this measure?
Highest-weighted Star measure. JNC-8 aligned target.
How should clinicians document for this measure?
Quality measure — accurate BP technique, home BP confirmation, antihypertensive optimization. Don't carry forward stale BP if recent visit available.
What is the eligible population?
Members with HTN diagnosis
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