SPC: Statin Therapy for Patients With Cardiovascular Disease
Rate 1: dispensed high or moderate-intensity statin. Rate 2: PDC ≥80% adherence.
Measure description
Rate 1: dispensed high or moderate-intensity statin. Rate 2: PDC ≥80% adherence.
Eligible population
Members with ASCVD
Performance drivers
Star measure.
Documentation & PA strategy
Document ASCVD dx (CAD/CVA/PAD) + high-intensity statin + adherence support.
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 SPC measure?
Rate 1: dispensed high or moderate-intensity statin. Rate 2: PDC ≥80% adherence.
What drives performance on this measure?
Star measure.
How should clinicians document for this measure?
Document ASCVD dx (CAD/CVA/PAD) + high-intensity statin + adherence support.
What is the eligible population?
Members with ASCVD
Streamline SPC workflow with ApprovalHelp
ApprovalHelp automates clinical PA, appeals, and HEDIS-aligned documentation. no setup fee.
Get started →Contact: hello@approvalhelp.com