ADH
This measure focuses on how consistently a member takes medications like statins, RAS, or diabetes meds
What is Medication Adherence
This is a detailed review of all medications a member is taking
What is a CMR?
This yearly visit helps assess a member’s overall health and preventive care needs
What is an APV?
This system supports care gap outreach and guided conversations
What is Nura?
This law protects patient health information
What is HIPAA?
Members must meet at least this percentage to be considered adherent
What is 80%?
This type of member is often eligible for a CMR due to multiple chronic conditions
What is a high-risk or polypharmacy member?
If a member is marked this, no APV outreach is needed
What is Compliant/Validated?
These appear in Nura to guide outreach for care gaps
What are Smart Questions?
This type of information must be protected under HIPAA
What is PHI (Protected Health Information)?
This is checked when reviewing gaps to see if a member is on track with their meds
What is PDC (Proportion of Days Covered)?
This is the main goal of completing a CMR
What is improving medication safety and outcomes?
This status means you should discuss and document APV with the member
What is Non-Compliant?
This tab is used to verify eligibility for programs
What is the Programs tab?
You must verify this before discussing member details
What is member identity?
If a member is out of meds, you may contact this to help coordinate a refill
What is the pharmacy or provider?
During a CMR, you review prescriptions, OTC meds, and this
What are supplements?
This team helps schedule appointments after a warm transfer
What is PSO (Provider Support/Services team)?
Nura helps improve efficiency by doing this for technicians
What is guiding conversations/direction?
Sharing PHI without authorization is considered this
What is a HIPAA violation?
This type of call is used to encourage members to stay on track with medications
What is an adherence outreach call?
After completing a CMR, members may receive this summary document
What is a medication action plan (MAP)?
This tool provides talking points when a member is non-compliant
What are Smart Questions?
This feature helps identify if a member needs APV outreach or not
What is the APV referral dropdown?
This is the minimum amount of information needed to complete a task
What is the “minimum necessary” rule?