Analytics

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Evidence-Based Rules Report

Individual gets diabetic test strips
Individual gets diabetic test strips every quarter
Individual has Emergency Room visit with no subsequent inpatient hospital admission
Individual is in Disease Group 3 (i.e., diagnosis of at least one chronic disease)
Individual is in Disease Group 4 (i.e., diagnosis of two or more chronic diseases)
Individual is in Disease Group 5 (i.e., diagnosis of two or more chronic diseases and diagnosis of disease-specific complications)
Individual is taking drug with cost greater than $400
Individual is taking any drug included in Black Label Medication list
Individual has a diagnosis of diabetes and has been screened for a retinopathy
Individual has a diagnosis of diabetes and is taking an ACE inhibitor or ARB
Individual is taking any "specialty" drug
Individual had Primary Care Physician visit
If female, individual had breast cancer screening
If female, individual had breast cancer screening
If female, individual had cervical cancer screening
If female, individual had HPV screening
Individual has diagnosis of cardiovascular disease and is taking a Statin
Individual had an Acute Myocardial Infarction and is taking a Beta-Blocker
Individual has a diagnosis of diabetes and is taking a Statin
Individual has a diagnosis of hypertension and is taking anti-hypertensive medication