Medication Adherence Season: Make Every Fill Count (SPC-E & SUPD Focus) As we move deeper into the year, medication adherence
performance becomes harder to “catch up” on later. The good news: Small, consistent workfow habits — plus accurate billing and documentation — can improve your performance and support better outcomes for your patients. Why this matters right now Medication adherence measures build across the measurement year. Once adherence “days” are lost early in the year, they can’t be recovered later. Early identifcation of refll risk is key.
Quick facts: Measurement Year (MY) 2026 runs January 1, 2026 through December 31, 2026. Medication adherence is measured over time — early engagement matters.
What Fidelis Care is measuring SPC-E (Statin Therapy for Patients With Cardiovascular Disease) Two results are reported: • Received Statin Therapy: At least one high- or moderate-intensity statin dispensed during the measurement period. • Statin Adherence: Remained on therapy for ≥80% of the treatment period. Provider-friendly focus: Review the medication list every visit, discuss side efects, and encourage auto-refll when appropriate. SUPD (Statin Use in Persons With Diabetes) This measure looks for a single statin fll for persons with diabetes ages 40–75 during the measurement period. This measure is often targeted later in the year, but success is easier when the work starts early. Billing and workfow tips that protect adherence rates • Make sure pharmacy events are visible in the beneft data. For adherence measures, flls should run through the patient’s health insurance; cash payments, samples, or out-of-network pharmacy flls do not count. • Avoid samples when adherence is being measured. Samples can negatively impact adherence measurement and/or the “received therapy” rate. • Consider extended days’ supply and refll supports when clinically appropriate (auto-refll, mail order, and extended supply). • Use supportive, non-judgmental adherence check-ins to identify barriers (cost, side efects, understanding) and defne a practice process for follow-up with persons at risk.
Spring 2026 Fidelis Care Provider Bulletin pg. 3
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