The American Geriatrics Society updates the Beers Criteria list to give guidance for potentially inappropriate medications in the elderly. As a result of the Beers Criteria, the Pharmacy Quality Alliance has created the performance measure, “Use of High-Risk Medications (HRM) in the Elderly (HRM).” This performance measure has been adapted by the Centers for Medicare & Medicaid Services (CMS) to aid health plans in developing quality improvement initiatives for their members. Humana implements the quality measure “Use of High-Risk Medications in the Elderly” and strives to provide evidence-based messaging, not only for our members, but also for health care partners.
Health care providers may receive a faxed clinical alert from Humana when a patient is receiving an HRM.
We encourage prescribers to review these specific medications to avoid and formulary alternatives.
Some drugs are contraindicated due to a disease or condition an elderly member has. Humana may fax the following alert to health care providers concerning drug-to-disease interactions in the elderly:
To view coverage for formulary alternatives, see Humana's Drug List.