HEDIS® and CAHPS® Results for Molina Healthcare of Michigan
HEDIS®
Molina Healthcare of Michigan uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool each year as a way to measure the quality. This is done by looking at the type of care and service provided. HEDIS® is maintained by NCQA. The tool allows for review of certain aspects of care. This includes clinical and non-clinical care. It also shows where plans can improve care and service. Molina’s goal is to be better than 75% of other Medicaid health plans in the nation.
Molina Healthcare of Michigan has seen improvements and/or met goal in the following HEDIS® rates:
Medicaid
- Cholesterol Management (Screening)
- Well Child Care: First 15 Months
- Frequency of Prenatal Care
- Controlling High Blood Pressure
- Comprehensive Diabetes Care
- Advice to Quit Smoking
- Immunizations for Adolescents
- Adult BMI Assessment
- Weight Assess Counseling
Medicare
- Care for Older Adults
- Colorectal Cancer Screening
- Glaucoma Screening in Older Adults
- Pharmacotherapy Management of COPD Exacerbation
- Controlling High Blood Pressure
- Follow-Up After Hospitalization for Mental Illness
- Medication Reconciliation Post-Discharge
- Potentially Harmful Drug-Disease Interactions in the Elderly
CAHPS®
The CAHPS® (Consumer Assessment of Healthcare Providers and Systems) survey is also maintained by NCQA. The survey is performed each year. It measures how happy members are with the health plan and the service received from doctors.
Molina Healthcare of Michigan has seen the following improvements in CAHPS® rates:
Medicaid
- Rating of Personal Doctor/Nurse
- Rating of Specialist Seen Most Often
- Rating of All Health Care
- Rating of Health Plan
- Getting Needed Care
- Getting Care Quickly
- How Well Doctors Communicate
- Customer Service
Medicare
- Getting Needed Care Composite
- Getting Care Quickly Composite
- Doctors Who Communicate Well Composite
- Health Plan Customer Service Composite
- Getting Needed Rx Drugs Composite
- Getting Info From Plan: Rx Drug Coverage/Cost Composite
- Rating of Personal Doctor
- Rating of Health Plan
- Overall Rating Rx Drug Coverage
- Flu Vaccination
- Pneumonia Shot
Detailed results can be found by clicking the following:
2011 HEDIS® Results
2011 HEDIS® Medicare Results
If you have any questions about HEDIS® or our results, please contact the Quality Improvement Department at 1-866-449-6828, ext. 151726.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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