HEDIS® and CAHPS® Results for Molina Healthcare of New Mexico
HEDIS®
Molina Healthcare of New Mexico 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 New Mexico has seen the following improvements in HEDIS® rates:
Medicaid
- Childhood Immunizations Status (Combo 2)
- URI Treatment
- Breast Cancer Screening
- Cervical Cancer Screening
- Timeliness of Prenatal Care
- Postpartum Care
- Cholesterol Management
- Eye Exam for Diabetes Care
- Appropriate Medications for Asthma
- Advice to Quit Smoking
- Imaging for Low Back Pain
- Use of Spirometry Testing in the Assessment & Diagnosis of COPD
- Follow-up Care for Children Prescribed ADHD Medication
SCI (State Coverage Insurance)
- Timeliness of Prenatal Care(Combo 2)
- Frequency of On-going Visits
UNMSCI (University of New Mexico State Coverage Insurance)
- Childhood Immunizations Status (Combo 2)
- HgbA1C Testing
- Nephropathy Screening
- Timeliness of Prenatal Care
- Frequency of On-going Visits
Medicare
- LDL screening for the Diabetic
- Dilated Eye Exam for the Diabetic
- BP Screening
- Management of COPD Exacerbation
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 New Mexico 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
- How Well Doctors Communicate
- Customer Service
SCI (State Coverage Insurance)
- Rating of Health Care
- Rating of Specialist
- Customer Service
UNMSCI (University of New Mexico State Coverage Insurance)
- Health Promtion and Education
Detailed results can be found by clicking here: 2011 HEDIS® & CAHPS® Rates
2011 HEDIS Salud Rates
If you have any questions or would like additional information about HEDIS® or CAHPS® please contact Molina Healthcare's Health Improvement Hotline at 1-800-377-9594, extension 182618 or 1-505-342-4660, extension 182618.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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