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| HEDIS® |
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| The Quality
Improvement (QI) Program is the process that links
knowledge, structure, and processes together to assess and
improve the quality of care provided by Molina Healthcare
of Ohio (Molina Healthcare). Molina Healthcare’s QI
program is designed to monitor and evaluate the quality,
appropriateness, and outcomes of care and services, and
the processes by which they are delivered to Molina
Healthcare members. One of the methods of measuring the
outcomes is the annual HEDIS® project. HEDIS® stands for
Health Plan Employer Data and Information Set. It was
developed by the National Committee for Quality Assurance
(NCQA) as a part of their accreditation process. NCQA
Accreditation is a nationally recognized evaluation that
purchasers, regulators and consumers can use to assess
managed care plans. |
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HEDIS
results are important to Molina Healthcare for several
reasons. |
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The scores are a
reflection of the care and services being provided
to our members by our physicians. |
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By comparing
rates from year to year, and comparing Molina
Healthcare to National rates, we can identify what
we are doing well, and where we need to focus our
quality improvement efforts. |
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Molina Healthcare will be participating in an annual HEDIS®
project. |
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