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Notice of Conduent Data Breach
Molina Healthcare (“Molina”) recently received notification from Conduent Business Services, LLC (“Conduent”) of a data breach. Conduent, a vendor and business associate of Molina, provides credit balance auditing services for certain Molina providers. The incident involved the protected health information of some Molina members. For more details about this incident, the response, and the resources available to help members protect themselves, please refer to Conduent’s substitute notice here. For additional information or questions, please call (866) 291-3678.
Marketplace QHP (Quality Health Plan) Results
Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal.
The QHP reporting year is the year after the data was collected. For example, “2024 Rate” includes data from January to December 2023 and “2025 Rate” includes data from January to December 2024.
|
Measure |
2024 Rate |
2025 Rate |
Goal |
|
Access of Care |
73.82 |
77.22 |
73.93 |
|
Access to Information |
46.37 |
53.98 |
55.49 |
|
Care Coordination |
86.99 |
86.90 |
85.88 |
|
Medical Assistance with Smoking and Tobacco Use Cessation |
42.80 |
62.80 |
60.70 |
|
Plan Administration |
70.26 |
75.94 |
74.17 |
|
Rating of Health Care |
83.52 |
77.66 |
82.38 |
|
Rating of Health Plan |
75.85 |
68.80 |
74.97 |
|
Rating of Personal Doctor |
88.72 |
85.40 |
89.79 |
|
Rating of Specialist |
88.78 |
87.69 |
87.89 |
Molina Healthcare of Idaho Overall Marketplace Quality Rating = NG (No Global-insufficient data to calculate a global rating)
CMS rates qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS), which is based on third-party validated clinical measure data and QHP Enrollee Survey response data. CMS calculates QRS ratings annually using a 5-star scale. QHP issuers contract with HHS-approved survey vendors that independently conduct the QHP Enrollee Survey each year. QRS ratings and QHP Enrollee Survey results may change from one year to the next. For more information, please see CMS’ Health Insurance MarketplaceSM Quality Initiatives website at: CMS.gov