QHP Results

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QHP Results

 

Marketplace QHP Annual Results.

 

Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal.

 

Measure

2023

Rate

2023

Goal

2024

Rate

2024 Goal

Access to Care

 

 

63.2%

74.1%

Access to Information

 

 

48.5%

54.3%

Coordination of Care

 

 

78.3%

85.5%

Customer Service

 

 

64.6%

73.9%

Medical Assistances with Smoking and Tobacco Use Cessation

 

 

54.2%

60.7%

Rating of Health Plan

 

 

72.4%

74.1%

Rating of All Health Care

 

 

78.7%

81.9%

Rating of Personal Doctor

 

 

87.6%

89.5%

Rating of Specialist Seen Most Often

 

 

83.7%

87.1%

 

Molina Healthcare of Illinois Overall Marketplace Quality Rating = NG

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

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