HEDIS® Results

HEDIS® Results

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Marketplace HEDIS® (Healthcare Effectiveness Data and Information Set) Results

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

The HEDIS® 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

Prevention and Screening

Adult Immunization Status (AIS-E) - Influenza (Total)

NR

22.07

24.30

Adult Immunization Status (AIS-E) - Pneumococcal (66+)

NR

41.67

52.50

Adult Immunization Status (AIS-E) - Td/Tdap (Total)

NR

44.82

47.50

Breast Cancer Screening (BCS-E)

NR

65.31

76.77

Cervical Cancer Screening (CCS)

NR

56.78

65.03

Childhood Immunization Status (CIS) - Combo 10

NR

47.83

46.88

Chlamydia Screening in Women (CHL) Total

NR

47.83

56.04

Colorectal Cancer Screening (COL-E) -Total

NR

57.32

60.80

Immunizations for Adolescents (IMA) - Combination 2

NR

50.00

36.86

Immunizations for Adolescents (IMA) - HPV

NR

50.00

32.70

Immunizations for Adolescents (IMA) - Meningococcal

NR

100.00

80.90

Immunizations for Adolescents (IMA) - Tdap

NR

100.00

86.40

Oral Evaluation, Dental Services (OED) - Total

NR

NB

24.19

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) - BMI percentile (Total)

NR

60.00

84.30

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) - Counseling for Nutrition (Total)

NR

100.00

77.20

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) - Counseling for Physical Activity (Total)

NR

93.33

74.80

Respiratory

Asthma Medication Ratio (AMR) -Total

NR

66.67

84.65

Cardiovascular

 

 

 

Controlling High Blood Pressure (CBP)

NR

55.56

73.97

Diabetes

Eye Exam for Patients With Diabetes (EED)

NR

48.84

53.33

Glycemic Status Assessment for Patients With Diabetes (GSD) - Glycemic Status >9.0%

Note: this is an inverse measure, meaning a rate lower than the goal indicates better performance.

NR

32.56

19.71

Kidney Health Evaluation for Patients With Diabetes (KED) - Total

NR

32.53

58.43

Behavioral Health

Antidepressant Medication Management (AMM) - Effective Acute Phase Treatment

NR

58.82

82.80

Antidepressant Medication Management (AMM) - Effective Continuation Phase Treatment

NR

32.29

67.20

Follow-Up After Hospitalization for Mental Illness (FUH) - 30 days (Total)

NR

33.33

71.80

Follow-Up After Hospitalization for Mental Illness (FUH) - 7 days (Total)

NR

0.00

50.00

Depression Screening and Follow-Up for Adolescents and Adults (DSF-E) - Depression Screening (Total)

NR

20.13

9.30

Depression Screening and Follow-Up for Adolescents and Adults (DSF-E) - Follow-Up on Positive Screen (Total)

NR

83.33

84.90

Appropriateness of Use

Appropriate Treatment for Upper Respiratory Infection (URI) -Total

NR

72.50

85.12

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) - Total

NR

60.00

54.88

Use of Imaging Studies for Low Back Pain (LBP) - Total

NR

62.50

75.53

Access and Availability of Care

Initiation and Engagement of Substance Use Disorder Treatment (IET) - Initiation of SUD Treatment - Total (Total)

NR

35.29

46.10

Initiation and Engagement of Substance Use Disorder Treatment (IET) - Engagement of SUD Treatment - Total (Total)

NR

17.65

15.90

Prenatal and Postpartum Care (PPC) - Timeliness of Prenatal Care

NR

25.00

89.51

Prenatal and Postpartum Care (PPC) - Postpartum Care

NR

62.50

88.89

Utilization

Child and Adolescent Well-Care Visits (WCV) - Total

NR

58.49

58.56

Well-Child Visits in the First 30 Months of Life (W30) - (First 15 Months)

NR

NA

85.20

Well-Child Visits in the First 30 Months of Life (W30) - (15 Months-30 Months)

NR

100.00

90.50

 

Passport by Molina Healthcare 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.

 

NA = Not Available Due to Small Denominator         

NR = Not Reported

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