QHP Results

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Marketplace Qualified Health Plan Enrollee Experience Survey (QHP) Annual Results.

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

Measure / Data Element

2021

2021 Goal

Access to Care

70.6%

77.84%

Access to Information

55.7%

53.10%

Annual Flu Vaccine (Adults 18-64)

47.0%

58.59%

Coordination of Care

82.7%

85.47%

Customer Service

72.8%

73.89%

Medical Assistances with Smoking and Tobacco Use Cessation

50.0%

60.85%

Rating of Health Plan

72.5%

74.07%

Rating of All Health Care

78.7%

81.95%

Rating of Personal Doctor

85.4%

89.56%

Rating of Specialist Seen Most Often

80.8%

87.34%

 
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
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate

 

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