QHP Results

QHP Results

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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

73.39

73.57

73.93

Access to Information

49.30

52.08

55.49

Care Coordination

87.69

87.24

85.88

Medical Assistance with Smoking and Tobacco Use Cessation

70.30

72.60

60.70

Plan Administration

67.89

72.15

74.17

Rating of Health Care

82.03

79.59

82.38

Rating of Health Plan

73.40

71.18

74.97

Rating of Personal Doctor

89.99

90.40

89.79

Rating of Specialist

86.89

88.05

87.89

Molina Healthcare of Wisconsin Overall Marketplace Quality Rating = 4 Stars

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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