HEDIS® Results

Molina Dual Options Cal MediConnect Medicare-Medicaid Plan HEDIS® Annual Rates.

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

Measure (12802)

2021

2022

Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

56.13%

72.19%

69.50%

Breast Cancer Screening (BCS)

56.20%

53.52%

70.00%

Colorectal Cancer Screening (COL)

58.88%

57.91%

71.00%

Diabetes Care (CDC) Blood Sugar Controlled

67.40%

74.45%

75.00%

Diabetes Care (CDC) Eye Exam Total

64.48%

65.21%

71.00%

Diabetes Care (CDC) Kidney Disease Monitoring

92.94%

94.65%

95.00%

Controlling High Blood Pressure (CBP)

58.15%

60.58%

73.00%

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

32.35%

27.71%

58.54%

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Initiation of AOD Treatment Total

34.79%

54.80%

42.01%

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total

4.56%

5.80%

7.59%

Osteoporosis Management in Women Who Had a Fracture (OMW)

24.24%

NA

55.00%

Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 18-64)

96.42%

78.44%

≤ 94.64%

Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 65+)

101.64%

107.73%

≤ 99.05%

Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Total

78.15%

79.92%

87.34%

Transitions of Care (TRC) Medication Reconciliation Post-Discharge

38.20%

36.01%

69.00%

 

Measure (12803) - Specific to San Diego, Riverside (partial) and San Bernardino (partial) Counties

2021

2022

Goal

Care for Older Adults (COA) Medication Review

73.24%

71.05%

82.00%

Care for Older Adults (COA) Pain Screening

72.02%

70.07%

85.00%

 

Measure (12804) - Specific to Los Angeles County

2021

2022

Goal

Care for Older Adults (COA) Medication Review

54.99%

58.15%

82.00%

Care for Older Adults (COA) Pain Screening

54.99%

57.42%

85.00%

 

Molina Dual Options Cal MediConnect Plan Medicare-Medicaid Plan is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.

You can get this document for free in other formats, such as large print, braille, or audio. Call (855) 665-4627, TTY: 711, Monday – Friday, 8 a.m. to 8 p.m., local time. The call is free.

NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate

H8677_22_1255_CAMMPHEDISRates