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 / Data Element (12802)

2020

2021

2021 Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

53.56%

56.13%

67%

Breast Cancer Screening (BCS)

61.02%

56.20%

69%

Colorectal Cancer Screening (COL)

59.12%

58.88%

71%

Diabetes Care (CDC) Blood Sugar Controlled

73.24%

67.40%

72%

Diabetes Care (CDC) Eye Exam Total

72.26%

64.48%

71%

Diabetes Care (CDC) Kidney Disease Monitoring

96.59%

92.94%

94%

Controlling High Blood Pressure (CBP)

65.94%

58.15%

71%

Rheumatoid Arthritis Management (ART)

68.93%

74.42%

79%

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

46.26%

32.35%

59%

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

34.69%

34.79%

42%

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

3.89%

4.56%

7%

Osteoporosis Management in Women Who Had a Fracture (OMW)

23.53%

24.24%

50%

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

76.36%

96.42%

≤98%

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

122.39%

101.64%

≤96%

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

83.10%

78.15%

84%

 

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

2020

2021

2021 Goal

Care for Older Adults (COA) Medication Review

71.78%

73.24%

84%

Care for Older Adults (COA) Pain Screening

72.75%

72.02%

87%

 

Measure / Data Element (12804) - Specific to Los Angeles County

2020

2021

2021 Goal

Care for Older Adults (COA) Medication Review

56.69%

54.99%

84%

Care for Older Adults (COA) Pain Screening

57.66%

54.99%

87%

 

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.

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

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