HEDIS® Results
Molina Dual Options 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 |
2023 Rate |
2023 Goal |
2024 Rate |
2024 Goal |
|
Antidepressant Medication Management (AMM) Effective Continuation Phase |
76.95% |
70.21% |
57.71% |
70.53% |
|
Breast Cancer Screening (BCS) |
50.94% |
71.00% |
|
|
|
Breast Cancer Screening (BCS-E) |
|
|
50.27% |
78.57% |
|
Care for Older Adults (COA) Medication Review |
82.97% |
93.00% |
NQ |
87.00% |
|
Care for Older Adults (COA) Pain Screening |
82.00% |
91.00% |
NQ |
90.00% |
|
Colorectal Cancer Screening (COL) |
51.34% |
71.00% |
42.86% |
77.86% |
|
Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) |
|
|
64.23% |
77.68% |
|
Diabetes Care Eye Exam Total (EED) |
50.85% |
73.00% |
54.26% |
81.03% |
|
Controlling High Blood Pressure (CBP) |
71.05% |
74.00% |
72.81% |
80.65% |
|
Follow-Up After Hospitalization for Mental Illness (FUH) 30-Day Rate Total |
58.04% |
60.54% |
56.19% |
60.38% |
|
Initiation and Engagement of Substance Use Disorder Treatment (IET) Initiation of SUD Treatment Total |
43.02% |
44.70% |
53.27% |
45.00% |
|
Initiation and Engagement of Substance Use Disorder Treatment (IET) Engagement of SUD Treatment Total |
5.20% |
7.4% |
6.53% |
6.67% |
|
Osteoporosis Management in Women Who Had a Fracture (OMW) |
NA |
55.00% |
25.00% |
57.09% |
|
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 18-64) |
101.33% |
≤ 92.56% |
96.36% |
≤ 93.94% |
|
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 65+) |
134.62% |
≤ 95.74% |
106.67% |
≤ 93.71% |
|
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Total |
85.64% |
88.09% |
82.60% |
88.48% |
|
Transitions of Care (TRC) Medication Reconciliation Post-Discharge |
48.18% |
68.00% |
52.80% |
84.43% |
Molina Dual Options Medicare-Medicaid Plan is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees.
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NA = Not Available
NQ = Not Required
H8046_25_8188_ILMMPHCRates Accepted