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 / Data Element

2019

2020

2020 Goal

Adult BMI Assessment (ABA) 97.08% 99.0% 96.00%
Antidepressant Medication Management (AMM) Effective Continuation Phase 57.94% 55.55% 61.31%
Breast Cancer Screening (BCS) 62.11% 58.27% 76.00%
Care for Older Adults (COA) Medication Review 85.16% 90.51% 87.00%
Care for Older Adults (COA) Functional Status Assessment 63.02% 67.40% 85.00%
Care for Older Adults (COA) Pain Screening 84.43% 90.75% 86.00%
Colorectal Cancer Screening (COL) 51.09% 54.74% 73.00%
Diabetes Care (CDC) HbA1c Poor Control > 9.0% 69.10% 72.82% 72.00%
Diabetes Care (CDC) Eye Exam Total 61.07% 60.60% 73.00%
Diabetes Care (CDC) Kidney Disease Monitoring 92.21% 94.01% 95.00%
Controlling High Blood Pressure (CBP) 68.13% 71.67% 76.16%
Rheumatoid Arthritis Management (ART) NA NA 79.00%
Follow-Up After Hospitalization for Mental Illness (FUH) 30-Day Rate Total 72.15% 57.55% 59.74%
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total  41.53% 41.88% 42.19%
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total 2.82%  6.02% 5.95%
Medication Reconciliation Post-Discharge (MRP) 51.09% 50.12% 71.00%
Osteoporosis Management in Women Who Had a Fracture (OMW) NA NA 50.00%
Plan All-Cause Readmissions (PCR) 14.00% 12.01%  ≤ 7.00%
Medication Reconciliation Post-Discharge (MRP) 51.09% 50.12% 71.00%
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Total 86.17% 82.58% 83.00%

 

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.

You can get this document for free in other formats, such as large print, braille, or audio. Call (877) 901-8181, TTY: 711, Monday – Friday, 8 a.m. to 8 p.m., local time. The call is free.

 

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

 

H8046_NSR_21_131_ILMMPHEDISRates