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

2021

2022

Goal

Antidepressant Medication Management (AMM)

Effective Continuation Phase

61.35%

64.09%

69.50%

Breast Cancer Screening (BCS)

55.80%

49.82%

70.00%

Care for Older Adults (COA) Medication Review

88.08%

80.29%

82.00%

Care for Older Adults (COA) Pain Screening

86.37%

80.05%

85.00%

Colorectal Cancer Screening (COL)

55.47%

50.36%

71.00%

Diabetes Care (CDC) Blood Sugar Controlled

69.10%

69.59%

75.00%

Diabetes Care (CDC) Eye Exam Total

55.96%

50.36%

71.00%

Diabetes Care (CDC) Kidney Disease Monitoring

91.97%

92.70%

95.00%

Controlling High Blood Pressure (CBP)

67.88%

73.48%

73.00%

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

55.85%

56.90%

58.54%

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

33.20%

40.31%

42.01%

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

4.30%

9.78%

7.59%

Osteoporosis Management in Women Who Had a Fracture (OMW)

NA

NA

55.00%

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

100.25%

116.50%

≤ 94.64%

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

124.87%

116.32%

≤ 99.05%

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

82.48%

85.26%

87.34%

Transitions of Care (TRC) Medication Reconciliation Post-Discharge

51.58%

40.63%

69.00%

 

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.

Molina Healthcare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ethnicity, national origin, religion, gender, sex, age, mental or physical disability, health status, receipt of healthcare, claims experience, medical history, genetic information, evidence of insurability, geographic location.

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

 

H8046_23_1584_ILMMPHEDISRates