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

2022

2023

Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

64.09%

76.95%

70.21%

Breast Cancer Screening (BCS)

49.82%

50.94%

71.00%

Care for Older Adults (COA) Medication Review

80.29%

82.97%

93.00%

Care for Older Adults (COA) Pain Screening

80.05%

82.00%

91.00%

Colorectal Cancer Screening (COL)

50.36%

51.34%

71.00%

Diabetes Care Blood Sugar Controlled (HBD)

69.59%

69.83%

80.00%

Diabetes Care Eye Exam Total (EED)

50.36%

50.85%

73.00%

Controlling High Blood Pressure (CBP)

73.48%

71.05%

74.00%

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

56.90%

58.04%

60.54%

Initiation and Engagement of Substance Use Disorder Treatment (IET) Initiation of SUD Treatment Total

40.31%

43.02%

44.70%

Initiation and Engagement of Substance Use Disorder Treatment (IET) Engagement of SUD Treatment Total

9.78%

5.20%

7.4%%

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)

116.50%

101.33%

≤ 92.56%

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

116.32%

134.62%

≤ 95.74%

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

85.26%

85.64%

88.09%

Transitions of Care (TRC) Medication Reconciliation Post-Discharge

40.63%

48.18%

68.00%

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.

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_24_4553_ILMMPHEDISRateWeb Approved