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

2020

2021

2021 Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

57.55%

61.35%

67%

Breast Cancer Screening (BCS)

58.27%

55.80%

69%

Care for Older Adults (COA) Medication Review

90.51%

88.08%

84%

Care for Older Adults (COA) Pain Screening

90.75%

86.37%

87%

Colorectal Cancer Screening (COL)

54.74%

55.47%

71%

Diabetes Care (CDC) HbA1c Poor Control > 9.0%

72.82%

69.10%

72%

Diabetes Care (CDC) Eye Exam Total

60.60%

55.96%

71%

Diabetes Care (CDC) Kidney Disease Monitoring

94.01%

91.97%

94%

Controlling High Blood Pressure (CBP)

71.67%

67.88%

71%

Rheumatoid Arthritis Management (ART)

NA

71.43%

79%

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

57.55%

55.85%

59%

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

41.88%

33.20%

42%

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

6.02%

4.30%

7%

Osteoporosis Management in Women Who Had a Fracture (OMW)

NA

NA

50%

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

126.57%

100.25%

≤98%

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

126.21%

124.87%

≤96%

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

82.58%

82.48%

84%

 

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.

 

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

 

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