HEDIS® Results

Molina Dual Options MI Health Link Medicare-Medicaid Plan HEDIS® Annual Rates.

Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal.

Measure / Data Element

2020

2021

2021 Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

51.42%

51.81%

67%

Breast Cancer Screening (BCS)

61.26%

58.73%

69%

Care for Older Adults (COA) Medication Review

81.02%

70.80%

84%

Care for Older Adults (COA) Pain Screening

80.78%

71.29%

87%

Colorectal Cancer Screening (COL)

62.47%

63.02%

71%

Diabetes Care (CDC) HbA1c Poor Control > 9.0%

72.13%

58.64%

72%

Diabetes Care (CDC) Eye Exam Total

72.13%

61.56%

71%

Diabetes Care (CDC) Kidney Disease Monitoring

94.38%

91.24%

94%

Controlling High Blood Pressure (CBP)

63.02%

54.50%

71%

Rheumatoid Arthritis Management (ART)

67.50%

66.92%

79%

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

58.88%

68.75%

59%

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

35.69%

35.23%

42%

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

3.48%

4.10%

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)

93.09%

111.81%

≤98%

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

135.44%

109.61%

≤96%

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

78.78%

80.61%

84%

 

Molina Dual Options MI Health Link Medicare-Medicaid Plan is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees.

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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

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