HEDIS® Results

Molina Dual Options Medicare-Medicaid Plan, Healthcare Effectiveness Data and Information Set (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 Treatment

59.15%

64.47%

67%

Breast Cancer Screening (BCS)

61.73%

60.94%

69%

Care for Older Adults (COA) Medication Review

73.48%

74.70%

84%

Care for Older Adults (COA) Pain Screening

75.43%

78.59%

87%

Colorectal Cancer Screening (COL)

51.82%

51.82%

71%

Comprehensive Diabetes Care (CDC) HbA1c Poorly Controlled > 9.0%

75.91%

67.64%

72%

Comprehensive Diabetes Care (CDC) Eye Examination

64.48%

56.20%

71%

Comprehensive Diabetes Care (CDC) Medical Attention for Nephropathy

94.40%

93.43%

94%

Controlling High Blood Pressure (CBP)

55.99%

47.93%

71%

Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART)

NA

NA

79%

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

NA

41.18%

59%

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

42.48%

45.31%

42%

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

0.00%

6.25%

7%

Osteoporosis Management in Women who had a Fracture (OMW)

NA

NA

50%

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

75.53%

83.74%

84%

 

Molina Dual Options Medicare-Medicaid Plan is a health plan that contracts with both Medicare and South Carolina Healthy Connections 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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